Srpski arhiv za celokupno lekarstvo 2018 Volume 146, Issue 3-4, Pages: 174-178
https://doi.org/10.2298/SARH170530153K
Full text ( 167 KB)
Effect of anterior cruciate ligament reconstruction with hamstring tendons on Insall-Salvati index and anterior knee pain
Korkmaz Ozgur (Istanbul Medipol University, School of Medicine, Department of Orthopedic and Traumatology, Istanbul, Turkey)
Malkoc Melih (Istanbul Medipol University, School of Medicine, Department of Orthopedic and Traumatology, Istanbul, Turkey)
Introduction/Objective. The aim of this study was to evaluate the
relationship between anterior knee pain and Insall-Salvati ratio after
anterior cruciate ligament (ACL) reconstruction with hamstring tendon.
Methods. We have evaluate 39 patient that had an ACL reconstruction surgery
with hamstring tendon retrospectively. 14 patient had anterior knee pain at
the and of the first year of the surgery. All the patient were evaluated for
Insall-Salvati ratio preoperatively and postoperatively. Patients were
evaluated at the end of the first year after the surgery with Lysholm score
and Tegner activity scale. Patients preoperative and postoperative
measurements were analyzed by using the Wilcoxon test and differences between
patients with anterior knee pain and without pain was analyzed by the
Mann-Whitney U test. Results. Mean Insall-Salvati ratio was found
preoperatively 0,91±0,1 and postoperatively 0,85±0,09 (p≤0,05). Mean Tegner
activity score was 8,56±1,04 and mean Lysholm score was 87,36±9,42 in the
group without anterior knee pain. Mean Tegner activity score was 7,21±0,97
and mean Lysholm score was 74,43±9,94 in the group with anterior pain. There
is an decrease in İnsall-Salvati ratio as a result of the surgery. But
patients with anterior knee pain had lower values of İnsall-Salvati ratio
preoperatively. Conclusion. Preoperatively low İnsall-Salvati ratio can be
premised indicator of anterior knee pain in the early period after ACL
reconstruction with hamstring tendons. Mean Tegner activity score and mean
Lysholm score have higher values in the group without anterior pain post
operatively.
Keywords: anterior cruciate ligament, reconstruction, Insall-Salvati Index, hamstring tendons