HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Sign In to gain access to subscriptions and/or personal tools.

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Jari, S. Articles by Shelbourne, K. D. Search for Related Content PubMed PubMed Citation Articles by Jari, S. Articles by Shelbourne, K. D. Related Collections Reconstruction

Simultaneous Bilateral Anterior Cruciate Ligament Reconstruction

From The Methodist Sports Medicine Center, Indianapolis, Indiana

* Address correspondence and reprint requests to K. Donald Shelbourne, MD, 1815 North Capitol Avenue, Suite 530, Indianapolis, IN 46202

Background: There are no reports on the outcome of bilateral simultaneous anterior cruciate ligament reconstruction.

Hypothesis: There is no difference in outcome between unilateral and simultaneous bilateral operations.

Study Design: Case control study.

Methods: We compared the short-term outcome (mean, 37.2 months) of 28 patients who had bilateral simultaneous reconstructions with that of a matched group of patients who had unilateral reconstruction.

Results: Postoperative narcotic requirements for pain did not differ between groups. The mean quadriceps muscle strength for the simultaneous group was 99% in the right leg and 102% in the left leg compared with the strongest leg preoperatively; the mean for the unilateral group was 99%. The mean modified Noyes score for the simultaneous group was 91.2 points in the left knee and 93.5 points for the right knee; the mean for the unilateral group was 88.7 points. The mean time to return to full-time work and to full sports was 4.1 weeks and 6.1 months for the simultaneous group and 3.0 weeks and 6.3 months for the unilateral group. The mean hospital costs were $6687 and $4307, respectively.

Conclusions: When clinical indications exist, we recommend simultaneous bilateral anterior cruciate ligament reconstruction as opposed to staged procedures because it is a safe, effective, and cost-effective option.

This article has been cited by other articles:

				C. M. Larson, D. A. Fischer, J. P. Smith, and J. L. Boyd Bilateral Anterior Cruciate Ligament Reconstruction as a Single Procedure: Evaluation of Cost and Early Functional Results Am. J. Sports Med., January 1, 2004; 32(1): 197 - 200. [Abstract] [Full Text]