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Related Experiment Videos

MacIntosh-Jones reconstruction for the unstable knee.

D S Barrett1, R P Mackenney

  • 1Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK.

Injury
|July 1, 1991
PubMed
Summary
This summary is machine-generated.

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This study on anterior cruciate ligament reconstruction using patellar tendon grafts found that 93% of patients achieved stability. High patient satisfaction and return to sport were observed, especially when surgery was performed promptly.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomechanical Engineering

Background:

  • Anterior cruciate ligament (ACL) rupture is a common knee injury, particularly in athletes.
  • Restoring knee stability and function after ACL rupture is crucial for returning to pre-injury activity levels.
  • Various surgical techniques exist for ACL reconstruction, each with its own outcomes and limitations.

Purpose of the Study:

  • To evaluate the clinical outcomes of ACL reconstruction using a free one-third patellar tendon graft.
  • To assess the effectiveness of combining this graft with a lateral extra-articular tenodesis for knee stability.
  • To determine patient satisfaction and return to sport rates following this combined surgical approach.

Main Methods:

  • A retrospective review of 45 patients who underwent ACL reconstruction with a patellar tendon graft and lateral extra-articular tenodesis.

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  • Patients' average age was 26.4 years, with a mean follow-up of 3.2 years.
  • Clinical assessment of knee stability, patient-reported satisfaction, and return to sporting activity were recorded.

    • Main Results:

    • Knee stability was achieved in 93% (42 out of 45) of patients based on clinical evaluation.
    • Overall patient satisfaction was reported at 73%.
    • 84% (38 out of 45) of patients successfully returned to social or competitive sporting activities. Unsatisfactory outcomes were linked to delayed reconstruction.

    Conclusions:

    • ACL reconstruction utilizing a free one-third patellar tendon graft combined with lateral extra-articular tenodesis provides high rates of knee stability and return to sport.
    • Prompt surgical intervention appears critical for optimal patient outcomes.
    • This surgical technique demonstrates a favorable profile for restoring function in patients with ACL ruptures.