Acute repair of the anterior cruciate ligament with lateral capsular augmentation.
Forty-seven patients had primary repair and extraarticular augmentation with a lateral loop of the iliotibial tract for acute rupture of the ACL. (All of these patients had anterolateral rotatory instability (ALRI) preoperatively as diagnosed by a positive jerk test.) Of these 47 patients, 36 were available for follow-up evaluation. Followup ranged from 6 to 68 months (average, 21.6 months). Twenty-three of the patients (64%) were rated as excellent or good. Ten of the patients (27.8%) were rated as fair, and three patients (8%) were rated as poor. Thirty-three of the 36 patients (91%) were objectively free of ALRI as tested by the jerk test and had 1+ or less result in a Lachman test, with a firm end point. Only one patient felt his knee to be unstable (he had a positive pivot jerk). More than 90% of the patients returned to sport, and 72% returned at their preinjury level.
Cross
M J
MJ
North Sydney Orthopaedic and Sports Medicine Centre, Crows Nest, New South Wales, Australia.
Paterson
R S
RS
Capito
C P
CP
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D001265:Athletic Injuries / Q000534:rehabilitation / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006395:Hemarthrosis / Q000534:rehabilitation / Q000601:surgery; D006801:Humans; D007593:Joint Instability / Q000601:surgery; D007718:Knee Injuries / Q000534:rehabilitation / Q000601:surgery*; D007719:Knee Joint / Q000601:surgery*; D008023:Ligaments, Articular / Q000293:injuries / Q000601:surgery*; D008297:Male; D008722:Methods; D012421:Rupture