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Methodist Sports Medicine Center, Thomas A. Brady Clinic, Indianapolis, Indiana
Methodist Sports Medicine Center, Thomas A. Brady Clinic, Indianapolis, Indiana
We sought to determine the long-term results of 1057 consecutive patients who underwent an anterior cruci ate ligament reconstruction with an autogenous patel lar tendon graft from 1987 through 1993 and who followed an accelerated rehabilitation program. The patients were followed prospectively and objective physical examination data were obtained on 806 pa tients at a mean of 4.0 years postoperatively. Subjec tive follow-up data were obtained on 948 patients at a mean of 4.4 years postoperatively. The mean final range of motion was 5°/0°/140°. The mean manual maximum KT-1000 arthrometer score was 2.0 ± 1.5 mm. Isokinetic quadriceps muscle strength testing re vealed a mean of 94% strength after acute reconstruc tions and 91% strength after chronic reconstructions. International Knee Documentation Committee evalua tion after acute reconstruction rated 42% of knees as normal, 47% as near normal, 10% as abnormal, and 1% as severely abnormal. The same evaluation after chronic reconstruction rated 41% of knees as normal, 44% as near normal, 14% as abnormal, and 1% as severely abnormal. Radiographically, 94% of acute knees and 89% of chronic knees had no joint space narrowing. Subjective modified Noyes questionnaire results showed a mean score of 93.2 ± 7.9 points. The mean time for patients to return to sport-specific activ ities was 6.2 weeks and to athletic competition at full capacity was 6.2 months postoperatively. In the long- term, patients exhibited full range of motion, excellent stability, good strength, and a return of full function in most cases.
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F W Smith, E A Rosenlund, A K Aune, J A MacLean, and S W Hillis Subjective functional assessments and the return to competitive sport after anterior cruciate ligament reconstruction Br. J. Sports Med., June 1, 2004; 38(3): 279 - 284. [Abstract] [Full Text] [PDF]
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L. C. Almekinders, R. Pandarinath, and F. T. Rahusen Knee Stability Following Anterior Cruciate Ligament Rupture and Surgery. The Contribution of Irreducible Tibial Subluxation J. Bone Joint Surg. Am., May 1, 2004; 86(5): 983 - 987. [Abstract] [Full Text] [PDF]
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T. Zantop, A. Weimann, M. Rummler, J. Hassenpflug, and W. Petersen Initial Fixation Strength of Two Bioabsorbable Pins for the Fixation of Hamstring Grafts Compared to Interference Screw Fixation: Single Cycle and Cyclic Loading Am. J. Sports Med., April 1, 2004; 32(3): 641 - 649. [Abstract] [Full Text] [PDF]
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R. J. Williams III, J. Hyman, F. Petrigliano, T. Rozental, and T. L. Wickiewicz Anterior Cruciate Ligament Reconstruction with a Four-Strand Hamstring Tendon Autograft J. Bone Joint Surg. Am., February 1, 2004; 86(2): 225 - 232. [Abstract] [Full Text] [PDF]
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K. D. Shelbourne and D. R. Carr Meniscal Repair Compared with Meniscectomy for Bucket-Handle Medial Meniscal Tears in Anterior Cruciate Ligament-Reconstructed Knees Am. J. Sports Med., September 1, 2003; 31(5): 718 - 723. [Abstract] [Full Text] [PDF]
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W. H. Wu, T. Hackett, and J. C. Richmond Effects of Meniscal and Articular Surface Status on Knee Stability, Function, and Symptoms after Anterior Cruciate Ligament Reconstruction: A Long-term Prospective Study Am. J. Sports Med., November 1, 2002; 30(6): 845 - 850. [Abstract] [Full Text] [PDF]
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S. Jari and K. D. Shelbourne Simultaneous Bilateral Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., November 1, 2002; 30(6): 891 - 895. [Abstract] [Full Text] [PDF]
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R. V. Ravalin, A. D. Mazzocca, J. C. Grady-Benson, C. W. Nissen, and D. J. Adams Biomechanical Comparison of Patellar Tendon Repairs in a Cadaver Model: An Evaluation of Gap Formation at the Repair Site with Cyclic Loading Am. J. Sports Med., July 1, 2002; 30(4): 469 - 473. [Abstract] [Full Text] [PDF]
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S. L-Y. Woo, A. Kanamori, J. Zeminski, M. Yagi, C. Papageorgiou, and F. H. Fu The Effectiveness of Reconstruction of the Anterior Cruciate Ligament with Hamstrings and Patellar Tendon : A Cadaveric Study Comparing Anterior Tibial and Rotational Loads J. Bone Joint Surg. Am., June 1, 2002; 84(6): 907 - 914. [Abstract] [Full Text] [PDF]
