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The American Journal of Sports Medicine 23:690-693 (1995)
© 1995 SAGE Publications

Early Versus Late Reconstruction for Anterior Cruciate Ligament Rupture

Results After Five Years of Followup

Maurilio Marcacci, MD

Rizzoli Orthopaedic Institute, Bologna University, Bologna, Italy

Stefano Zaffagnini, MD

Rizzoli Orthopaedic Institute, Bologna University, Bologna, Italy

Francesco Iacono, MD

Rizzoli Orthopaedic Institute, Bologna University, Bologna, Italy

Maria Pia Neri, MD

Rizzoli Orthopaedic Institute, Bologna University, Bologna, Italy

Aldo Petitto, MD

Rizzoli Orthopaedic Institute, Bologna University, Bologna, Italy

We investigated the clinical and laxity testing results at 5 years' followup in patients who had early or late anterior cruciate ligament reconstruction. Twenty-three patients (Group I) were treated within 15 days of injury. Fifty-nine patients (Group II) were treated more than 3 months after injury. Patellar tendon reconstruction and fascia lata graft augmented with a ligament augmentation device were the techniques used in both groups. According to the Inter national Knee Documentation Committee rating scale, 17 patients in Group I and 38 patients in Group II had satis factory results. The Lysholm score was good in all Group I patients and in 55 Group II patients. Flexion-extension deficits were comparable for both groups. Eighteen pa tients (78%) in Group I demonstrated satisfactory results according to the KT-2000 arthrometer testing, compared with 44 (75%) in Group II. No associated lesions were present in 12 (52%) cases in Group I, compared with 26 (44%) cases in Group II. Return to sports at the preop erative level was obtained by 21 (91 %) patients in Group I, compared with 42 (71 %) in Group II. The patients who had reconstruction during the early phase returned to sports activities sooner and had better clinical and laxity testing results.




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