Journal List > Korean J Sports Med > v.30(2) > 1054494

Youm, Cho, Eo, Lee, and Choi: Relationship between the Synovialization and the Clinical Results after Anterior Cruciate Ligament Reconstruction Using Tibialis Tendon Allograft

Abstract

The purpose of this study was to evaluate the relationship between the second-look arthroscopic findings of synovialization and the clinical results after the arthroscopic anterior cruciate ligament (ACL) reconstruction with the fresh-frozen tibialis tendon allograft. Fifty-seven patients could be examined with the second-look arthroscopy after the ACL reconstruction with tibialis tendon allograft. The average duration from reconstruction to second-look arthroscopy was 18.4 months (range, 4-48 months). The patients were classified, according to the extent of synovialization, into 3 groups; 37 cases (64.9%) in group A (good), 15 cases (26.3%) in group B (partial), and 5 cases (8.8%) in group C (poor). The clinical results were compared in each group. The 2000 International Knee Documentation Committee (IKDC) subjective knee score was 80 or more in 31 cases (83.8%) in group A, 9 (60%) in group B, and 1 (20%) in group C respectively. All thirty seven cases (100%) in group A had negative or 1+firm end-point Lachman test and negative pivot shift test, however, only 2 cases (40%) in group C. KT-1000 arthrometer measurement was less than 5 mm in 37 (100%) in group A, 14 (93.3%) in group B, and 2 (40%) in group C. According to the 2000 IKDC knee examination form, 37 (100%) in group A, 14 (93.3%) in group B, and 2 (40%) in group C respectively were normal or nearly normal. The synovialization of the graft had positive correlation with the clinical results after the ACL reconstruction with fresh-frozen allograft.

Figures and Tables

Fig. 1
Good synovialization of the anterior cruciate ligament graft was showed in 37 cases.
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Fig. 2
Partial synovialization of the anterior cruciate ligament graft was showed in 15 cases.
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Fig. 3
Poor synovialization of the anterior cruciate ligament graft was showed in 5 cases.
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Fig. 4
Graft failure was showed in one case due to poor synovialization.
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Table 1
Grade of graft synovialization in second look arthroscopy and clinical results
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Values are presented as number (%).

IKDC: International Knee Documentation Committee.

References

1. Chung SW, Hahn SH, Yang BK, et al. Second-look arthroscopic findings after anterior cruciate ligament reconstruction: comparison between achilles allograft and bone-patellar tendon-bone autograft. J Korean Knee Soc. 2003. 15:102–110.
2. Noyes FR, Barber-Westin SD. Reconstruction of the anterior cruciate ligament with human allograft. Comparison of early and later results. J Bone Joint Surg Am. 1996. 78:524–537.
3. Jung YB, Yum JK. Arthroscopic second look findings of an anterior cruciate ligament bone-patellar tendon-bone autograft. Bull Hosp Jt Dis. 1997. 56:154–160.
4. Choi HR, Choi SW, Kwon SW, Park JS, Lee BI. Comparison of clinical results in anterior cruciate ligament reconstruction using bone-patellar tendon-bone autograft and using achilles tendon allograft. J Korean Orthop Assoc. 2008. 43:618–624.
5. Yoo JD, Kim SI. Results of the reconstruction of anterior cruciate ligament with freshfrozen achilles allograft and of second-look arthroscopy. J Korean Arthrosc Soc. 2007. 11:111–116.
6. Yoon KH, Bae DK, So DH, Lee JH, Kim JW, Park SY. Clinical results after ACL reconstruction using tibialis anterior tendon allograft and hamstring tendon autograft. J Korean Arthrosc Soc. 2007. 11:85–91.
7. Lee JH, Bae DK, Song SJ, Cho SM, Yoon KH. Comparison of clinical results and second-look arthroscopy findings after arthroscopic anterior cruciate ligament reconstruction using 3 different types of grafts. Arthroscopy. 2010. 26:41–49.
8. Lee JH, Bae DK, Song SJ, Kim JW, Park SY, Yoon KH. Clinical outcomes after arthroscopic ACL reconstruction using bone-patellar tendon-bone allografts, anterior tibialis tendon allografts, and hamstring tendon autografts. J Korean Knee Soc. 2008. 20:30–37.
9. Arnoczky SP, Rubin RM, Marshall JL. Microvasculature of the cruciate ligaments and its response to injury. An experimental study in dogs. J Bone Joint Surg Am. 1979. 61:1221–1229.
10. Arnoczky SP, Warren RF. Feagin JA, editor. Anatomy of the cruciate ligaments. The cruciate ligaments. 1988. New York: Churchill Livingstone;179–181.
11. Lee BI, Min KD, Choi HS, et al. Immunohistochemical study of mechanoreceptors in the tibial remnant of the ruptured anterior cruciate ligament in human knees. Knee Surg Sports Traumatol Arthrosc. 2009. 17:1095–1101.
12. Shino K, Inoue M, Horibe S, Nakata K, Maeda A, Ono K. Surface blood flow and histology of human anterior cruciate ligament allografts. Arthroscopy. 1991. 7:171–176.
13. Yamagishi T, Fujii K, Roppongi S, Hatsuumi H. Blood flow measurement in reconstructed anterior cruciate ligaments using laser Doppler flowmetry. Knee Surg Sports Traumatol Arthrosc. 1998. 6:160–164.
14. Toritsuka Y, Shino K, Horibe S, et al. Second-look arthroscopy of anterior cruciate ligament grafts with multistranded hamstring tendons. Arthroscopy. 2004. 20:287–293.
15. Otsubo H, Shino K, Nakamura N, Nakata K, Nakagawa S, Koyanagi M. Arthroscopic evaluation of ACL grafts reconstructed with the anatomical two-bundle technique using hamstring tendon autograft. Knee Surg Sports Traumatol Arthrosc. 2007. 15:720–728.
16. Kondo E, Yasuda K. Second-look arthroscopic evaluations of anatomic double-bundle anterior cruciate ligament reconstruction: relation with postoperative knee stability. Arthroscopy. 2007. 23:1198–1209.
17. Murray MM, Martin SD, Martin TL, Spector M. Histological changes in the human anterior cruciate ligament after rupture. J Bone Joint Surg Am. 2000. 82:1387–1397.
18. Smith TO, Davies L, Hing CB. Early versus delayed surgery for anterior cruciate ligament reconstruction: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2010. 18:304–311.
19. Arnoczky SP, Tarvin GB, Marshall JL. Anterior cruciate ligament replacement using patellar tendon. An evaluation of graft revascularization in the dog. J Bone Joint Surg Am. 1982. 64:217–224.
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