Chronic anterior cruciate ligament deficiency: result after extra-articular tenodesis and combined extra-articular with intra-articular reconstruction using a free patellar tendon graft

ABSTRACT

58 patient with chronic anterior cruciate deficient knees were treated by surgical stabilizing procedures. Of these 28 cases had Macintosh's lateral substitution reconstruction and 30 cases had combined extra-articular and intra-articular reconstrusction using a free pateller tendon graft. Results were evaluated after an average follow up of 29. 8 months. In the group treated by extra-articular substitution alone jerk test was abolished in 21 cases [75%] and Lachman's test was abolished in only 8cases [28.5%], while in the group treated by combined extra-articular and intra-articular free patellar tendon graft, jerk test was abolished in 24 cases [80%] and Lachman's lest was abolished in 22 cases [73.3%] but at the expense of prolonged rehabilitation and some limitation of knee motion