Wilson W J, Scranton P E
Madigan Army Medical Center, Fort Lewis, Washington 98433.
J Bone Joint Surg Am. 1990 Jun;72(5):742-8.
Fifty-eight professional and competitive amateur athletes had a combined reconstruction of the anterior cruciate ligament, with use of the semitendinosus tendon for the intra-articular portion of the reconstruction and a strip of iliotibial band for the extra-articular augmentation. Thirty patients (thirty-two knees) were evaluated two to seven years postoperatively to assess the results and the ability to return to athletics. Follow-up consisted of an interview, clinical and roentgenographic examinations, and testing with an arthrometer. Six patients (20 per cent) had a rating of excellent; twenty-two (73 per cent), good; and two (7 per cent), fair. There were no poor results. Of the thirty-two knees, twenty had an associated injury: twenty meniscal tears in eighteen knees, three tears of the medial collateral ligament, four osteochondral fractures of the lateral femoral condyle, and two loose bodies. Combined reconstruction of the anterior cruciate ligament resulted in improved stability of the knee in these patients whose goal of treatment was to be able to resume sports at a highly competitive level.
58名职业和竞技水平的业余运动员接受了前交叉韧带联合重建术，重建的关节内部分使用半腱肌腱，关节外增强部分使用一条髂胫束。对30例患者（32个膝关节）在术后2至7年进行评估，以评估结果和恢复运动的能力。随访包括访谈、临床和X线检查以及使用关节测量仪进行测试。6例患者（20%）评定为优秀；22例（73%）为良好；2例（7%）为一般。没有差的结果。在这32个膝关节中，20个有关联损伤：18个膝关节有20例半月板撕裂、3例内侧副韧带撕裂、4例外侧股骨髁骨软骨骨折和2个游离体。对于这些治疗目标是能够在高水平竞技状态下恢复运动的患者，前交叉韧带联合重建术可改善膝关节的稳定性。
