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EXTENSION DEFICIT AFTER ACL RECONSTRUCTION…
213
Patients Age Surgery after
injury
Time between
injury and
initial ACL
reconstruction
(months)
Initial ROM
deficit
management
Time between
initial ACL
reconstruction
and arthrolysis
Surgical
findings during
arthrolysis
Specific
surgical
step
during
arthrolysis
1
27
ACL
reconstruction
(BTB with patellar
tendon)
2,5
Only standard
rehabilitation
6
Cyclop
syndrome
2
29
ACL
reconstruction
(BTB with patellar
tendon)
2
Only standard
rehabilitation
10
Cyclop
syndrome
3
56
ACL
reconstruction
(BTB with patellar
tendon) + medial
menisectomy
78
Only standard
rehabilitation
84
Cyclop
syndrome
4
37
ACL
reconstruction
(BTB with patellar
tendon)
47
Only standard
rehabilitation
9
Subquadricipital
pouch with
localized fibrosis
5
47
ACL
reconstruction
(BTB with patellar
tendon)
4
MUA at
3 months
24
Cyclop
syndrome
6
19
ACL
reconstruction
(BTB with patellar
tendon)
2
Only standard
rehabilitation
10
- Cyclop
syndrome
- ACL graft
malposition
(too vertical)
7
29
ACL
reconstruction
(BTB with patellar
tendon)
2,5
Tibial screw
removed
(too long)
10
ACL graft
malposition with
impingement
Complete
ACL
shaving
8
26
ACL
reconstruction
(BTB with patellar
tendon) + medial
menisectomy
1
MUA at
3 months
10
ACL graft
malposition with
impingement
Complete
ACL
shaving
9
31
ACL
reconstruction
(BTB with patellar
tendon) with early
postoperative
septic arthritis
3
Arthroscopic
synovectomy
at 20 days
postoperatively
for septic
arthritis
7
- Subquadricipital
pouch with
localized fibrosis
- ACL graft
malposition
Complete
ACL
shaving
10
35
ACL
reconstruction
(BTB with patellar
tendon) + medial
menisectomy
2
MUA at
2 months
6
Subquadricipital
pouch with
localized fibrosis
and calcifications
in the
intercondylar
notch
11
45
ACL
reconstruction
(BTB with patellar
tendon)
3
Tibial screw
and metallic
wire removed
at 7 months
14
ACL graft
malposition with
impingement
Partial ACL
shaving
12
52
ACL
reconstruction
(BTB with patellar
tendon) + medial
menisectomy
2
Isolated anterior
arthroscopic
debridement at
9 months for
cyclop syndrom
17
ACL graft
malposition with
impingement
Table 1:
Demographic datas and surgical management of the twelve patients (
ACL
: anterior cruciate
ligament;
BTB
: bone-to-bone;
ROM
: range of motion;
MUA
: manipulation under anesthesia).