PMID- 10024030
OWN - NLM
STAT- MEDLINE
DCOM- 19990413
LR  - 20221207
IS  - 0749-8063 (Print)
IS  - 0749-8063 (Linking)
VI  - 15
IP  - 1
DP  - 1999 Jan-Feb
TI  - Failure of clinical methods in assessing graft integrity after anterior cruciate 
      ligament reconstruction: an arthroscopic evaluation.
PG  - 27-34
AB  - We reviewed the findings of 24 patients who underwent knee arthroscopy following 
      a bone-patellar tendon-bone autograft anterior cruciate ligament (ACL) 
      reconstruction. Preoperative symptoms included pain, swelling, catching, and/or 
      locking. Only one patient presented with subjective instability. The subjective 
      and objective clinical findings as well as KT-1000 examination were compared with 
      the arthroscopic findings. Thirteen of the 24 patients had an insufficient ACL 
      graft by arthroscopic examination. In only 5 of these patients did the physical 
      examination and/or KT-1000 results reliably detect an insufficient ACL graft. The 
      remaining 8 patients had a stable knee by subjective and objective clinical 
      criteria as well as strict KT-1000 criteria. No significant degenerative changes 
      or lack of motion was present in this group. Also, 7 of the 8 patients had an 
      excellent or good Orthopadische Arbeitsgruppe Knie (OAK) score and maintained a 
      high level of function. In the two patients who underwent preoperative magnetic 
      resonance imaging the lack of an intact graft was confirmed. A subset of patients 
      appear to have stable knees despite the lack of a functioning ACL graft. 
      Therefore, standard clinical and KT-1000 criteria for ACL deficient knees have 
      limitations in detecting graft integrity after ACL reconstruction. Arthroscopy or 
      magnetic resonance imaging may be needed when graft integrity is in question.
FAU - Passler, J M
AU  - Passler JM
AD  - Department of Traumatology, School of Medicine, Graz, Austria.
FAU - Babinski, K
AU  - Babinski K
FAU - Schippinger, G
AU  - Schippinger G
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
MH  - Adult
MH  - Anterior Cruciate Ligament/diagnostic imaging/pathology/*transplantation
MH  - Arthrography
MH  - Arthroscopy
MH  - Follow-Up Studies
MH  - Humans
MH  - Joint Instability/etiology/physiopathology/surgery
MH  - Knee Joint/diagnostic imaging/pathology/*surgery
MH  - Magnetic Resonance Imaging
MH  - Middle Aged
MH  - Range of Motion, Articular
MH  - Plastic Surgery Procedures/*adverse effects
MH  - Reoperation
MH  - Treatment Failure
EDAT- 1999/02/19 00:00
MHDA- 1999/02/19 00:01
CRDT- 1999/02/19 00:00
PHST- 1999/02/19 00:00 [pubmed]
PHST- 1999/02/19 00:01 [medline]
PHST- 1999/02/19 00:00 [entrez]
AID - S0749-8063(99)00156-5 [pii]
AID - 10.1053/ar.1999.v15.0150021 [doi]
PST - ppublish
SO  - Arthroscopy. 1999 Jan-Feb;15(1):27-34. doi: 10.1053/ar.1999.v15.0150021.