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Department of Orthopedics, Kaiser Permanente Medical Center, San Diego, California
Department of Orthopedics, Kaiser Permanente Medical Center, San Diego, California
Department of Orthopedics, Kaiser Permanente Medical Center, San Diego, California
Department of Orthopedics, Kaiser Permanente Medical Center, San Diego, California
Between 1982 and 1986, 126 patients who had under gone ACL reconstruction were followed in a prospec tive manner. One year follow-up statistics were re viewed for the presence of 13 different complications. The most prevalent complications were quadriceps weakness, flexion contracture, and patellofemoral pain. Quadriceps weakness (strength less than 80% of the normal side) was present in 65% of patients and cor related positively with flexion contracture, patellar irrit ability, and ACL reconstructions using patellar tendon grafts. Flexion contracture of 5° or more was present in 24% of patients and correlated positively with in creased age and patellar irritability. Patellofemoral pain was present in 19% of patients and correlated positively with flexion contracture.
Clinical relevance: The three most common compli cations of knee ligament surgery are shown to be strongly interrelated. It is likely that a causal relationship is present in which flexion contracture causes patello femoral irritability, and that both of these factors, alone or in combination, result in quadriceps weakness. If this theory is correct, then it is crucial that postoperative rehabilitation programs place a major emphasis on the avoidance of flexion contracture.
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A. R. J. Manktelow, F. S. Haddad, and N. J. Goddard Late Lateral Femoral Condyle Fracture After Anterior Cruciate Ligament Reconstruction. A Case Report Am. J. Sports Med., July 1, 1998; 26(4): 587 - 590. [Full Text] [PDF]
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I. Sekiya, T. Muneta, T. Ogiuchi, K. Yagishita, and H. Yamamoto Significance of the Single-Legged Hop Test to the Anterior Cruciate Ligament-Reconstructed Knee in Relation to Muscle Strength and Anterior Laxity Am. J. Sports Med., May 1, 1998; 26(3): 384 - 388. [Abstract] [Full Text] [PDF]
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D. Otto, L. A. Pinczewski, A. Clingeleffer, and R. Odell Five-Year Results of Single-Incision Arthroscopic Anterior Cruciate Ligament Reconstruction with Patellar Tendon Autograft Am. J. Sports Med., March 1, 1998; 26(2): 181 - 188. [Abstract] [Full Text] [PDF]
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C. B. FRANK and D. W. JACKSON Current Concepts Review - The Science of Reconstruction of the Anterior Cruciate Ligament J. Bone Joint Surg. Am., October 1, 1997; 79(10): 1556 - 76. [Full Text]
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S. Murakami, T. Muneta, Y. Ezura, K. Furuya, and H. Yamamoto Quantitative Analysis of Synovial Fibrosis in the Infrapatellar Fat Pad Before and After Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., January 1, 1997; 25(1): 29 - 34. [Abstract] [PDF]
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K. D. Shelbourne and R. V. Trumper Preventing Anterior Knee Pain After Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., January 1, 1997; 25(1): 41 - 47. [Abstract] [PDF]
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R. A. Arciero, C. R. Scoville, R. A. Hayda, and R. J. Snyder The Effect of Tourniquet Use in Anterior Cruciate Ligament Reconstruction: A Prospective, Randomized Study Am. J. Sports Med., December 1, 1996; 24(6): 758 - 764. [Abstract] [PDF]
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E. A. Morgan, J. J. McElroy, J. D. DesJardins, D. D. Anderson, and R. N. Steensen The Effect of Intercondylar Notchplasty on the Patellofemoral Articulation Am. J. Sports Med., December 1, 1996; 24(6): 843 - 846. [Abstract] [PDF]
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K. D. Shelbourne, D. V. Patel, and D. J. Martini Classification and Management of Arthrofibrosis of the Knee after Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., December 1, 1996; 24(6): 857 - 862. [Abstract] [PDF]
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J. M. Marumoto, M. M. Mitsunaga, A. B. Richardson, R. J. Medoff, and G. W. Mayfield Late Patellar Tendon Ruptures after Removal of the Central Third for Anterior Cruciate Ligament Reconstruction: A Report of Two Cases Am. J. Sports Med., September 1, 1996; 24(5): 698 - 701. [PDF]
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D. B. O'NEILL Arthroscopically Assisted Reconstruction of the Anterior Cruciate Ligament. A Prospective Randomized Analysis of Three Techniques J. Bone Joint Surg. Am., June 1, 1996; 78(6): 803 - 13. [Abstract] [Full Text]
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