An extra-articular procedure improves the clinical outcome in anterior cruciate ligament reconstruction with hamstrings in female athletes

This report has been verified by one or more authors of the original publication.

60 women with chronic anterior cruciate ligament (ACL) instability were randomized to determine the effect of an extra-articular procedure in addition to ACL reconstruction on knee stability following surgery. Patients were allocated to undergo reconstruction with or without extra-articular MacIntosh procedure modified by Cocker-Arnold, and were followed-up at a mean 44.6 months for knee stability, laxity, pain, activity and clinical IKDC outcomes. The results indicated that knee stability was significantly improved with the extra-articular procedure when examined by the pivot-shift test, but there were no significant difference between groups in Lachman test outcome.