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Dergiler / Archives of Current Medical Research / 2023 / Cilt: 4 Sayı: 2

The Effectiveness of Anterior Cruciate Ligament Reconstruction on the Patellofemoral Stability and Patellar Height

Özgür DOĞAN
Batuhan GENCER
İhsaniye SÜER DOĞAN
Sayfa
94–101
Yayın Tarihi
2023-05-31
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

With single-bundle ACLR, sagittal balance improves, patellar height indices decrease, and patients' susceptibility to patellofemoral instability may reduce.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Background: Considering the critical role the anterior cruciate ligament (ACL) plays in knee biomechanics, it is a logical hypothesis that ACL reconstruction (ACLR) will have positive effects on knee kinematics, and stability.
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Temel Bulgular & Veri:Methods: In this prospective study, 87 patients operated with hamstring autograft-used single-bundle ACLR were analyzed.
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Sonuç & Katkı:With single-bundle ACLR, sagittal balance improves, patellar height indices decrease, and patients' susceptibility to patellofemoral instability may reduce.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Anterior Cruciate Ligament · Knee Joint · Patella

Abstract

Background: Considering the critical role the anterior cruciate ligament (ACL) plays in knee biomechanics, it is a logical hypothesis that ACL reconstruction (ACLR) will have positive effects on knee kinematics, and stability. Our objective was to investigate the effect of single-bundle ACLR on patellar height, and patellofemoral balance radiologically and clinically. Methods: In this prospective study, 87 patients operated with hamstring autograft-used single-bundle ACLR were analyzed. History of dislocation, stability-related physical examination findings, Tegner-Lysholm Knee Scoring Scale, and Kujala Anterior Knee Pain Scale were used for functional assessment. All patients underwent pre-and post-operative magnetic resonance imaging and Insall-Salvati (IS) Index, Caton Deschamps Index, Blackburne-Peel Index, and Patella-patellar tendon (P-PT) angles were measured on T1-weighted sagittal section images. Results: A total of 79 patients (90.8%) achieved excellent or good result, according to Tegner-Lysholm Knee Scoring Scale, and the patients' postoperative 1st year mean Kujala Anterior Knee Pain Score was calculated as 90.4 (Range: 79.1 – 96.4). On physical examination, increased passive patellar translation was observed in 2 patients (2.3%), but the J sign was appeared to be negative in all the patients. While all patellar height indices decreased after reconstruction, only the decrease in IS index was statistically significant (p=0.007). Moreover, the P-PT angle was found to be significantly lower after ACLR (p<0.001). Conclusion: Our study is an essential step in demonstrating the relationship between anterior cruciate ligament reconstruction and patellar height. With single-bundle ACLR, sagittal balance improves, patellar height indices decrease, and patients' susceptibility to patellofemoral instability may reduce.

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Bu Makaleye Atıf Yap

DOĞAN, Ö., GENCER, B., DOĞAN, İ. S. (2023). The Effectiveness of Anterior Cruciate Ligament Reconstruction on the Patellofemoral Stability and Patellar Height. Archives of Current Medical Research, Cilt: 4 Sayı: 2, 94–101. https://ajindex.com/articles/938810

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Kaynakça (6)

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