Abstract
Purpose: We present our experience in recurrence of anterior knee instability after reconstruction of anterior cruciate ligament.
Material-methods: In our department, from 1996 to 2002, 359 patients with average age 24.2 years were treated for anterior knee instability. 159 patients underwent acl reconstruction with the use of bone-patellar tendon-bone graft, 188 pts with hamstrings tendons and 19 pts with quadriceps tendon-bone graft. During the follow-up period, 12 cases with recurrence of anterior knee instability came up. In nine patients BPTB graft was used and in three hamstrings. Five patients suffered a sports accident while seven presented a progressive graft laxity. At the revision, hamstrings were used in nine patients and quadriceps tendon-bone graft in three pts.
Results: All patients had a follow-up period free of complications, were subjected to the same rehabilitation program and returned to their usual activities into the expected for the particular operation period.
Conclusion: The revision of ACL reconstruction demands careful preoperative planning, organized surgery with capability to apply alternative solutions and understanding of the patient’s demands.
The abstracts were prepared by Eleni Koutsoukou. Correspondence should be addressed to him at the Hellenic Association of Orthopaedic Surgery and Traumatology (HAOST), 20, A. Fleming str, 15123 Marousi, Athens, Greece.
