Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage: short- to middle-term outcome

Dariusz Witoński; Rafał Kęska; Rafał Cyranowski; Przemysław T. Paradowski

doi:10.5114/wiitm.2016.60044

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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2/2016
vol. 11

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abstract:

Original paper

Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage: short- to middle-term outcome

Dariusz Witoński

,

Rafał Kęska

,

Rafał Cyranowski

,

Przemysław T. Paradowski

Videosurgery Miniinv 2016; 11 (2): 76–82

DOI: https://doi.org/10.5114/wiitm.2016.60044

Online publish date: 2016/05/19

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AMA

Witoński D, Kęska R, Cyranowski R, Paradowski P. Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage: short- to middle-term outcome. Videosurgery and Other Miniinvasive Techniques. 2016;11(2):76-82. doi:10.5114/wiitm.2016.60044.

APA

Witoński, D., Kęska, R., Cyranowski, R.,  & Paradowski, P. (2016). Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage: short- to middle-term outcome. Videosurgery and Other Miniinvasive Techniques, 11(2), 76-82. https://doi.org/10.5114/wiitm.2016.60044

Chicago

Witoński, Dariusz, Rafał Kęska, Rafał Cyranowski,  and Przemysław T. Paradowski. 2016. "Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage: short- to middle-term outcome". Videosurgery and Other Miniinvasive Techniques 11 (2): 76-82. doi:10.5114/wiitm.2016.60044.

Harvard

Witoński, D., Kęska, R., Cyranowski, R.,  and Paradowski, P. (2016). Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage: short- to middle-term outcome. Videosurgery and Other Miniinvasive Techniques, 11(2), pp.76-82. https://doi.org/10.5114/wiitm.2016.60044

MLA

Witoński, Dariusz et al. "Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage: short- to middle-term outcome." Videosurgery and Other Miniinvasive Techniques, vol. 11, no. 2, 2016, pp. 76-82. doi:10.5114/wiitm.2016.60044.

Vancouver

Witoński D, Kęska R, Cyranowski R, Paradowski P. Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage: short- to middle-term outcome. Videosurgery and Other Miniinvasive Techniques. 2016;11(2):76-82. doi:10.5114/wiitm.2016.60044.

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Introduction: Several studies have suggested that anterior cruciate ligament reconstruction (ACLR) without wound drainage has no impact on long-term follow-up.

Aim: To investigate a prospective patient series as measured by the patient-administered disease-specific questionnaire Knee injury and Osteoarthritis Outcome Score (KOOS).

Material and methods: The study included 101 consecutive patients (71 men and 30 women) with a mean age of 30 years (SD 10, range: 15–62 years), who had undergone primary single incision arthroscopic bone-patellar tendon-bone autograft (BPTB) ACLR without wound drainage. All patients completed KOOS questionnaires, preoperatively and at a mean follow-up of 1.4 years (range: 0.4–3.4). Satisfactory clinical outcome (function recovery – FR) was defined as the lower threshold for the 95% CI of 18–34-year old males and corresponded to a KOOS score > 90 for Pain, 84 for Symptoms, 91 for Activities of Daily Living (ADL), 80 for Sports/Recreation, and 81 for Quality of Life (QOL). A non-satisfactory result was defined as treatment failure (TF) and corresponded to a QOL score < 44.

Results: All patients achieved 90 of knee flexion on the first postoperative day and full extension 2 weeks postoperatively. A full range of motion was achieved in less than 6 weeks postoperatively. No postoperative complications were reported. Score improvement at follow-up was observed in the KOOS subscales Pain, Symptoms and ADL. Criteria for FR were fulfilled by 52% of patients for Pain, 47% for Symptoms, 62% for ADL, 34% for Sports/Recreation and 15% for QOL, whereas criteria for TF were fulfilled by 29% of patients.

Conclusions: The study demonstrated that the primary ACLRs without wound drainage did not have any negative impact for patient-reported recovery.

keywords:

Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage: short- to middle-term outcome

Dariusz Witoński , Rafał Kęska , Rafał Cyranowski , Przemysław T. Paradowski

drainage, knee, anterior cruciate ligament, Knee injury and Osteoarthritis Outcome Score, arthroscopic Anterior cruciate ligament reconstruction

Dariusz Witoński

,

Rafał Kęska

,

Rafał Cyranowski

,

Przemysław T. Paradowski