|
KMID : 0361620130480040266
|
|
Journal of the Korean Orthopaedic Association
2013 Volume.48 No. 4 p.266 ~ p.272
|
|
|
Influence of Posterior Tibial Slope on Stability and Second-Look Arthroscopic Findings after Anterior Cruciate Ligament Reconstruction
|
|
Park Hee-Gon
Yoo Jae-Sung
Hwang Chang-Hwan
|
|
|
Abstract
|
|
|
Purpose: The purpose of this study was to analyze the influence of posterior tibial slope on stability in clinical and second-look arthroscopic evaluation after anterior cruciate ligament (ACL) reconstruction.
Materials and Methods: From 2000 to 2011, 124 patients who underwent ACL reconstruction using an allogaft were enrolled in this study. A posterior tibial slope between 0° and 4° was found in 28 patients (group A), between 5° and 9° in 64 patients (group B), and greater than 10° in 32 patients (group C). We evaluated stability using the Lachman test and a KT-2000 arthrometer. In second-look arthroscopy, grafted tendons were evaluated based on the tension, rupture, and synovial coverage.
Results: In clinical evaluation for stability, mean KT-2000 arthrometer and Lachman test at last follow-up showed no statistically significant differences depending on posterior tibial slope. Second-look arthroscopic findings showed no statistically significant difference between groups A and B (p=0.91). However, statistically significant relations were observed between groups A and C (p=0.03), and between groups B and C (p=0.02).
Conclusion: The results of this study suggest that patients who underwent ACL reconstruction with higher posterior tibial slope (≥10°) have more lax tension in second-look arthroscopy, but not in clinical stability tests.
|
|
|
KEYWORD
|
|
|
anterior cruciate ligament, reconstruction, stability, posterior slope
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|