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The purpose of this study was to review the results of ACL reconstruction using a patellar tendon graft placed 'over the top' plus a Macintosh lateral tenodesis, examining changes in knee laxity and functional status with increasing time. There were 74 patients operated on over an 11 year period, and divided into four groups for analysis according to postoperative time. There was a significant and...
This review paper starts with some basic definitions of anatomical positioning nomenclature and isometry, examines the reasons for aiming for isometry and discusses the tensile properties of ligaments and grafts in the light of length changes imposed by knee motion. An examination of the biomechanics of different tibial and femoral graft attachments, and the effects of errors from isometric siting,...
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