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Section of Sports Medicine, Department of Orthopaedic Surgery
Section of Sports Medicine, Department of Orthopaedic Surgery, Section of Sports Medicine, Department of Orthopaedic Surgery
Section of Sports Medicine, Department of Orthopaedic Surgery, Section of Sports Medicine, Department of Orthopaedic Surgery
Section of Sports Medicine, Department of Orthopaedic Surgery, Section of Sports Medicine, Department of Orthopaedic Surgery
Section of Biostatistics, Department of Medicine, Rush-Presbyterian St. Luke's Medical Center, Chicago, Illinois
Sixty-two patients who underwent arthroscopically as sisted anterior cruciate ligament reconstruction with the middle-third patellar tendon autograft without extraar ticular augmentation were retrospectively reviewed at a minimum 2-year (mean, 37-month) followup. A postop erative KT-1000 arthrometric evaluation revealed a mean maximum manual difference of 0.3 mm (range, -6 to +16). Ninety percent of the patients had a mean maximum difference of 
3 mm. Three patients had a 
5 mm mean maximum difference; positive pivot shifts were noted in two of these patients. Despite an early range of motion, early weightbearing protocol without an extraarticular backup, the pivot shift (92% negative) was reliably eliminated at postoperative followup. Ar thrometric parameters were statistically reduced (P < 0.0001) from preoperative status and were consistent with the diagnostic criteria established for normal knees. There was no relationship established in the "tighter" knees (those with negative side-to-side arthrometric dif ferences) and the incidence of knee flexion contractures, patellar pain symptoms, Cybex extension deficit (>20%), functional indices, or postoperative rating scales.
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