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Sports Medicine

The mid-term clinical outcome of two graft-tensioning protocols in ACL reconstruction

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SPORTS MEDICINE

The mid-term clinical outcome of two graft-tensioning protocols in ACL reconstruction .

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

Effect of Matching or Overconstraining Knee Laxity During Anterior Cruciate Ligament Reconstruction on Knee Osteoarthritis and Clinical Outcomes: A Randomized Controlled Trial With 84-Month Follow-up

Am J Sports Med. 2016 Jul;44(7):1660-70

Contributing Authors

MR Akelman PD Fadale MJ Hulstyn RM Shalvoy A Garcia KE Chin J Duryea GJ Badger GA Tung BC Fleming

90 patients scheduled to undergo arthroscopic anterior cruciate ligament (ACL) reconstruction were randomized to either a high tension or low tension protocol for intraoperative graft tensioning. The purpose of this study was to evaluate if the high-tension cohort demonstrated improved clinical outcome measures and a lower incidence of osteoarthritis at 7-year follow-up. The results of this trial demonstrated no significant between-group differences in the incidence of osteoarthritis or clinical outcome scores. It should be noted that a group of uninjured, matched control individuals was also included in this study for analysis; for the purposes of this ACE Report, only the results of the randomized patients will be reported.

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