title: Anterior cruciate ligament reconstruction with the Leeds-Keio prosthesis plus extra-articular tenodesis. Results after six years.
abstract: We describe 129 patients with disabling instability of the knee due to deficiency of the anterior cruciate ligament. They were treated by replacement of the ligament with a Leeds-Keio prosthesis supplemented by an extra-articular MacIntosh lateral substitution reconstruction. After an average period of 71 months a satisfactory outcome was found in only 60% of knees. Nine had required revision because of recurrent instability and the pivot-shift sign had become positive in 40% of patients. In our opinion the long-term results are unsatisfactory when compared with those obtained using a graft from the medial third of the patellar tendon supplemented with a MacIntosh extra-articular tenodesis.
authors.affiliation: Addenbrooke's Hospital, Cambridge, England.
authors.forename: D J
authors.initials: DJ
authors.lastname: Dandy
authors.forename: A J
authors.initials: AJ
authors.lastname: Gray
mesh_terms: D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D001265:Athletic Injuries / Q000601:surgery; D005260:Female; D006801:Humans; D007718:Knee Injuries / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011091:Polyesters; D011183:Postoperative Complications / Q000601:surgery; D019736:Prostheses and Implants; D011474:Prosthesis Design; D012008:Recurrence; D012086:Reoperation; D013526:Surgical Mesh
chemical_list: D011091:Polyesters