POSTER ABSTRACTS - ISAKOS

Methods: Nine patients who underwent ACL
reconstruction with autogenous bone-patellar
tendon-bone grafts using an all-inside technique
were followed-up after a mean of 29 months
(range 24-65). The mean age at the time of
evaluation was 28 years (range 13-45). Clinical
results were evaluated using the international
knee documenttation committee (IKDC) and
Lysholm score. A postoperative MRI was
performed in all patients to evaluate the graft.
Results: Using the IKDC evaluation system, 67% of
patients were classified as nearly normal knees
and 33% as abnormal knees. The pivot shift was
positive in 33% of patients. Fifty-five percent of
patients had a KT-1000 side-to-side difference of
more than 3 mm. The mean Lysholm score was 93
points. In the postoperative MRI the graft was
continuous and with a homogeneous signal in
22% of patients.
Conclusion: All-inside technique offers several
distinct advantages such as fixation at the original
ACL insertion, tibial tunnel with no damage to the
anterior cortical of the tibia and the tibial physis
might not be violated in immature patients. In
spite of the advantages described of this
technique we consider that this procedure was
technically demanding therefore limiting its use.
Initial results are not encoraging enough to justify
its practice in a habitual way. To our knowledge
this is the first report of a series of patients
evaluated with this technique.
It is indicated only for strictly selected cases and
must performed by surgeons with experience.
E-poster #396
Simultaneous High Tibial Osteotomy and ACL
Reconstruction in Active Patients.
Matias Costa-Paz, Buenos Aires, ARGENTINA,
Presenter
Arturo Makino, Buenos Aires, ARGENTINA
Miguel Angel Ayerza, Buenos Aires, ARGENTINA
Miguel Puigdevall, Buenos Aires, ARGENTINA
D. Luis Muscolo, Buenos Aires, ARGENTINA
Italian Hospital of Buenos Aires, Buenos Aires,
ARGENTINA
Purpose: The purpose of this study was to
evaluate a group of active patients, with
symptomatic knee instability and varus
malalignment with medial unicompartmental
arthrosis, wich underwent a simultaneous high
tibial osteotomy and ACL reconstruction.
Methods: Twenty patients with an average age of
40 years (range 29-51) underwent arthroscopic
ACL reconstruction and high tibial osteotomy in
one surgical step. In all patients a lateral closing
wedge and internally fixed with plate and screws
was performed. Eighteen patients with a
minimum two year follow-up were radiographic
and clinically reviewed. Clinical evaluation was
performed according to Lysholm score, Hospital
for special surgery (HSS) and IKDC.
Results: Mean anatomic tibiofemoral axis was
corrected from 8º of varus preoperatively to 4º of
valgus at final control. Complete range of motion
was obtained in all patients, however one patient
required mobilization under anesthesia. Mean
Lysholm score was 94 points; mean HSS 91 and
IKDC evaluation showed 5 A result, 10 B results
and 3 C results. Mean manual maximum KT-1000
difference to the opposite site was less than 3 mm
in 12 patients, 4mm in 5 and the remaining was
not evaluated due to bilateral pathology.
Discussion: Indication for high tibial osteotomy
and an ACL reconstruction in young active
patients with varus malalignment and
symptomatic instability is controversial. A
simultaneous technique is very demanding and
requires precise preoperative planning and
surgical timing. These results showed that most
patients could expect symptomatic improvement
and return to recreational activities.
E-poster #397
ACL Reconstruction with Hamstring Graft:
Comparison of Two Tibial Fixation Techniques
in a Prospective Randomized Study.
Philippe Lacroix, Lyon, FRANCE
Jean-Claude Imbert, Saint Etienne, FRANCE
Eric Milon, Lyon, FRANCE, Presenter
Clinique du parc, Lyon, FRANCE
E-poster #398
Specific Questionnaire for Knee Symptoms:
Lysholm Knee Scoring Scale - Translation and
Validation for Portuguese Language
Rozana Ciconelli, Sao Paulo, BRAZIL
Moises Cohen, Sao Paulo, BRAZIL, Presenter
Federal University OF Sao Paulo/UNIFESP, Sao
Paulo, BRAZIL
Purpose: Knee disorders have various
consequences for the individual’s quality of life
and functional capacity. To translate, validate and
verify the measurement properties of the Lysholm
Knee Scoring Scale for the Portuguese language,
fifty patients with knee lesions (meniscal, anterior