[Results of Marshall-MacIntosh reconstruction according to 3 scoring systems (ARPEGE, Lysholm, IKDC). 90 cases reviewed with at least a one-year follow-up].

The "International Knee Documentation Committee" (IKDC) evaluation form was created in 1992 in order to make easier the comparison of the results obtained in the U.S. and Europe in the knee ligament surgery using various procedures. In order to evaluate the performances of the IKDC system, it has been applied to the analysis of the results of 90 Marshall-MacIntosh ACL augmented-reconstructions, all having at least one year follow-up, and compared to the ARPEGE and Lysholm-Tegner systems. All 3 systems have in common a functional activity scale, nevertheless only the IKDC system takes into consideration the ligament examination. In this system, the assessment of the overall result is based on the combination of 4 parameter groups (patient subjective assessment, symptoms, range of motion, ligament examination). The lowest grade within a group determines the group grade. The worst group grade determines the final evaluation. According to the ARPEGE system, 79 per cent of good and excellent results were observed. This percentage increased up to 92.5 per cent with the Lysholm-Tegner system, and up to 82 per cent with the IKDC system. There was a positive and significant correlation between the IKDC system and the two others. The final result, when evaluated with the IKDC system, first depends on the ligament examination, while with the two other systems, pain appears to be the predominant parameter.