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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 3/2011

01-03-2011 | Knee

Surgery for ACL deficiency in patients over 50

Authors: Leonardo Osti, Rocco Papalia, Angelo Del Buono, Francesco Leonardi, Vincenzo Denaro, Nicola Maffulli

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 3/2011

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Abstract

Purpose

To compare the outcomes of arthroscopic ACL reconstruction procedure in 20 middle-aged patients (12 men and 8 women) and 20 subjects younger than 30 years (control group) at a minimum post-operative follow-up of 24 months.

Methods

Pre- and post-operative anterior–posterior laxity was assessed by Lachman test, pivot shift test and KT1000 arthrometer at manual maximum stress. Clinical functional evaluation was assessed according to IKDC Committee (IKDC) subjective knee form, IKDC ligament standard evaluation and Lysholm score.

Results

At 2 years, all variables significantly improved in both groups compared to pre-operative values (P < 0.05), with non-significant intergroup difference.

Conclusions

When faced with ACL deficiency, physiological age, condition of the knee at the time of examination, life expectancy and activity level are probably more important than chronologic age. In the present study, arthroscopic surgery for the management of ACL tear and secondary lesions provides comparable clinical outcomes in middle-aged patients and in patients aged below 30.
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Metadata
Title
Surgery for ACL deficiency in patients over 50
Authors
Leonardo Osti
Rocco Papalia
Angelo Del Buono
Francesco Leonardi
Vincenzo Denaro
Nicola Maffulli
Publication date
01-03-2011
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 3/2011
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-010-1242-x

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