Summary
Twenty-five patients who had anterior cruciate deficient knees treated by the MacIntosh reconstruction operation were reviewed after 5 years, with particular reference to any changes occurring over time. Subjectively, the knees were improved and the results were even better after 5 years than after one year. This was considered to be due to a decrease in the restriction of flexion, and to the psychological and functional adaptation to the injured knee. In the knees operated on, the anterolateral instability increased significantly during the follow up from one year (mean 1.9 mm) to 5 years (3.0 mm), but the numerical value was still as good as in the intact knees (3.5 mm).
Résumé
Il s'agit d'une étude des résultats à cinq ans de la reconstruction du ligament croisé antérieur par la technique de MacIntosh chez 25 malades présentant un signe de ≪pivot shift≫ positif. Subjectivement la chirurgie a nettement amélioré les genoux. Les résultats subjectifs étaient même plus satisfaisants après les cinq ans de chirurgie qu'à un an. On croit que cette amélioration est due à une meilleure flexion et aussi à une adaptation fonctionnelle et psychologique du genou opéré. L'instabilité antéro-latérale augmenta significativement pendant la période de Aurveillance d'un an (moyenne 1.9 mm) à cinq ans (3.0 mm), mais l'ordre de grandeur numérique était encore aussi bon que pour les genoux intacts (3.5 mm).
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Österman, K., Kujala, U.M., Kivimäki, J. et al. The MacIntosh lateral substitution reconstruction for anterior cruciate deficiency. International Orthopaedics 17, 224–227 (1993). https://doi.org/10.1007/BF00194183
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DOI: https://doi.org/10.1007/BF00194183