Abstract
A retrospective analysis of 48 sportsmen and women from an original series of 76 consecutive patients who had undergone a modified McIntosh repair was carried out to establish whether or not the procedure could provide a satisfactory recovery and return to previous ability. The type and level of sport before injury was compared with that after operation. Symptoms of pain and giving way, and examination findings of pivot shift, and Lachman's test were compared before and after operation. Of the 48 patients assessed, 28 (58%) returned to full sporting capacity; 17 (35%) patients were participating in different sports or lower levels of their previous sports, and three patients did not participate in any sport. The more severely symptomatic knees did not perform so well after operation. The degree of preoperative anterior draw and Lachman's test did not influence the final result and the pivot shift, present in all before operation, was abolished in all but one case, which remained badly symptomatic. Concurrent meniscal injury or medial or lateral laxity did not influence return to sport once a full postoperative recovery was made. No deterioration was noticed in the level of sporting ability achieved thereafter. In this study it has been shown that the modified McIntosh repair is a swift extra-articular reconstruction for the anterior cruciate ligament deficient knee, which is less elaborate than previously described Ellison and McIntosh procedures, and which has produced a comparable result.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Durkan J. A., Wynne G. F., Haggerty J. F. Extraarticular reconstruction of the anterior cruciate ligament insufficient knee. A long-term analysis of the Ellison procedure. Am J Sports Med. 1989 Jan-Feb;17(1):112–117. doi: 10.1177/036354658901700119. [DOI] [PubMed] [Google Scholar]
- Ellison A. E. Distal iliotibial-band transfer for anterolateral rotatory instability of the knee. J Bone Joint Surg Am. 1979 Apr;61(3):330–337. [PubMed] [Google Scholar]
- Glousman R., Shields C., Jr, Kerlan R., Jobe F., Lombardo S., Yocum L., Tibone J., Gambardella R. Gore-Tex prosthetic ligament in anterior cruciate deficient knees. Am J Sports Med. 1988 Jul-Aug;16(4):321–326. doi: 10.1177/036354658801600402. [DOI] [PubMed] [Google Scholar]
- Holmes P. F., James S. L., Larson R. L., Singer K. M., Jones D. C. Retrospective direct comparison of three intraarticular anterior cruciate ligament reconstructions. Am J Sports Med. 1991 Nov-Dec;19(6):596–600. doi: 10.1177/036354659101900607. [DOI] [PubMed] [Google Scholar]
- JONES K. G. RECONSTRUCTION OF THE ANTERIOR CRUCIATE LIGAMENT. A TECHNIQUE USING THE CENTRAL ONE-THIRD OF THE PATELLAR LIGAMENT. J Bone Joint Surg Am. 1963 Jul;45:925–932. [PubMed] [Google Scholar]
- Lipscomb A. B., Johnston R. K., Synder R. B., Brothers J. C. Secondary reconstruction of anterior cruciate ligament in athletes by using the semitendinosus tendon. Preliminary report of 78 cases. Am J Sports Med. 1979 Mar-Apr;7(2):81–84. doi: 10.1177/036354657900700202. [DOI] [PubMed] [Google Scholar]
- McMaster J. H., Weinert C. R., Jr, Scranton P., Jr Diagnosis and management of isolated anterior cruciate ligament tears: a preliminary report on reconstruction with the gracilis tendon. J Trauma. 1974 Mar;14(3):230–235. doi: 10.1097/00005373-197403000-00008. [DOI] [PubMed] [Google Scholar]
- O'DONOGHUE D. H. A METHOD FOR REPLACEMENT OF THE ANTERIOR CRUCIATE LIGAMENT OF THE KNEE. J Bone Joint Surg Am. 1963 Jul;45:905–924. [PubMed] [Google Scholar]
- Tibone J. E., Antich T. J. A biomechanical analysis of anterior cruciate ligament reconstruction with the patellar tendon. A two year followup. Am J Sports Med. 1988 Jul-Aug;16(4):332–335. doi: 10.1177/036354658801600404. [DOI] [PubMed] [Google Scholar]