Zdravniški Vestnik (Feb 2005)
Connection between individual evaluation systems to determin the successfulness of acl reconstruction
Abstract
Background: The authors want to find correlation between ACL reconstruction results determined with various evaluation systems.Patients and methods: The authors evaluated the end result with 55 patients undergoing ACL reconstruction with posteriorly limited notchplasty using the patellar tendon graft with its bony attachments. Clinical results were based upon the IKDC and Lysholm rating scales, follow-up of pre-injury activity level, readiness for equal secondary procedures and side-to-side arthrometric testing of ligamentous laxity. We observed the correlation between various evaluation systems with the help of statistical methods.Results: We determined the correlation between the Lysholm and IKDC rating scale, arthrometric testing of ligamentous laxity, and preparedness for equal secondary procedure in exception to pre-injury activity level. Laxity results were in correlation to the Lysholm and IKDC rating scale, modified activity level in exception for preparedness for equal secondary procedure. The results of preparedness for equal secondary procedure were in correlation to the Lysholm and IKDC rating scale in exception for arthrometric testing of ligamentous laxity and modified activity level. The modified activity level was in correlation only to arthrometric testing of ligamentous laxity.Conclusions: Although a high comparison between most (6/10 combinations) evaluation systems was recorded, we believe that the result of ACL reconstruction successfulness is based upon the calculation of all evaluation methods. The final evaluation should include the degree of activity in regard to pre-injury condition.
