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Over-the-top or tunnel reconstruction of the anterior cruciate ligament?: a prospective randomised study of 54 patients
Umeå University Hospital, Department of Orthopaedics.
Umeå University Hospital, Department of Orthopaedics.
Umeå University Hospital, Department of Orthopaedics.
1994 (English)In: Journal of Bone and Joint Surgery, ISSN 0301-620X, E-ISSN 2044-5377, Vol. 76, no 1, p. 82-7Article in journal (Refereed) Published
Abstract [en]

We report a review of 54 patients with chronic anterior cruciate ligament rupture treated by patellar-quadriceps tendon graft augmented with polypropylene braid (Kennedy-LAD). The femoral placement of the graft was randomised to either a modified over-the-top (OTT) or a tunnel position obtained by an isometric drill guide (ISO). At the two-year follow-up both procedures had resulted in improvement of subjective knee function and activity level. Stereoradiographic measurements showed reduction of anteroposterior laxity to near normal in about one-third of the patients, but muscle strength and objective functional performance showed little or no changes. The OTT group had better subjective knee function. We were unable to confirm the theoretical advantages of the use of the drill guide, partly because it provided a tibial tunnel which was too anterior.

Place, publisher, year, edition, pages
1994. Vol. 76, no 1, p. 82-7
Identifiers
URN: urn:nbn:se:ltu:diva-2564Local ID: 02f96550-c70e-11db-98d9-000ea68e967bOAI: oai:DiVA.org:ltu-2564DiVA, id: diva2:975417
Note
Upprättat; 1994; 20070228 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2017-11-24Bibliographically approved

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http://www.jbjs.org.uk/cgi/reprint/76-B/1/82

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Tegner, Yelverton

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