관절경하에서 슬개골건 - 골을 이용한 전방십자인대 재건술 = Arthroscopic Anterior Cruciate Ligament Reconstruction with Bone - Patellar Tendon - Bone Graft

다국어 초록 (Multilingual Abstract)

Anterior cruciate ligament is a very important structure for stablility of knee joint. Be- cause injured anterior cruciate ligamentedled to the instability of knee, tear of meniscus, degenerative arthritis and decreased life activity, various operative treatment have been described for the treatment of chronic anterior cruciate ligarnent insufficiency. We analyzed the 31 cases who had taken the reconstruction surgery of anterior cruciate ligament using bone-patellar tendon-bone graft under arthroscopy from September 1988 to October 1992. The average follow up period was 26 months. The results were as fol- lows .' l. Of the 31 Knees, 21(69 %) knees were caused by sport injury. 28(90 %) patients were male and average age was 24.9 years old. 2. Duration of the interval frorn injuries to operation was average 27,4 months, In the physical examination for instability in preoperative period, 29(94 %) knees were positive in anterior drawer test, 31(100%) knees Lachmanns test and 27(87 %) knees in pivot shift test. In the last follow up, 27(87 %) knees were negative in anterior drawer test, 19 (61 %) knees negative and 6(20 %) knees trace in Lachmanns test and 27(87 %) knees negative in pivot shift test. 3. 24(77 %) knees were combined with meniscal injury. 4 knees were treated by arthroscopic meniscorrhapy and 17 knees by arthroscopic meniscectomy. 4. The patients were evaluated by Marshall's knee rating scale. 25(81%) of 31 Knees were estimated as excellent or good result. Average Marshall scoring scale was 33.8 point at preoperative and 45,9 point at the last follow up. Average Lysholm knee scoring scale was 74 point at preoperative and 94 point at the last follow up. Aceording to KT-1000 arthrometer, 25(81%) of 31 knees were estimated below 2mm by side to side difference with manual maximum values at last follow up.