Anterior cruciate ligament reconstruction in athletes with an ossicle associated with Osgood-Schlatter's disease |
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| Affiliation: | 1. Radiology Department, General Hospital G. Papanikolaou, Thessaloniki, Greece;2. Radiology Department, Aristotle University, Thessaloniki, Greece;3. 1st Orthopaedic Department, Aristotle University, Thessaloniki, Greece;4. 2nd Orthopaedic Department, Aristotle University, Thessaloniki, Greece;1. Homer Stryker M.D. School of Medicine, Western Michigan University, Kalamazoo, MI;2. Bronson Hand & Elbow Surgery Specialists, Kalamazoo, MI;1. School of Medicine, Minho University, Braga, Portugal;2. Clínica do Dragão, Espregueira-Mendes Sports Centre, FIFA Medical Centre of Excellence, Porto, Portugal;3. Dom Henrique Research Centre, Porto, Portugal;4. Faculty of Sports, University of Porto, Porto, Portugal;5. ICVS/3Bs, PT Government Associate Laboratory, Braga/Guimarães, Portugal;6. 3Bs Research Group, I3Bs, Research Institute on Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, Guimarães, Portugal;7. Fluminense Federal University, Niteroi, Rio de Janeiro, Brazil;8. Michigan State University, East Lansing, Michigan, U.S.A.;9. Orthopedic Associates of Hartford, Hartford, Connecticut, U.S.A.;10. University of Connecticut School of Medicine, Farmington, Connecticut, U.S.A.;11. The Patellofemoral Foundation, Farmington, Connecticut, U.S.A.;1. Football Science Institute, Granada, Spain;2. Alai Clinic, Madrid, Spain;3. Real Madrid CF, Madrid, Spain;4. Rekovery Clinic, Madrid, Spain;5. Celtic Football Club, Glasgow, Scotland, United Kingdom;6. Football Science Institute, Granada, Spain |
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| Abstract: | We report a series of 20 athletes with an ossicle associated with Osgood-Schlatter's disease (OSD) who underwent anterior cruciate ligament (ACL) reconstruction using autogenous, central-10-mm patellar-tendon graft. All patients had an Osgood-Schlatter's lesion with an ossicle as seen on a plain radiograph. The patients were reviewed at an average follow-up of 44 months (range, 24 to 108 months). The postoperative assessment included clinical examination, KT-1000 testing, isokinetic testing, and subjective score (using the modified Noyes' questionnaire). At the time of latest review, all 20 patients had a stable knee. The average side-to-side difference on manual maximum KT-1000 assessment was 1.9 mm (range, 0 to 5 mm). Average time to return to full sporting activities was 5.2 months (range, 2.6 to 8.9 months). All patients returned to their previous level of activity. The mean modified Noyes' knee score was 96 (range, 89 to 100). To date, no graft failure has occurred. Based on the results of this study, we believe that ACL reconstruction using the autogenous bone-patellar tendon-bone graft can be safely undertaken in athletes with an ossicle associated with OSD without compromising the final knee function. |
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