Effect of High-Grade Pre-operative Knee Laxity on Outcomes of Anterior Cruciate Ligament Reconstruction
Author(s) -
Robert A. Magnussen,
Emily K. Reinke,
Laura J. Huston,
MOON knee Group,
Timothy E. Hewett,
Kurt P. Spindler
Publication year - 2015
Publication title -
orthopaedic journal of sports medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.329
H-Index - 35
ISSN - 2325-9671
DOI - 10.1177/2325967115s00102
Subject(s) - medicine , anterior cruciate ligament , lachman test , acl injury , anterior cruciate ligament reconstruction , surgery , physical examination , medial meniscus , physical therapy , osteoarthritis , alternative medicine , pathology
Objectives:Knee laxity in the setting of suspected anterior cruciate ligament (ACL) injury is frequently assessed through physical examination using the Lachman, pivot-shift, and anterior drawer tests. The degree of laxity noted on these examinations may influence treatment decisions and prognosis. We hypothesized that increased pre-operative knee laxity (Grade 3+ pivot-shift, Lachman u003e 10mm, or anterior drawer greater than 10mm) are associated with increased risk of revision ACL reconstruction and poorer patient-reported outcomes at two years post-operative.
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