Medium term follow up of endoscopically assisted BPTB ACL reconstruction using a two-incision technique--return to sporting activity

Knee. 2003 Dec;10(4):329-33. doi: 10.1016/s0968-0160(02)00077-7.


We report our findings of a prospective outcome study of a series of 50 patients with chronic ACL injury undergoing arthroscopically assisted bone-patellar-tendon-bone ACL reconstruction. Patients underwent reconstruction if they had instability precluding participation in sport at the desired level and were reviewed at a mean of 62 months. Clinical examination was carried out pre and post operatively. Assessment was augmented by KT 1000 measurement, Tegner activity score and Lysholm score. Surgery was considered a failure if the Pivot Shift test was 2+(jerk) or symptoms of instability persisted. By these criteria 48 patients were successfully treated. Our results show a good medium term outcome for this reconstructive method. We had a 94% return to sporting activity but at a lower than expected activity level. Clinical examination showed an improvement and we recorded excellent or good results on Lysholm score in all these patients.

MeSH terms

  • Adolescent
  • Adult
  • Anterior Cruciate Ligament / surgery*
  • Anterior Cruciate Ligament Injuries
  • Arthroscopy / adverse effects
  • Arthroscopy / methods*
  • Athletic Injuries / surgery
  • Chronic Disease
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Patella / transplantation*
  • Prospective Studies
  • Recovery of Function
  • Tendons / transplantation*
  • Transplantation, Autologous
  • Treatment Outcome