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

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


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


Anterior Cruciate Ligament Anterior Cruciate Ligament Reconstruction Pivot Shift Lateral Collateral Ligament Lachman Test 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  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