28. A study comparing reconstruction of acute and chronic anterior cruciate ligament ruptures

Nguyen Thanh Chon

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Abstract

The timing of anterior cruciate ligament (ACL) reconstruction is a subject for assessment. To establish an optimum time to perform ACL reconstruction, we performed a comparison study between two groups of ACL reconstruction for acute and chronic rupture. From 01/2012 to 03/2014, we collected results from patients with complete rupture of ACL. 32 cases from Group I who received acute surgery within 3 weeks of injury and 54 cases from Group II with Chronic reconstruction after 3 weeks. Both groups received the same operative technique. Result: shows no difference in knee function, instability and range of motion in both groups. Conclusion: Acute reconstruction has good result, the range of motion of the knee of two groups shows no difference. We advocate that reconstruction of ACL shoud be performed within the first 3 weeks after injury to improve patients’ life.

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References

1. Shelbourne K D,  Patel D V. Timing of surgery in anterior cruciate ligament-injured knees. Knee Surg Sports Traumatol Arthrosc. 1995;3(3):148-56.
2. Andernord D, Karlsson J, Musahl V, Bhandari M, Fu FH, Samuelsson K. Timing of surgery of the anterior cruciate ligament. Arthroscopy. 2013;29(11):1863-1871.
3. Kwok CS, Harrison T, Servant C. The optimal timing for anterior cruciate ligament reconstruction with respect to the risk of postoperative stiffness. Arthroscopy. 2013;29(3):556-565.
4. Magit D, Wolff A, Sutton K, Medvecky MJ. Arthrofibrosis of the knee. J Am Acad Orthop Surg. 2007;15(11):682-694.
5. Andernord D, Karlsson J, Musahl V. Timing of surgery of the anterior cruciate ligament. Arthroscopy. 2013;29(11):1863-1871.
6. Harris M.C. prospective evaluation of range of motion in acute ACL Eeconstruction using patellar tendon autograft. Orthop J Sports Med. 2019 Oct; 7(10):281-286
7. Raviraj A, Anand A, Kodikal G, Chandrashekar M, Pai S. A comparison of early and delayed arthroscopically-assisted reconstruction of the anterior cruciate ligament using hamstring autograft. J Bone Joint Surg Br. 2010;92(4):521-526.
8. Bottoni C. R. Postoperative range of motion following anterior cruciate ligament reconstruction using autograft hamstrings: A prospective, randomized clinical trial of early versus delayed reconstructions. Am J Sports Med, 2008: 36(4):656-62.
9. Smith TO, Davies L, Hing CB. Early versus delayed surgery for anterior cruciate ligament reconstruction: A systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2010;18:304-311.