Using a KT-1000 arthrometer, in fifty subjects were measured the
anterior ligamentous laxity in a knee in which the anterior cruciate
ligament had been reconstructed and in the normal, contralateral knee. We
also determined the anterior tibial displacement and anterior compliance,
using the Lachman test. The subjects were divided into groups according to
the type of autogenous intra-articular substitute (either the central
one-third of the patellar tendon or the semitendinosus tendon) that had
been used for the anterior cruciate ligament and according to the duration
of follow-up (range, twenty-four to 101 months). Lachman tests were
performed, applying sixty-eight and ninety newtons of force, and indices
for anterior compliance were calculated. Although significantly more
anterior laxity was demonstrated with both sixty-eight and ninety newtons
of force in the reconstructed knees than in the contralateral, normal knees
(p less than 0.001), thirteen subjects, of whom eight lacked full extension
of the reconstructed knee, had more anterior laxity in the normal knee.
Analyses of variance showed no significant differences in the results of
the Lachman tests as related to either the type of reconstruction or the
length of postoperative follow-up. The results suggested that the two types
of ligamentous substitute that were used in this study were equally
efficient in limiting anterior tibial displacement, as demonstrated by the
Lachman test. The study also demonstrated that the substitutes did not
elongate significantly during the period of the study.