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  • Sočasna obojestranska rekonstrukcija sprednje križne vezi : primerjava stroškov in funkcionalnih rezultatov = Simultaneous bilateral anterior cruciate ligament reconstruction : cost comparison and functional results
    Sajovic, Matjaž ; Sajovic, Eva, štud. med.
    Background: The ideal treatment for patients presenting with bilateral anterior cruciate ligament (ACL) deficiency remains controversial. The purpose was to evaluate cost and mid-term functional ... results after one-stage bilateral ACL reconstruction using either hamstring or patella tendon autograft. Methods: We compared the mid-term outcome of 7 patients (14 knees) who had one-stage bilateral ACL reconstruction with that of a matched group of patients who had unilateral reconstruction (21 patients). Results: The median duration of hospital stay was 4 nights (range 3 to 5) for the bilateral group and 2 nights (range, 1 to 4) for the control group. The duration of rehabilitation process in patients from the control group with unilateral ACL reconstruction was one week shorter (9 versus 8 weeks). In240 the bilateral group, the median Lysholm score was 96 (range 85-100) and in the control group, the median score was 93 (range 81-100). The median time to return to fulltime work and to full sports was 9 weeks and 7 months for the simultaneous bilateral group and 8 weeks and 6 months for the unilateral group. Six patients (86 %) in the bilateral group and 17 patients (81 %) in the control group were still performing at their pre-injury level of activity. The Health Insurance Institute of Slovenia saves EUR 2,925 when we perform simultaneous bilateral ACL reconstruction instead of two stage ACL reconstruction. Conclusions: Mid-term clinical results suggested that simultaneous bilateral ACL reconstruction using either hamstring or patella tendon autograft is clinically effective. For patients presenting with symptomatic bilateral ACL deficient knees, one stage bilateral ACL reconstruction is reproducible, cost effective, and does not compromise functional results.
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 83, št. 3, mar. 2014, str. 240-245)
    Vrsta gradiva - članek, sestavni del
    Leto - 2014
    Jezik - slovenski
    COBISS.SI-ID - 31437273

    Povezava(-e):

    http://vestnik.szd.si/index.php/ZdravVest/article/view/1136
    Digitalna knjižnica Slovenije - dLib.si

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