Document Detail

Anterior cruciate ligament insufficiency treated by combined medial and lateral extra-articular reconstruction.
MedLine Citation:
PMID:  4051704     Owner:  NLM     Status:  MEDLINE    
Thirty patients who required surgery for an unstable knee with "giving way" symptoms were operated during 1979-1981 with a pes anserinus transfer and an Ellison procedure at the same séance. All patients had an insufficient anterior cruciate ligament prior to surgery. Of these 24 patients had a positive pivot-shift test, and 26 patients had an anteromedial rotatory instability. Twenty-eight patients were seen at a follow-up after an average of 28 months (range 19-49). There were 12 women and 16 men, with a mean age of 28 years. Eleven patients (39%) declared that their knee function was distinctly improved, and six (21%) that it was moderately improved after surgery. Knee function was unchanged for ten patients (36%), and one patient said that the knee function had deteriorated after surgery. The functional result was not correlated with the duration of symptoms or with the follow-up time. Physical examination revealed that the anterior drawer had not disappeared for any of the patients. A positive pivot-shift sign was still present in 18 patients, and 23 patients displayed an increased varus instability.--All but six patients still had some instability experiences, and most of them could not completely return to active sports. However, the method could provide an alternative for patients engaged in frequent but not heavy physical activity.
U Jonsson; L Dahlstedt
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of orthopaedic and traumatic surgery. Archiv für orthopädische und Unfall-Chirurgie     Volume:  104     ISSN:  0344-8444     ISO Abbreviation:  Arch Orthop Trauma Surg     Publication Date:  1985  
Date Detail:
Created Date:  1985-10-28     Completed Date:  1985-10-28     Revised Date:  2008-02-21    
Medline Journal Info:
Nlm Unique ID:  7803037     Medline TA:  Arch Orthop Trauma Surg     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  94-6     Citation Subset:  IM    
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MeSH Terms
Follow-Up Studies
Joint Instability / physiopathology,  surgery*
Knee Joint / physiopathology,  surgery*
Ligaments, Articular / surgery*
Middle Aged
Time Factors

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