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S. Jari and K. D. Shelbourne Staged Bilateral Anterior Cruciate Ligament Reconstruction with Use of Contralateral Patellar Tendon Autograft: A Case Report Am. J. Sports Med., May 1, 2002; 30(3): 437 - 440. [Full Text] [PDF]
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J. J. O'Shea and K. D. Shelbourne Anterior Cruciate Ligament Reconstruction with a Reharvested Bone-Patellar Tendon-Bone Graft Am. J. Sports Med., March 1, 2002; 30(2): 208 - 213. [Abstract] [Full Text] [PDF]
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M. D. Shaieb, D. M. Kan, S. K. Chang, J. M. Marumoto, and A. B. Richardson A Prospective Randomized Comparison of Patellar Tendon Versus Semitendinosus and Gracilis Tendon Autografts for Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., March 1, 2002; 30(2): 214 - 220. [Abstract] [Full Text] [PDF]
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K. L. Markolf, S. L. Hame, D. M. Hunter, D. Oakes, and P. Gause Biomechanical Effects of Femoral Notchplasty in Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., January 1, 2002; 30(1): 83 - 89. [Abstract] [Full Text] [PDF]
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J. Hoher, A. Kanamori, J. Zeminski, F. H. Fu, and S. L-Y. Woo The Position of the Tibia during Graft Fixation Affects Knee Kinematics and Graft Forces for Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., November 1, 2001; 29(6): 771 - 776. [Abstract] [Full Text] [PDF]
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 M. Bowditch Anterior cruciate ligament rupture and management Trauma, October 1, 2001; 3(4): 249 - 261. [Abstract] [PDF]
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P. J. Millett, T. L. Wickiewicz, and R. F. Warren Motion Loss after Ligament Injuries to the Knee: Part I: Causes Am. J. Sports Med., September 1, 2001; 29(5): 664 - 675. [Abstract] [Full Text] [PDF]
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T. Jarvela, T. Paakkala, P. Kannus, and M. Jarvinen The Incidence of Patellofemoral Osteoarthritis and Associated Findings 7 Years After Anterior Cruciate Ligament Reconstruction with a Bone-Patellar Tendon-Bone Autograft Am. J. Sports Med., January 1, 2001; 29(1): 18 - 24. [Abstract] [Full Text] [PDF]
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K. D. Shelbourne and S. E. Urch Primary Anterior Cruciate Ligament Reconstruction Using the Contralateral Autogenous Patellar Tendon Am. J. Sports Med., September 1, 2000; 28(5): 651 - 658. [Abstract] [Full Text] [PDF]
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J. Brand Jr., A. Weiler, D. N. M. Caborn, C. H. Brown Jr., and D. L. Johnson Graft Fixation in Cruciate Ligament Reconstruction Am. J. Sports Med., September 1, 2000; 28(5): 761 - 774. [Abstract] [Full Text] [PDF]
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K. Donald Shelbourne and T. Gray Results of Anterior Cruciate Ligament Reconstruction Based on Meniscus and Articular Cartilage Status at the Time of Surgery: Five- to Fifteen-Year Evaluations Am. J. Sports Med., July 1, 2000; 28(4): 446 - 452. [Abstract] [Full Text] [PDF]
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F. H. Fu, C. H. Bennett, C. B. Ma, J. Menetrey, and C. Lattermann Current Trends in Anterior Cruciate Ligament Reconstruction: Part II. Operative Procedures and Clinical Correlations Am. J. Sports Med., January 1, 2000; 28(1): 124 - 130. [Abstract] [Full Text] [PDF]
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F. H. Fu, C. H. Bennett, C. Lattermann, and C. B. Ma Current Trends in Anterior Cruciate Ligament Reconstruction: Part 1: Biology and Biomechanics of Reconstruction Am. J. Sports Med., November 1, 1999; 27(6): 821 - 830. [Abstract] [Full Text] [PDF]
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K. D. Shelbourne and T. J. Davis Evaluation of Knee Stability Before and After Participation in a Functional Sports Agility Program During Rehabilitation After Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., March 1, 1999; 27(2): 156 - 161. [Abstract] [Full Text] [PDF]
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S. D. Barber-Westin, F. R. Noyes, T. P. Heckmann, and B. L. Shaffer The Effect of Exercise and Rehabilitation on Anterior-Posterior Knee Displacements After Anterior Cruciate Ligament Autograft Reconstruction Am. J. Sports Med., January 1, 1999; 27(1): 84 - 93. [Abstract] [Full Text] [PDF]
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