The effect of added extra-articular procedure on results of ACL reconstruction.
To determine the efficacy of added extraarticular backup procedure to an intra-articular ligament reconstruction, 70 patients who underwent surgery between July 1988 and May 1991 were reviewed retrospectively. Each patient had undergone either an intra-articular patellar tendon autograft anterior cruciate ligament (ACL) reconstruction alone or with added extra-articular augmentation. Patients were excluded if they had a history of knee problems, if they had ACL surgeries on either knee, or if they became unavailable for followup for an adequate period of time. Thirty-two patients underwent ACL reconstruction with an extra-articular augmentation added (group 1), and 38 patients underwent intra-articular reconstruction alone (group 2). Objective testing consisted of a clinical examination, radiographs, instrumented knee laxity, and subjective evaluation using visual analog scales. There were no statistically significant differences in the clinical or subjective findings between the two groups.
Barrett
G R
GR
Mississippi Sports Medicine & Orthopaedic Center, Jackson 39202.
Richardson
K J
KJ
D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000503:physiopathology / Q000601:surgery*; D001863:Bone Screws; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000503:physiopathology; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D017847:Patellar Ligament / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D012189:Retrospective Studies; D013977:Tibia / Q000601:surgery