We have assessed 45 patients who had undergone anterior cruciate reconstruction by a modified MacIntosh-Jones method. The results, using standard knee scores and clinical ligament testing, correlated poorly with the patient's own opinion and with the functional result. However, measurement of proprioception in the knee correlated well with both function (r = 0.84) and with patient satisfaction ...

Standard endoscopic reconstruction of the anterior cruciate ligament (ACL) is performed with the use of 2 arthroscopic portals. The surgical error most commonly associated with ACL reconstruction is improper positioning of the tunnel. Errors in femoral tunnel position may be related to poor visualization of the lateral wall. When anatomic double-bundle ACL reconstruction is performed, proper vi...

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BACKGROUND The ideal treatment for patients presenting with bilateral anterior cruciate ligament (ACL) deficiency remains controversial. PURPOSE To evaluate cost and early functional results after bilateral ACL reconstruction at a single setting. STUDY DESIGN Retrospective review. METHODS Eleven patients (22 knees) who underwent bilateral ACL reconstruction at a single setting were compar...

The goal of knee ligament reconstruction is to return the athlete to the previous level of function as quickly and as safely as possible. The appropriate level of aggressiveness in returning the athlete to sport remains controversial. Information in the literature regarding safe return to play has been dominated by the anterior cruciate ligament (ACL) reconstruction literature. The basic concep...

BACKGROUND Although previous studies suggested that female patients are predisposed to increase graft laxity compared with male patients after single-bundle anterior cruciate ligament reconstruction using autogenous hamstring tendons, there have been no studies specifically examining gender-based differences in outcome after anatomic double-bundle anterior cruciate ligament reconstruction with ...

After surgical anterior cruciate ligament (ACL) reconstruction, knee bracing does not significantly protect against injury during recovery or afterwards (strength of recommendation [SOR]: C, based on expert opinion). In addition, the use of a knee brace following ACL reconstruction does not improve stability or hasten rehabilitation, either immediately or for up to 2 years (SOR: A, based on ran...

BACKGROUND Ligament restraints to terminal knee extension are poorly understood. HYPOTHESES (1) As with other motions of the knee, genu recurvatum is limited primarily by a named, identifiable structure. (2) As the largest static structure of the posterior knee, the oblique popliteal ligament is uniquely suited to act as a checkrein to knee hyperextension. STUDY DESIGN Descriptive laborator...