Anterior cruciate ligament reconstruction in patients with generalized joint laxity. (17/41)

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Analysis of return to competition and repeat rupture for 298 anterior cruciate ligament reconstructions with patellar or hamstring tendon autograft in sportspeople. (18/41)

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A prospective randomized study of ACL-reconstructions using bone-patellar tendon-bone grafts fixed with bioabsorbable or metal interference screws. (19/41)

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The effects of multiple freeze-thaw cycles on the biomechanical properties of the human bone-patellar tendon-bone allograft. (20/41)

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Surgical technique: revision ACL reconstruction with a rectangular tunnel technique. (21/41)

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Revision ACL reconstruction in skeletally mature athletes younger than 18 years. (22/41)

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Anterior cruciate ligament reconstruction using the medial third of the patellar tendon. (23/41)

PURPOSE: To evaluate the mid-term outcome of anterior cruciate ligament (ACL) reconstruction using the medial third of the patellar tendon as the bone-patellar tendon-bone (BPTB) graft. METHODS: 79 men (34 right knees and 45 left knees) aged 20 to 52 (mean, 28) years underwent ACL reconstruction using the medial third of the patellar tendon with bone plugs and were followed up for a minimum of 3 years. Stability was assessed using the Lachman test and the pivot shift test. The range of motion, donor-site symptoms, Lysholm knee score, and International Knee Documentation Committee (IKDC) score were also recorded. RESULTS: In terms of stability, only 4 patients had a grade-2 laxity postoperatively, compared to all having a grade-2 or -3 laxity preoperatively. Regarding the range of motion, extension loss was <3 masculine in 76 patients and 3 masculine to 5 masculine in 3, whereas flexion loss was <5 masculine in 73 patients, 5 masculine to 15 masculine in 5, and 16 masculine to 25 masculine in one. No patient had patellar tendon rupture/shortening, patellar fracture, or patellar maltracking. The mean Lysholm knee score improved from 48 to 92 (p<0.0001); scores were excellent (>90) in 46 patients and good (83-90) in 32 patients. The overall IKDC score was grade A (normal) in 9 patients, grade B (near normal) in 66, and grade C (abnormal) in 4. Three of the latter patients had osteoarthritic changes and pain on minimal physical activity. Only one patient had a sensation of partial giving way during moderate physical activity. 20% of the patients had anterior knee pain. CONCLUSION: Outcome of ACL reconstruction using the medial third of the patellar tendon was comparable to that using the central third of the patellar tendon. In addition, there were no instances of patellar tendon rupture/shortening, patellar fracture, or patellar maltracking.  (+info)

Analysis of anatomic positioning in computer-assisted and conventional anterior cruciate ligament reconstruction. (24/41)

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