Pivot shift repair in non-athletics

ABSTRACT

Pivot shift is a symptom and a sign of torn anterior cruciate ligament [ACL] of the knee joint. In selected cases, extra-articular reconstruction of the torn ACL by modified Macintosh procedure was done in 40 cases [42 knees]. The evaluation of the results depends on subjective and objective criteria. The average score of all patients was 86.7 points out of 100 points. The results were very good in 27 knees, good in 13 knees but unsatisfactory in two knees. Extra- articular reconstruction of torn ACL by this technique gave satisfactory results in those patients suitable for such a procedure. Preoperative patient selection and postoperative rehabilitation were the main factors determining the success or failure of this operation