The evaluation of the clinical success of anterior cruciate ligament operation

Anterior Cruciate Ligament (ACL) is one of the essential structures that provides the stability of knee joint and frequently affected by sports injuries. The ACL is the is the most damaging ligament in human organism. In the USA there has been approximately 200 thousand ACL injuries a year and 100 thousand ACL reconstructions have been applied. Surgical treatment has become important for young, active athletes and the patients whose ACLs have been thoroughly ruptured. In the literature, the success rates after all ACL reconstruction are about %90. Approximately in %10 patients, treatment has become unsuccessful for various reasons and revision surgery has been required for some of them. The results of the ACL revision surgery may not be as successful as primary surgery. Purposes of the surgery, probable results and the limitations of the correction have been explained to the patients and it must be stated that revision surgery is sometimes only a recovery operation. Suitable patients for recovery surgery are the active and highly motivated patients who have instability complain on their knees during daily activities or sports and whose instability has been clarified by clinical examination. The aim of this study is to retrospective comparison of the preoperative evaluation and postoperative functional results of the patients who had administered to Celal Bayar University Hafsa Sultan Hospital between 2000-2015 having anterior cruciate rupture. Twenty white male patients took part in this study. Half of the patients (10) had been operated on right and the other half (10) had been operated on the left side. Average rate of the patients were 31.1;the youngest was 18 and the oldest was 47 years old. Average follow up period for the patients who had been operated by us between 2000-2015 was 44.8 months (min.30-max.131). According to SF 36 life quality scale, Physical Function Test, Social Function Test, Psychological Health Test, Pain, Physical Role Limitation, Psychological Role Limitation, Energy, General Health Conditions of all the patients were compared as pre-and postoperative. 2000 IKDC Subjective Knee Evaluation Scores, KOOS Knee Scores, Lysholm Knee Scores, Cinninnati Scores, Tegner Activity Level Scales, Anterior Cruciate Ligament Life Quality Questionnaire Scores were compared as pre-and postoperative. Important significant difference was found between Pre revision operation SF36 results (physical function, social function, psychological health, general health, pain, energy, physical limitation)and post operation SF36 values (p=0.001). Important significant difference was found between before revision operation 2000IKDC Subjective Knee Evaluation Scores, KOOS Knee Scores, Lysholm Knee Scores, Cinninnati Scores, Tegner Activity Level Scales, Anterior Cruciate Ligament Life Quality Questionnaire Scores and after revision operation 2000IKDC Subjective Knee Evaluation Scores, KOOS Knee Scores, Lysholm Knee Scores, Cinninnati Scores, Tegner Activity Level Scales, Anterior Cruciate Ligament Life Quality Questionnaire Scores (p=0.000). Preop X-ray and Postop X-ray findings of all participants were compared. It was observed that there were a significant progressive difference from Group A to Group B or from Group B to Group C between preop X-ray findings of before revision operation and postop X-ray findings of after revision operation according to IKDC 2000 Knee Examination Form (p=0.008). Postop scores between a group of patients with menisectomy and a group of patients whose meniscus had been protected and a group of patients having cartilage lesions and a group of patients without cartilage lesions were checked to find whether a significant difference or not. There was not a significant difference between the groups with menisectopy and the groups whose meniscus had been protected in terms of Physical Function Test, Social Function Test, Psychological Health Test, Pain, Physical Role Limitation, Psychological Role Limitation, Energy, General Health Conditions of all the patients were compared as pre-and postoperative. 2000 IKDC Subjective Knee Evaluation Scores, KOOS Knee Scores, Lysholm Knee Scores, Cinninnati Scores, Tegner Activity Level Scales, Anterior Cruciate Ligament Life Quality Questionnaire Scores. But it concluded that this result may stem from the limited number of the patients anf if there was required number of the patients, there would be statistically significant difference. There was no significant difference between the group with cartilage lesion and the group without cartilage lesion in terms of 2000 IKDC Subjective Knee Evaluation Scores, KOOS Knee Scores, Lysholm Knee Scores, Cinninnati Scores, Tegner Activity Level Scales, Anterior Cruciate Ligament Life Quality Questionnaire Scores. But it was stated that this result may stem from the limited number of the patients and if there was required number of the patients, there would be statistically significant difference. In conclusion, apllied ACL revision surgery, provides benefits to the patients according to knee evaluation scores and quality questionnaries. Yet, researches with large contributions may be required.