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POSTER ABSTRACTS - ISAKOS

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5.3±2.1 in the ACL-injured side, being significant.<br />

Proprioceptive examination clearly showed poor<br />

joint position sense in the ACL-deficient knees<br />

than normal knees. On the other hand, the<br />

healthy side had a significant better ability for<br />

both OLH and OLV. The performance of ACLdeficient<br />

knee was also worse than healthy side.<br />

In addition, a minus correlation with a significant<br />

difference was found between proprioceptive test<br />

and functional ability, and this correlation was<br />

emphasized at visual deprivation.<br />

Conclusions: Deteriorated proprioception in the<br />

patients with the ACL-deficiency reduced the<br />

patient’s functional ability.<br />

E-poster #441<br />

Second Look Arthroscopic Findings of ACL<br />

Reconstruction Using 2-bundle Hamstring<br />

Tendons: The Effect of Initial Graft Tension<br />

Hiroto Asagumo, JAPAN, Presenter<br />

Gunma Sports Medicine Research Center,<br />

Zenshukai H, Maebashi-shi, JAPAN<br />

In ACL reconstruction using 2-bundle hamstring<br />

tendons, initial graft tension is controversial. The<br />

purpose of this study was to examine second look<br />

arthroscopic findings after ACL reconstructions<br />

done with different initial graft tensions (60N or<br />

100N).<br />

Fifty patients (24 males, 26 females) underwent<br />

arthroscopically assisted ACL reconstruction. The<br />

patients were divided into 2 groups (group A :<br />

initial graft tension of 100N ,and Group B: tension<br />

of 60 N. Group A (100N) contained 6 males and 14<br />

females. Group B (60N) contained 18 males and<br />

12 females.<br />

With regard to arthroscopic findings, synovium<br />

coverage of the reconstructed ACL wsa<br />

categorized into 3 grades (Good, Fair and Poor),<br />

differentiation of AM/PL bundle was categorized<br />

into 2 grades (Separation and Union), tension of<br />

the reconstructed ACL was categorized into 3<br />

grades (Good, Fair and Poor).<br />

With regard to anterior tibial translation, there<br />

was no statistically significant difference between<br />

the two groups, but there was a greater tendency<br />

towards good synovium coverage of reconstructed<br />

ACL in the 60N group than in the 100N group, as<br />

well as good tension and union of the AM/PL<br />

bundle.<br />

E-poster #442<br />

Intra-articular Triple Bundle Technique for<br />

Anterior Cruciate Ligament Reconstruction<br />

Byoung Hyun Min, Suwon, KOREA,<br />

Jeong ho Roh, Suwon, Kyung-gi do KOREA<br />

Presenter<br />

Cheng zhe jin, suwon, kyung gi, KOREA<br />

Kyung hun Song, suwon, kyung gi, KOREA<br />

Ajou university hospital, Dept of Ortho surgery,<br />

Suwon, KOREA<br />

Introduction: Anterior cruciate ligament (ACL) is<br />

collection of fibers which are divided into<br />

anteromedial and posterolateral bundles.<br />

Recently ACL reconstruction using double bundle<br />

of graft or two tunnels at femur were introduced in<br />

order to recruit as many fibers in ACL insertion<br />

area as possible so that rotational instability can<br />

be overcome. We introduce novel technique using<br />

Achilles tendon allograft with which triple bundle<br />

can be placed in the knee.<br />

Methods: 58 patients who were undertaken triple<br />

bundle technique were followed up at least one<br />

year, were included in the present study. The<br />

results were assessed by physical examination,<br />

functional score (Lysholm’s score, international<br />

knee documentation committee knee subjective<br />

examination) and objective joint displacement<br />

evaluation (KT-2000 knee ligament arthrometer).<br />

Results: The results of the Lachman, anterior<br />

drawer and pivot shift tests were at least grade I<br />

instability. Average of Lysholm's score was<br />

increased from 63.7±8.3 to 87.7±7.1 and 41 cases<br />

(70.6%) were normal and 17 cases(29.4%) were<br />

nearly normal according to the IKDC examination.<br />

Using KT-2000 knee ligament arthrometer, average<br />

of preoperative and last follow up joint<br />

displacement was decreased from 15.8±2.12mm<br />

to 8.2±1.90mm in 30 degree flextion of the knee.<br />

All patients returned to the normal activities of<br />

daily living.<br />

Conclusion: The intra-articular triple bundles<br />

technique is considered to be useful ACL<br />

reconstruction.<br />

E-poster #443<br />

The Effectiveness of Reconstruction of the<br />

Anterior Cruciate Ligament Using the Novel<br />

Knot/Pressfit Technique: A Cadaveric Study<br />

Robert HeinrichKilger, Pittsburgh, PA, USA,<br />

Presenter<br />

Maribeth Thomas, Pittsburgh, PA USA<br />

Scott Hanford, Pittsburgh, PA USA<br />

Dimosthenis A. Alaseirlis, Pittsburgh, PA USA<br />

Hans H Paessler, Heidelberg, GERMANY<br />

Savio L-Y Woo, Pittsburgh, PA USA<br />

MSRC-Dpt. of Bioengineering, Pittsburgh, PA, USA

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