Early Versus Late Reconstruction for Anterior Cruciate Ligament Rupture

• Published in: The American journal of sports medicine 1995-12, Vol.23 (6), p.690
• Main Author: Maurilio Marcacci Stefano Zaffagnini Francesco Iacono Maria Pia Neri Aldo Petitto
• Format: Article
• Language: eng ; jpn
• ISSN: 0363-5465; 1552-3365
• DOI: 10.1177/036354659502300610

We investigated the clinical and laxity testing results at 5 years' followup in patients who had early or late anterior cruciate ligament reconstruction. Twenty-three patients (Group I) were treated within 15 days of injury. Fifty-nine patients (Group II) were treated more than 3 months after injury. Patellar tendon reconstruction and fascia lata graft augmented with a ligament augmentation device were the techniques used in both groups. According to the Inter national Knee Documentation Committee rating scale, 17 patients in Group I and 38 patients in Group II had satis factory results. The Lysholm score was good in all Group I patients and in 55 Group II patients. Flexion-extension deficits were comparable for both groups. Eighteen pa tients (78%) in Group I demonstrated satisfactory results according to the KT-2000 arthrometer testing, compared with 44 (75%) in Group II. No associated lesions were present in 12 (52%) cases in Group I, compared with 26 (44%) cases in Group II. Return to sports at the preop erative level was obtained by 21 (91 %) patients in Group I, compared with 42 (71 %) in Group II. The patients who had reconstruction during the early phase returned to sports activities sooner and had better clinical and laxity testing results.