Surgery for ACL deficiency in patients over 50

Purpose: To compare the outcomes of arthroscopic ACL reconstruction procedure in 20 middle-aged patients (12 men and 8 women) and 20 subjects younger than 30 years (control group) at a minimum post-operative follow-up of 24 months. Methods: Pre- and post-operative anterior-posterior laxity was assessed by Lachman test, pivot shift test and KT1000 arthrometer at manual maximum stress. Clinical functional evaluation was assessed according to IKDC Committee (IKDC) subjective knee form, IKDC ligament standard evaluation and Lysholm score. Results: At 2 years, all variables significantly improved in both groups compared to pre-operative values (P < 0.05), with non-significant intergroup difference. Conclusions: When faced with ACL deficiency, physiological age, condition of the knee at the time of examination, life expectancy and activity level are probably more important than chronologic age. In the present study, arthroscopic surgery for the management of ACL tear and secondary lesions provides comparable clinical outcomes in middle-aged patients and in patients aged below 30. © 2010 Springer-Verlag.

Data di pubblicazione: 2011
Titolo: Surgery for ACL deficiency in patients over 50
Autori: Osti, Leonardo; Papalia, Rocco; Del Buono, Angelo; Leonardi, Francesco; Denaro, Vincenzo; Maffulli, Nicola
Rivista: KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
Parole Chiave: Anterior cruciate ligament (ACL) injury; Arthroscopy; Arthrosis; Isolated ACL reconstruction; Adult; Age Factors; Anterior Cruciate Ligament; Arthroscopy; Case-Control Studies; Confidence Intervals; Female; Follow-Up Studies; Humans; Joint Instability; Knee Joint; Male; Middle Aged; Observer Variation; Pain Measurement; Reconstructive Surgical Procedures; Recovery of Function; Reference Values; Risk Assessment; Severity of Illness Index; Statistics, Nonparametric; Treatment Outcome; Anterior Cruciate Ligament Injuries; Surgery; Orthopedics and Sports Medicine
Abstract in inglese: Purpose: To compare the outcomes of arthroscopic ACL reconstruction procedure in 20 middle-aged patients (12 men and 8 women) and 20 subjects younger than 30 years (control group) at a minimum post-operative follow-up of 24 months. Methods: Pre- and post-operative anterior-posterior laxity was assessed by Lachman test, pivot shift test and KT1000 arthrometer at manual maximum stress. Clinical functional evaluation was assessed according to IKDC Committee (IKDC) subjective knee form, IKDC ligament standard evaluation and Lysholm score. Results: At 2 years, all variables significantly improved in both groups compared to pre-operative values (P < 0.05), with non-significant intergroup difference. Conclusions: When faced with ACL deficiency, physiological age, condition of the knee at the time of examination, life expectancy and activity level are probably more important than chronologic age. In the present study, arthroscopic surgery for the management of ACL tear and secondary lesions provides comparable clinical outcomes in middle-aged patients and in patients aged below 30. © 2010 Springer-Verlag.
Digital Object Identifier (DOI): 10.1007/s00167-010-1242-x
Handle: http://hdl.handle.net/11392/2387845
Appare nelle tipologie:03.1 Articolo su rivista

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