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KMID : 0359420060240010076
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Korean Journal of Sports Medicine
2006 Volume.24 No. 1 p.76 ~ p.81
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A Comparison of Early versus Delayed Anterior Cruciate Ligament Reconstruction
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Kim Yeung-Jin
Chun Churl-Hong
Kim Tae-Kyun
Yang Hwan-Deok
Kim Hyung-Joon
Park Jin-Young
Seo Kwang-Ho
Han Joung-Kyue
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Abstract
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The purpose of this retrospective study is to evaluate the outcome of acute and delayed anterior cruciate ligament(ACL) reconstruction and to determine if there was any functional advantage to early reconstruction. From October 1999 to March 2005, we performed early ACL reconstruction (within the first 2 weeks after injury) in 41 patients(group I) and delayed ACL reconstruction (after minimum of 8 weeks) in 35 patients(group II). Mean age was 33.5 years. 61 cases were male and 15 cases were female. Average follow-up period was 3 years and 7 months, range from 1 year to 5 years and 5 months. Subjective and objective parameters were utilized in analyses, such as: the mean quadriceps circumference, the range of motion, Lysholm knee score, Tegner activity score, Lachman test, Pivot shift test, and IKDC score. There were no significant differences in the mean quadriceps circumference, Lysholm knee score, IKDC scores and Tegner activity scale between the two groups at follow-up period. Lysholm knee score and mean range of motion were significantly better in the group with late ACL reconstruction(group I:84.2 and group II:88.7, group I:131 degrees and group II:140 degrees). Loss of motion(defined as a loss of extension of more 10 degrees or flexion of less than 100 degrees) was identified 4 patients(9.8%) in Group I and 2(5.7%) patients in Group II. The difference in the loss of range of motion was statistically significant. Therefore, we concluded that there was no advantage in early reconstruction.
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KEYWORD
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ACL reconstruction, Acute, Delayed
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