Antegrade bone-tendon-bone autotransplant performance in anatomical plasty of anterior cruciate ligament of the knee joint

Abstract

OBJECTIVE. The study assessed the efficacy of anatomic cruciate ligament reconstruction (ACL-R) with antegrade bone-tendon-bone (BTB) graft performance. MATERIAL AND METHODS. The arthroscopic reconstructions of ACL were analyzed in 91 patients. The antegrade ACL-R was carried out in the first group (33 %) patients. The antegrade isometric (non anatomical) ACL-R was made in the second group (26,4 %). The retrograde anatomical plasty of ACL was performed in the third group (40,6 %). RESULTS. The rates of front and rotary stability of the knee joint and quality of life were higher in the first and the third groups. There were rarely noted degenerative changes of joint. CONCLUSIONS. The antegrade anatomical plasty should be considered as a preferable version due to relative simplicity of the method and high anatomico-functional results and at the same time, this method had significant economic benefits.

Keywords

• knee joint
• anterior cruciate ligament (acl)
• arthroscopic acl reconstruction
• anatomical plasty
• antegrade performance