Arthroscopic anterior cruciate ligament reconstruction with patellar tendon

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Abstract
Anterior cruciate ligament reconstruction using a bone‐patella tendon‐bone free autologous graft was performed with an arthroscopic technique in 73 patients with chronic insufficiency. Sixty‐nine (94.5%) were available for personal follow‐up 3–5 years after the operation. Six patients (8%) had had postoperative difficulties in regaining a complete range of motion. Symptoms of giving‐way were cured in 97% of the cases, and 89% had returned to vigorous activities. Residual anterior laxity (defined as pivot shift 2+, and/or Lachman 2+, and/or KT‐1000 >5 mm at the manual maximum) was found in 13% and was more frequent in patients with an uncorrected varus laxity. Patellofemoral crepitus was present in 17% of the knees and was associated with pain and/or swelling in a further 4%; it correlated with radiographic evidence of patellofemoral incongruence (p = 0.009). Comparison of the results with those of a previous series performed by arthrotomy revealed a decreased incidence of limited range of motion, severe patellar symptoms, and changes in patellar height. Stability was the same.

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