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Sports Medicine Department, The Hospital for Special Surgery, affiliated with The New York Hospital, Cornell University Medical College
Sports Medicine Department, The Hospital for Special Surgery, affiliated with The New York Hospital, Cornell University Medical College
Sports Medicine Department, The Hospital for Special Surgery, affiliated with The New York Hospital, Cornell University Medical College
Seventy patients who underwent primary repair of the anterior cruciate ligament are reviewed in follow-up. The surgical technique consisted of multiple loop- varying depth sutures in both cruciate stumps in 61 patients. Nine patients had additional fascial augmen tation done primarily. Follow-up was from 12 to 90 months, the average being 29 months. All patients were scored on a 50-point normal knee score sheet. Average score at follow-up was 42.7. No patient was bothered by giving way, which is defined as an unpre dictable instability. No patient has required subse quent meniscal surgery. Ninety-three percent of the patients were active in sports. Anterior drawer sign at 90° showed increased excursion compared to the unaffected leg in all patients. However, Lachman's test showed a firm end point to excursion in all knees tested, and, in addition, 52% were rated as normal compared to the unaffected knee. We conclude that primary repairs of mid-substance tears are technically possible and recommended in an athlete.
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