Arthroscopic anterior cruciate ligament reconstruction: a metaanalysis comparing patellar tendon and hamstring tendon autografts.

Background: The best choice of graft tissue for use in anterior cruciate ligament reconstruction has been the subject of debate.

Hypothesis: Anterior cruciate ligament reconstruction with patellar tendon autograft leads to greater knee stability than reconstruction with hamstring tendon autograft.

Study Design: Metaanalysis.

Anterior cruciate ligament reconstruction with patellar autograft tendon.

There are many techniques, graft choices, and outcome studies evaluating anterior cruciate ligament reconstruction. The current authors specifically look at reconstruction with the patellar tendon from a scientific perspective. Miniopen, endoscopic, and two-incision operative techniques in addition to hamstring versus patellar tendon autograft reconstructions are compared via randomized prospective studies.

Arthroscopic anterior cruciate ligament reconstruction using patellar tendon autografts: a comprehensive review of contemporary literature.

A MEDLINE search was performed for published results from 1966-1995 and 1996-1999 of arthroscopic-assisted anterior cruciate ligament (ACL) reconstruction using patellar tendon autograft without extra-articular augmentation and evaluated at a minimum 2 years postoperatively. Despite the significant number of ACL reconstructions performed annually, there is a paucity of clinical results reported. Additionally, there are no uniform guidelines for the postoperative assessment of surgical results, making comparisons difficult.

Unicompartmental knee arthroplasty. Clinical experience at 6- to 10-year followup.

Sixty-two consecutive cemented modular unicompartmental knee arthroplasties in 51 patients were studied prospectively. At surgery, the other compartments had at most Grade 2 chondromalacia. The average age of the patients at arthroplasty was 68 years (range, 51-84 years).