Key result
The addition of an intraarticular component to MacIntosh anterior cruciate reconstruction did not alter subjective results compared to lateral substitution alone, with 62% of all knees achieving an excellent or good Lysholm score at 9 years.
Why the study?
Does the addition of an intraarticular component to MacIntosh anterior cruciate reconstruction improve long-term outcomes in patients with chronic instability?
Cohort (n=47)
Does the addition of an intraarticular component to MacIntosh anterior cruciate reconstruction improve long-term outcomes in patients with chronic instability?
Long-term follow-up of MacIntosh ACL reconstruction shows good functional outcomes, with lateral tenodesis being the major determinant of subjective stability improvement.
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Supports prioritizing lateral tenodesis for subjective stability; leaves open intraarticular augmentation benefits in contemporary ACL reconstruction.
Dempsey et al. (1993) conducted a cohort in Anterior cruciate ligament instability (n=47). MacIntosh anterior cruciate reconstruction supplemented with an intraarticular component vs. Lateral substitution technique alone was evaluated on Excellent or good Lysholm score. The addition of an intraarticular component to MacIntosh anterior cruciate reconstruction did not alter subjective results compared to lateral substitution alone, with 62% of all knees achieving an excellent or good Lysholm score at 9 years.
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