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Acute repair of the anterior cruciate ligament with lateral capsular augmentation

North Sydney Orthopaedic and Sports Medicine Centre, Crows Nest, New South Wales, Australia

Roger S. Paterson, MB, BS, FRACS

North Sydney Orthopaedic and Sports Medicine Centre, Crows Nest, New South Wales, Australia

Charles P. Capito, MD

North Sydney Orthopaedic and Sports Medicine Centre, Crows Nest, New South Wales, Australia

Forty-seven patients had primary repair and extraarti cular augmentation with a lateral loop of the iliotibial tract for acute rupture of the ACL. (All of these patients had anterolateral rotatory instability (ALRI) preopera tively as diagnosed by a positive jerk test.) Of these 47 patients, 36 were available for follow-up evaluation. Followup ranged from 6 to 68 months (average, 21.6 months). Twenty-three of the patients (64%) were rated as excellent or good. Ten of the patients (27.8%) were rated as fair, and three patients (8%) were rated as poor. Thirty-three of the 36 patients (91 %) were objec tively free of ALRI as tested by the jerk test and had 1 + or less result in a Lachman test, with a firm end point. Only one patient felt his knee to be unstable (he had a positive pivot jerk). More than 90% of the patients returned to sport, and 72% returned at their preinjury level.

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