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15 years after ACL knee reconstruction, 84 percent of male patients still highly active, study says
Date:3/13/2010

be fortuitous. The way I performed the surgery was to drill the hole into the femoral bone before drilling into the tibia. Dr. Rosenberg's technique drilled into the tibia first. It turned out you can get the graft into a better position and a more stable knee if you drill in that order. I didn't know I had it 'wrong' until after I'd performed hundreds of successful operations."

In the study, 90 patients (46 men and 44 women between 15-42 years) had endoscopic ACL knee surgery performed by Dr. Pinczewski. After 15 years, 82 patients (88%) were examined and documented. In evaluating knee function (limp, locking, instability, pain, swelling and trouble climbing stairs), the patients had a median score of 95 (in a range of 39-100). Rating the function of their knee on a scale of 0 10, with 10 being normal, excellent function and 0 being inability to perform daily activities, patients reported their knee function at an average of 9.5 after 15 years.

As for sports participation, 84 percent of males and 45 percent of females were participating in very strenuous activities such as soccer and basketball or in strenuous activities such as skiing or tennis. 24 percent of patients participated in moderate activities such as running or jogging and14 percent participated in light activities such as walking 15 years after surgery. However, 89 percent of patients had no signs of osteoarthritis at 15 years after the surgery. The study did note a concern for increased kneeling pain in patients due to the donor site for the patellar tendon graft that needed further scrutiny.


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Contact: Lisa Weisenberger
lisa@aossm.org
847-292-4900
American Orthopaedic Society for Sports Medicine
Source:Eurekalert

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