Résumé
The technique described gives a new approach to the repair of ACL tears. The study reports the early results and analyses the experience gained. 21 males, aged 22-36, mean 28.5 years, managed in Madina National Hospital, Maidina, Saudi Arabia, 1988-1991, They suffered from chronic ACL instability for 1-6, mean 2.4 years, caused by complete ACL tears, in the left knee in 14 cases [66.7%], and in the right in 7 eases [33.3%]. The accidents in which the tears were sustained occurred during sports [5 cases = 23.8%] or work circumstances [16 = 76.2%]. As-sedated knee injuries were tears of the medial collateral ligament in all cases, and of the medial meniscus in 13 cases [61.9%]. In the operative procedure the two bands of the torn ACL were reconstructed by a double technique using two segments of the Leeds-Keio ligament prosthesis. The posterolateral segment was passed over the top of the lateral femoral condyle. The anteromedial segment was passed through a tunnel in the lateral femoral condyle. The postoperative care was nearly that of Fujikawa. It included gradual intermittent passive motion apparatus and gradual weight bearing over a period of 14 weeks. The followup was 25 - 52, mean 38.3 months. The anterior drawer test preoperative mean value was 2.5, SEM +/- 0.59 and postoperatively it was 0.5, SEM +/- 0.51, t = 2.56, P