Reconstruction of the chronically insufficient anterior cruciate ligament with the central third of the patellar ligament.

摘要: The results of reconstruction the anterior cruciate ligament with central third patellar as a free, autogenous, non-vascularized graft were retrospectively reviewed at our institution. Eighty reconstructions in seventy-nine patients evaluated after minimum two years. In forty-eight (60 per cent) knees, was augmented an extra-articular lateral sling iliotibial band. physical examination, KT-1000 arthrometer, radiographs, subjective questionnaire, and revision scale Hospital for Special Surgery rating ligaments. Postoperatively, seventy-six (95 eighty knees no longer gave way, pivot-shift test negative sixty-seven (84 knees. average score on ligament-rating 93 points. All who had clinical instability time most recent follow-up associated ligamentous that not been appreciated or addressed reconstruction. Arthrometric evaluation revealed laxity differed by three millimeters less from untreated knee sixty (76 treated patient bilateral reconstruction, same both Seventeen patients, more than translation, also additional related instability, commonly posterolateral insufficiency medial collateral ligament. We think major predisposes to failure should be corrected conjunction reconstruction.(ABSTRACT TRUNCATED AT 250 WORDS)