The Influence of Anterior Cruciate Ligament Remnant on Postoperative Clinical Results in Patients with Remnant Preserving Anterior Cruciate Ligament Reconstruction

Alan Goce Andonovski; Sonja Topuzovska; Milan Samardziski; Zoran Bozinovski; Biljana Andonovska; Zlatko Temelkovski

doi:10.3889/oamjms.2017.096

Authors

Alan Goce Andonovski University Clinic for Orthopedic Surgery, Traumatology, Anesthesiology and Intensive Care, Skopje
Sonja Topuzovska Institute of Medical and Experimental Biochemistry, Faculty of Medicine, University â€œSs Cyril and Methodiusâ€ , Skopje
Milan Samardziski University Clinic for Orthopedic Surgery, Traumatology, Anesthesiology and Intensive Care, Skopje
Zoran Bozinovski University Clinic for Orthopedic Surgery, Traumatology, Anesthesiology and Intensive Care, Skopje
Biljana Andonovska University Clinic for Orthopedic Surgery, Traumatology, Anesthesiology and Intensive Care, Skopje
Zlatko Temelkovski University Clinic for Orthopedic Surgery, Traumatology, Anesthesiology and Intensive Care, Skopje

DOI:

https://doi.org/10.3889/oamjms.2017.096

Keywords:

Anterior cruciate ligament rupture, Remnant preserving ACL reconstruction, Single bundle ACL reconstruction, Clinical results

Abstract

BACKGROUND: Anterior Cruciate Ligament (ACL) remnants have important biomechanical, vascular and proprioceptive function.

AIM: To determine the influence of the ACL residual remnants after partial and complete ACL ruptures on postoperative clinical results in patients with remnant preserving ACL reconstruction.

PATIENTS AND METHODS: The study included 66 patients divided into two groups. In patients from the investigation group remnant preserving ACL reconstruction was performed, in patients from the control group single bundle ACL reconstruction was performed. The results were assessed by Rolimeter measurements, Lysholm and Tegner scores and proprioception evaluation.

RESULTS: The mean side-to-side difference of anterior tibia displacement (mm) was improved from 4.4 Â± 1.06 to 0.4 Â± 0.7 in the investigation group, and from 4.6 Â± 0.68 to 1.9 Â± 0.64 in the control group (p < 0.001). Difference in the angles in which the knee was placed by the device and the patient has improved from 1.5 Â± 0.96Â° to 0.5 Â± 0.53Â° in the investigation group and from 1.8 Â± 0.78Â° to 1.3 Â± 0.97Â° in the control group (p < 0.05).Â Tegner and Lysholm scores showed no difference between the groups.

CONCLUSION: Preservation of the ACL residual bundle provides a better knee stability and proprioceptive function.

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