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

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The Knee and the Cruciate Ligaments

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

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© 1992 Springer-Verlag Berlin Heidelberg

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Hackenbruch, W., Hey, W., Henche, H.R. (1992). Late Results after ACL Reconstruction with an Autologous Free Patellar Tendon Graft. In: Jakob, R.P., Stäubli, HU. (eds) The Knee and the Cruciate Ligaments. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84463-8_47

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  • DOI: https://doi.org/10.1007/978-3-642-84463-8_47

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-84465-2

  • Online ISBN: 978-3-642-84463-8

  • eBook Packages: Springer Book Archive

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