Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage: short- to middle-term outcome

Dariusz Witoński; Rafał Kęska; Rafał Cyranowski; Przemysław T. Paradowski

doi:10.5114/wiitm.2016.60044

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

2/2016
vol. 11

Send email

Copy url:

abstract:

Original paper

Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage: short- to middle-term outcome

Dariusz Witoński

,

Rafał Kęska

,

Rafał Cyranowski

,

Przemysław T. Paradowski

Videosurgery Miniinv 2016; 11 (2): 76–82

DOI: https://doi.org/10.5114/wiitm.2016.60044

Online publish date: 2016/05/19

View full text Get citation

EndNote

Papers, Reference Manager, RefWorks, Zotero

AMA

Witoński D, Kęska R, Cyranowski R, Paradowski P. Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage: short- to middle-term outcome. Videosurgery and Other Miniinvasive Techniques. 2016:76-82. doi:10.5114/wiitm.2016.60044.

APA

Witoński, D., Kęska, R., Cyranowski, R.,  & Paradowski, P. (2016). Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage: short- to middle-term outcome. Videosurgery and Other Miniinvasive Techniques, 76-82. https://doi.org/10.5114/wiitm.2016.60044

Chicago

Witoński, Dariusz, Rafał Kęska, Rafał Cyranowski,  and Przemysław T. Paradowski. 2016. "Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage: short- to middle-term outcome". Videosurgery and Other Miniinvasive Techniques: 76-82. doi:10.5114/wiitm.2016.60044.

Harvard

Witoński, D., Kęska, R., Cyranowski, R.,  and Paradowski, P. (2016). Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage: short- to middle-term outcome. Videosurgery and Other Miniinvasive Techniques, pp.76-82. https://doi.org/10.5114/wiitm.2016.60044

MLA

Witoński, Dariusz et al. "Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage: short- to middle-term outcome." Videosurgery and Other Miniinvasive Techniques, 2016, pp. 76-82. doi:10.5114/wiitm.2016.60044.

Vancouver

Witoński D, Kęska R, Cyranowski R, Paradowski P. Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage: short- to middle-term outcome. Videosurgery and Other Miniinvasive Techniques. 2016:76-82. doi:10.5114/wiitm.2016.60044.

PlumX metrics:

Introduction: Several studies have suggested that anterior cruciate ligament reconstruction (ACLR) without wound drainage has no impact on long-term follow-up.

Aim: To investigate a prospective patient series as measured by the patient-administered disease-specific questionnaire Knee injury and Osteoarthritis Outcome Score (KOOS).

Material and methods: The study included 101 consecutive patients (71 men and 30 women) with a mean age of 30 years (SD 10, range: 15–62 years), who had undergone primary single incision arthroscopic bone-patellar tendon-bone autograft (BPTB) ACLR without wound drainage. All patients completed KOOS questionnaires, preoperatively and at a mean follow-up of 1.4 years (range: 0.4–3.4). Satisfactory clinical outcome (function recovery – FR) was defined as the lower threshold for the 95% CI of 18–34-year old males and corresponded to a KOOS score > 90 for Pain, 84 for Symptoms, 91 for Activities of Daily Living (ADL), 80 for Sports/Recreation, and 81 for Quality of Life (QOL). A non-satisfactory result was defined as treatment failure (TF) and corresponded to a QOL score < 44.

Results: All patients achieved 90 of knee flexion on the first postoperative day and full extension 2 weeks postoperatively. A full range of motion was achieved in less than 6 weeks postoperatively. No postoperative complications were reported. Score improvement at follow-up was observed in the KOOS subscales Pain, Symptoms and ADL. Criteria for FR were fulfilled by 52% of patients for Pain, 47% for Symptoms, 62% for ADL, 34% for Sports/Recreation and 15% for QOL, whereas criteria for TF were fulfilled by 29% of patients.

Conclusions: The study demonstrated that the primary ACLRs without wound drainage did not have any negative impact for patient-reported recovery.

keywords:

Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage: short- to middle-term outcome

Dariusz Witoński , Rafał Kęska , Rafał Cyranowski , Przemysław T. Paradowski

drainage, knee, anterior cruciate ligament, Knee injury and Osteoarthritis Outcome Score, arthroscopic Anterior cruciate ligament reconstruction

Dariusz Witoński

,

Rafał Kęska

,

Rafał Cyranowski

,

Przemysław T. Paradowski