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March 1, 1982Journal of Bone and Joint Surgery

Anterior cruciate ligament reconstruction using one-third of the patellar ligament, augmented by extra-articular tendon transfers.

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Authors

WCWilliam G. ClancyDNDewey A. NelsonBRBruce Reider

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Overview

Case series demonstrates favorable stability and joint outcomes following augmented patellar ligament reconstruction in chronic knee instability, indicating durable functional recovery.

Key Points

  • To evaluate the clinical and functional outcomes of anterior cruciate ligament reconstruction using a one-third patellar ligament graft augmented with medial and lateral extra-articular tendon transfers.
  • Eighty patients with persistent knee instability due to anterior cruciate ligament insufficiency underwent reconstruction utilizing one-third of the patellar ligament and augmenting extra-articular tendon transfers.
  • Fifty patients (35 male, 15 female; average age 23 years; mean interval from injury to surgery of 2 years) completed personal evaluations with a mean follow-up of 33 months (range, 2 to 5 years).
  • Concomitant baseline pathology was frequent: 43 of 50 patients (86%) had at least one meniscal tear, 27 (54%) had significant degenerative articular changes, and 14 (28%) showed patellar articular changes.
  • Overall functional outcomes were rated as excellent in 30 knees, good in 17, fair in 1, and failed in 2.
  • Failures resulted from persistent severe pain caused by patellar chondromalacia in one patient and hyperesthesia from a neuroma in another, despite one of them achieving excellent joint stability.

Cite This Study

Clancy et al. (1982) studied this question.

synapsesocial.com/papers/695ea486d00c8d32c4e469b8https://doi.org/10.2106/00004623-198264030-00004
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Reconstruction of the chronically insufficient anterior cruciate ligament with the central third of the patellar ligament.1991 · 503 citations
  2. 2Reconstruction of the anterior cruciate ligament with an intra-articular patellar tendon graft and an extra-articular tenodesis. Results after six years1991 · 42 citations
  3. 3Long‐term results of anterior cruciate ligament reconstruction using the medial third of the patellar tendon2025 · 1 citations
  4. 4Single Stage Novel Method of Treating Anterior Cruciate Ligament Failure, Revision and Reconstruction using Bone-Patellar Tendon-Bone Graft with Suture Disc and Lateral Extra-Articular Tenodesis: A Retrospective Study2025
  5. 5Intraarticular iliotibial band reconstruction for anterior cruciate ligament insufficiency1981 · 9 citations