| Issue |
SICOT-J
Volume 1, 2015
|
|
|---|---|---|
| Article Number | 4 | |
| Number of page(s) | 6 | |
| Section | Knee | |
| DOI | https://doi.org/10.1051/sicotj/2015014 | |
| Published online | 03 June 2015 | |
Original Article
Does bone debris in anterior cruciate ligament reconstruction really matter? A cohort study of a protocol for bone debris debridement
1
South West London Elective Orthopaedic Centre, Dorking Road, Epsom
KT18 7EG, London, UK
2
Orthopaedic Surgery and Traumatology Department, Faculty of Medicine, Suez Canal University, Circular Road, 41522
Ismailia, Egypt
* Corresponding author: ashraf.abdelkafy@gmail.com
Received:
19
April
2015
Accepted:
7
May
2015
Background: The purpose of the current study was to determine whether a systematic five-step protocol for debridement and evacuation of bone debris during anterior cruciate ligament reconstruction (ACLR) reduces the presence of such debris on post-operative radiographs.
Methods: A five-step protocol for removal of bone debris during arthroscopic assisted ACLR was designed. It was applied to 60 patients undergoing ACLR (Group 1), and high-quality digital radiographs were taken post-operatively in each case to assess for the presence of intra-articular bone debris. A control group of 60 consecutive patients in whom no specific bone debris protocol was applied (Group 2) and their post-operative radiographs were also checked for the presence of intra-articular bone debris.
Results: In Group 1, only 15% of post-operative radiographs showed residual bone debris, compared to 69% in Group 2 (p < 0.001).
Conclusion: A five-step systematic protocol for bone debris removal during arthroscopic assisted ACLR resulted in a significant decrease in residual bone debris seen on high-quality post-operative radiographs.
Key words: Bone debris / Anterior cruciate ligament reconstruction / Debridement / Cyclops lesion / Protocol
© The Authors, published by EDP Sciences, 2015
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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