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Abstract
Early results after a follow-up of 1 year of primary suture and carbon fibre augmentation
in the treatment of fresh anterior cruciate ligament tears in 57 consecutive and randomized
patients are presented. There was no statistical difference between the two groups
in the postoperative course. At an average of 13 months follow-up, complete stability
was achieved regarding the pivot shift sign in 16 (55 per cent) and 18 (75 per cent)
of the sutured and augmented groups respectively. There were
obvious pivot shifts in the sutured and
in the augmented knees. Seventeen carbon fibre reinforced knees were postoperatively
arthroscoped at the 1-year follow-up. A structure resembling a ‘neoligament’ was observed
in
knees. In 11 knees there were no signs of carbon material, in 4 knees subsynovial
microparticles were scattered around the anterior compartment and in 3 knees the carbon
fibre tow was bare in the joint despite careful covering within the ligament remnants
at the time of the operation. Although no statistical difference was obtained between
the two groups the augmentation procedure seemed to improve stability at the 1-year
follow-up.



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Article info
Publication history
Accepted:
April 26,
1987
Identification
Copyright
© 1987 Published by Elsevier Inc.