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Our clinical report includes the first 21 patients (six women, 15\u00a0men) who have been followed up for 32\u00a0months or longer. The average patient age was 29 years (range 22\u201344 years), and mean time from injury to the combined reconstructive surgery was 10\u00a0months (range 4\u201327\u00a0months). The cartilage defects had a mean area of 3.5\u00a0cm<jats:sup>2<\/jats:sup> (range 2.0\u20135.0\u00a0cm<jats:sup>2<\/jats:sup>). All patients were evaluated according to the IKDC, Lysholm and Tegner scoring scales by an independent observer. A visual analogue scale (VAS) reflecting patient pain was evaluated. Assessment using the IKDC knee scoring scale revealed 81% of the patients with a normal or nearly normal knee joint. There was a significant improvement in subjective discomfort, and the KT\u20101000 arthrometric evaluation showed a reduction of the ventral tibial translation (5.9 to 1.9\u00a0mm). All but two patients had returned to full activities without restriction and were asymptomatic. The results of this study suggest that symptomatic full\u2010thickness articular cartilage defects associated with ACL instability can be effectively treated by performing ACL reconstruction and osteochondral autologous grafts in one procedure. However, only the years which follow will show the long\u2010term outcome of the patients.<\/jats:p>","DOI":"10.1007\/s00167-003-0422-3","type":"journal-article","created":{"date-parts":[[2004,3,18]],"date-time":"2004-03-18T21:45:18Z","timestamp":1079646318000},"page":"366-371","source":"Crossref","is-referenced-by-count":29,"title":["Anterior cruciate reconstruction combined with autologous osteochondral transplantation"],"prefix":"10.1002","volume":"11","author":[{"given":"Hans\u2010Michael","family":"Klinger","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Georg\u2010August\u2010University of G\u00f6ttingen Robert\u2010Koch\u2010Strasse 40 37075 G\u00f6ttingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mike H.","family":"Baums","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Georg\u2010August\u2010University of G\u00f6ttingen Robert\u2010Koch\u2010Strasse 40 37075 G\u00f6ttingen 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