PMID: 9533048Apr 9, 1998Paper

The effect of pretwisting the ACL autograft on knee laxity

The American Journal of Knee Surgery
D R DiduchG Huie

Abstract

This study was undertaken to determine whether pretwisting the bone-patellar tendon-bone autograft during primary anterior cruciate ligament (ACL) reconstruction had any effect on knee laxity. Patients were assigned to have twisted or nontwisted autografts based on the date of ACL reconstruction. The control group was comprised of 60 patients without graft twist, and the twist group was comprised of 60 patients who had 90 degrees of external twist applied to the graft prior to tibial fixation to reproduce the anatomic external twist of the native ACL. The average patient age was 28.8 years for the control group and 28.3 years for the twist group. Males accounted for 68% of the control patients and 73% of the twist patients. Meniscal tears were present in 45% of control and 52% of twist patients. Reconstructions were performed using an endoscopic, single-incision technique with interference screw fixation in the femur. Follow-up examination with KT-2000 arthrometry was performed when patients were within 10% of strength of the uninjured leg by isokinetic testing. KT-2000 testing at 30 lb revealed a mean side-to-side difference for reconstructed versus noninvolved knees of 1.06 for control patients and 1.08 for twist patients. Th...Continue Reading

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