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Document Title: Shelbourne-AJSM-Sep00
Article Title: Primary anterior cruciate ligament
reconstruction using the contralateral autogenous patellar tendon
Authors: K. Donald Shelbourne, Scott E. Urch.
Publication: The American Journal of Sports Medicine
ISSN: 03635465
Date: September-October 2000.
(Figures included. Reference-denoting numbers appear in the same point size as document text.)
Volume: 28
Issue: 5
Pages: 651-658
Key Words: Knee, patellar tendon, reconstruction, ACL.
ABSTRACT
We studied
patients who underwent primary anterior cruciate ligament reconstruction using
either the contralateral (N= 434) or ipsilateral (N= 228) autogenous patellar
tendon graft to determine the difference between groups for the return of range
of motion, quadriceps muscle strength, and return to sports. The contralateral
group had statistically significantly more flexion than the ipsilateral group
at 1 week and 2 weeks postoperatively. The contralateral group had
statistically significantly greater quadriceps muscle strength in the
reconstructed knee at 1, 2, and 4 months postoperatively and in the donor knee
at 1 and 2 months postoperatively. Mean KT-1000 arthrometer results were 1.9
+/- 1.3 mm for the contralateral group and 2.2 +/- 1.1 mm for the ipsilateral
group. The mean time to return to sports at full capability in a competitive
subgroup was 4.1 months for contralateral patients and 5.5 months for
ipsilateral patients. Overall, 49% of patients in the contralateral group and
12% of patients in the ipsilateral group returned to their preinjury levels of
activity by 4 months postoperatively. Our results indicate that the
contralateral patellar tendon can be used to restore range of motion and
strength sooner than an ipsilateral patellar tendon graft. Patients can also
have a faster return to full capability in sports without compromising ultimate
stability.
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