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  • Kirurško zdravljenje omejene gibljivosti kolena po rekonstrukciji srednje križne vezi = Surgical treatment of loss of motion after anterior cruciate ligament reconstruction
    Fokter, Samo K. ...
    Background. Loss of motion is a complication following anterior cruciate ligament (ACL) reconstruction, which substantially compromises the result of operative treatment of un unstable knee. This ... retrospective study was designedto clarify the causes and incidence of this complication on one hand, and to evaluate the results of arthroscopic treatment on our patient population on the other. Methods. In a series of 200 consecutive open ACL reconstructions with autologus middle third bone - patellar tendon - bone graft, eight (study group) required further surgical treatment due to restricted knee motion. Patients scored their knees numerically using identical questionnaires (Lysholm knee score) before and after reoperation. They also graded their sports activity level according to the level before primary knee injury. Clinically, range of motion and stability were tested, and KLT arthrometer results were recorded. Signs of arthrosis and patellar high were measured radiographicaly. Results were compared with the sport activity level and numerical questionnaires (questionnaire group), filled-in and returned from 119 patients (121 knees). From all operated patients, twentywere selected at random for additional clinical, KLT and radiographic measurements (control group). Results. The ACL reconstruction was done in the study group an average of eight weeks after injury, and far later, an average of 22 months after injury in the control group. Mean age of patients at the time of reconstruction in the study group was 34 years and those in control group 26. After reoperation, the functional outcome scores of the two groups were statistically the same. Conclusions. Loss of motion after ACL reconstruction has an incidence of 4% in our series. It is more common in older patients and those operated early after injury. it is worthwile to treatthe complication surgically. The results of reoperation are good.
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Let. 66, št. 7-8, 1997, str. 405-408)
    Vrsta gradiva - članek, sestavni del
    Leto - 1997
    Jezik - slovenski
    COBISS.SI-ID - 6788569

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