PATELLAR TENDON OR LEEDS-KEIO GRAFT IN THE SURGICAL-TREATMENT OF ANTERIOR CRUCIATE LIGAMENT RUPTURES - INTERMEDIATE RESULTS

In a prospective randomized study, 60 patients with unilateral chronic anterior cruciate ligament (ACL) rupture were allocated to surgical r econstruction using an autogenous patellar tendon graft (PT) or a synt hetic Leeds-Keio graft (LK). Fifty-five patients (26 PT, 29 LK), 32 me n, 23 women, fulfilled the criteria to be further tested. The mean tim e from surgery to follow up was 28 months. Laxity was tested by pivot shift and an instrumented anterior laxity test. Subjective knee functi on was classified using the Lysholm score, Tegner activity score, and IKDC grading. Muscle performance was analyzed in 49 patients (23 PT, 2 6 LK. There was no difference between the two groups in anthropometry, activity levels (before trauma; present; desired activity), time from trauma to surgery, or time from surgery to follow-up evaluation. Neit her the concentric and eccentric knee extensor peak torque ratio nor t he knee extensor endurance and the one-leg hop test differed between t he two groups. However, both the pivot-shift and the anterior laxity w ere significantly greater for the LK group. On the other hand, signifi cantly more patients in the PT group had an extensor lag. Although the results are only intermediate, the leeds-Keio ligament does not fulfi ll the requirements for a satisfactory result in ACL reconstructive su rgery with regard to knee-joint stability.