Tibial tunnel enlargement following anterior cruciate reconstruction: does post-operative immobilisation make a difference?

The aetiology of tunnel enlargement following anterior cruciate reconstruction is still not fully understood. We studied, with particular reference to the tibial tunnel appearances, a group of 28 patients 1 year from anterior cruciate reconstruction by a four-strand hamstring technique. Fourteen und...

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Bibliographic Details
Published in:The knee 2001-03, Vol.8 (1), p.39-43
Main Authors: Murty, Aradhyula Narasimha, El Zebdeh, Mustafa Y, Ireland, John
Format: Article
Language:English
Subjects:
Adult
Anterior cruciate ligament
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries
Arthroscopy
Chi-Square Distribution
Female
Hamstrings
Humans
Immobilization
Knee Injuries - rehabilitation
Knee Injuries - surgery
Male
Middle Aged
Over the top reconstruction
Radiography
Tibia - diagnostic imaging
Treatment Outcome
Tunnel Enlargement
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Summary:The aetiology of tunnel enlargement following anterior cruciate reconstruction is still not fully understood. We studied, with particular reference to the tibial tunnel appearances, a group of 28 patients 1 year from anterior cruciate reconstruction by a four-strand hamstring technique. Fourteen underwent accelerated rehabilitation and 14 were immobilised post-operatively for 2 weeks following reconstruction. Tunnel enlargement was significantly greater in the immobilised group. There was no significant correlation between tunnel enlargement and the clinical result at 1-year post-reconstruction.
ISSN:0968-0160
1873-5800
DOI:10.1016/S0968-0160(01)00064-3