[Isolated intraarticular plasty of the semitendinosus or combined intra- and extra-articular plasty in chronic anterior laxity of the knee].
METHODS
In a prospective study we examined 32 athletes with arthroscopic implantation of a double loop of semitendinosus tendon for intra-articular anterior cruciate ligament reconstruction combined with an iliotibial band tenodesis for extra-articular augmentation. They were compared to 26 athletes operated by isolated intra-articular semitendinosus reconstruction.


RESULTS
The Lysholm-Score, clinical and radiological findings, KT-1000 stability values and isokinetic tests were evaluated monthly over a year. The data suggests that while both procedures under standardized rehabilitation conditions may obtain excellent functional results, adding the iliotibial band tenodesis to an intra-articular reconstruction significantly improves stability and muscular strength. Patients were able to resume all activities without a pivot shift following combined intra- and extra-articular stabilization.
Goertzen
M
M
Départment de Chirurgie Orthopédique, Université Heinrich Heine, Düsseldorf, Allemagne.
Schulitz
K P
KP
D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy; D001265:Athletic Injuries / Q000534:rehabilitation / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D011446:Prospective Studies
Plastie isolée intra-articulaire au semi-tendinosus ou plastie combinée intra et extra-articulaire, dans les laxités antérieures chroniques du genou.