Late Results after ACL Reconstruction with an Autologous Free Patellar Tendon Graft

  • W. Hackenbruch
  • W. Hey
  • H. R. Henche

Abstract

Replacement of the anterior cruciate ligament (ACL) with an autologous graft has become an established procedure in the management of chronic anterior knee instability. While clinical follow-up studies have confirmed good subjective and objective early results, little has been published to date on long-term results. It remains to be determined whether a good short-term result in a given patient also implies a good long-term outcome. In theory, there are 2 reasons why a primarily stable joint may become secondarily unstable:

  • Excessive loading of the graft due to decompensation of the peripheral restraints

  • Graft insufficiency based on a deficient blood supply or lack of collagen restructuring

Keywords

Arthritis 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Brückner H, Brückner H (1972) Bandplastiken im Kniebereich nach dem Baukastenprinzip. Zentralbl Chir 3: 65–77Google Scholar
  2. Hackenbruch W, Henche HR (1981) Diagnostik und Therapie von Kapselbandläsionen am Kniegelenk. Eular, BaselGoogle Scholar
  3. Hackenbruch W, Henche HR, Müller We (1982) Operations-ergebnisse bei chronischer vorderer Knieinstabilität. Vor-trag, 3. Münchner Symposium für Sporttraumatologie, 13.11. 1982Google Scholar
  4. James SL, Slocum DB (1975) Sports medicine of the year. Sports Med 3: 260–271Google Scholar
  5. Jones KK (1970) Reconstruction of the anterior cruciate ligament using the central one-third of the patellar ligament. J Bone Joint Surg [Am] 52: 1302–1308Google Scholar
  6. Slocum DB, Larson RL (1968) The pes anserinus transplant. A surgical procedure for control of rotatory instability of the knee. J Bone Joint Surg [Am] 5: 226–242Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • W. Hackenbruch
  • W. Hey
  • H. R. Henche

There are no affiliations available

Personalised recommendations