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Sports Medicine Institute, University of Pittsburgh Medical Center, Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
Sports Medicine Institute, University of Pittsburgh Medical Center, Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
Sports Medicine Institute, University of Pittsburgh Medical Center
Sports Medicine Institute, University of Pittsburgh Medical Center, Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
We did a retrospective review and follow-up examina tion to investigate the incidence, risk factors, and out come of patients who developed loss of motion after arthroscopic anterior cruciate ligament reconstruction. Two hundred forty-four patients with a minimum fol lowup of 1 year were reviewed. Loss of motion (defined as a loss of extension of more than I0° or flexion of less than 125°) was identified in 27 patients for an overall incidence of 11.1%. Factors associated with loss of motion included acute reconstruction (less than 1 month from initial injury), male sex, and concomitant medial collateral ligament repair or posterior oblique ligament reefing or both. Twenty-one patients required surgery to regain their motion; three patients required a second procedure.
Twenty-one of 27 patients with loss of motion under went a detailed followup and were compared with 24 randomly chosen controls who had a normal range of motion after anterior cruciate ligament reconstruction. At followup, patients who experienced loss of motion had a significant decrease in noninvolved to involved knee extension and flexion compared to the control patients. There was no difference between our patients and the controls regarding patellofemoral problems, anterior knee laxity, and functional strength. Sixty- seven percent of patients with loss of motion had a good or excellent result in comparison to 80% of the controls.
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S. Murakami, T. Muneta, K. Furuya, I. Saito, N. Miyasaka, and H. Yamamoto Immunohistologic Analysis of Synovium in Infrapatellar Fat Pad After Anterior Cruciate Ligament Injury Am. J. Sports Med., December 1, 1995; 23(6): 763 - 768. [Abstract] [PDF]
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J. C. Pritchard, D. Drez JR, M. Moss, and S. Heck Long-Term Followup of Anterior Cruciate Ligament Reconstructions Using Freeze-Dried Fascia Lata Allografts Am. J. Sports Med., September 1, 1995; 23(5): 593 - 596. [Abstract] [PDF]
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E. B. Bynum, R. L. Barrack, and A. H. Alexander Open Versus Closed Chain Kinetic Exercises After Anterior Cruciate Ligament Reconstruction: A Prospective Randomized Study Am. J. Sports Med., July 1, 1995; 23(4): 401 - 406. [Abstract] [PDF]
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E. D. Nabors, J. C. Richmond, W. M. Vannah, and O. R. McConville Anterior Cruciate Ligament Graft Tensioning in Full Extension Am. J. Sports Med., July 1, 1995; 23(4): 488 - 492. [Abstract] [PDF]
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L. E. Paulos, D. C. Wnorowski, and A. E. Greenwald Infrapatellar Contracture Syndrome: Diagnosis, Treatment, and Long-Term Followup Am. J. Sports Med., July 1, 1994; 22(4): 440 - 449. [Abstract] [PDF]
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A. J. Cosgarea, K. E. DeHaven, and J. E. Lovelock The Surgical Treatment of Arthrofibrosis of the Knee Am. J. Sports Med., March 1, 1994; 22(2): 184 - 191. [Abstract] [PDF]
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S. A. Wasilewski, D. J. Covall, and S. Cohen Effect of surgical timing on recovery and associated injuries after anterior cruciate ligament reconstruction Am. J. Sports Med., June 1, 1993; 21(3): 338 - 342. [Abstract] [PDF]
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V. M. Romano, B. K. Graf, J. S. Keene, and R. H. Lange Anterior cruciate ligament reconstruction: The effect of tibial tunnel placement on range of motion Am. J. Sports Med., June 1, 1993; 21(3): 415 - 418. [Abstract] [PDF]
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