The long-term course after treatment of acute anterior cruciate ligament ruptures A 9 to 16 year followup

摘要: Acute total ACL (N = 60) and concomitant medial collateral ligament 46) ruptures were repaired in 60 patients (mean age, 28 years) without augmentation. Menisci removed 23 knees. Fifty-three (88%) of the reexamined 9 to 16 years later with special emphasis on manual instrumented stability testing (Stryker, Genucom), knee function score (Lysholm), activity level (Tegner). Standing roentgenograms (30 degrees flexion) taken 69% patients. At followup, an reconstruction had been performed seven (12%) due symptomatic instability. Sixty-four percent knees a positive Lachman sign 40% pivot shift. Sagittal laxity difference was +3 mm or more 57%. Knee mean 86 +/- 12 points. The changed from recreational team sports (Level 7) individual 5). Only good able perform demanding could continue at their desired level. Osteoarthritis slight moderate degree (Fairbank I/II) found 58% younger than 35 age time trauma 87% older Knees intact menisci less osteoarthritis (P 0.05).