{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T19:09:13Z","timestamp":1772132953444,"version":"3.50.1"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2005,2,3]],"date-time":"2005-02-03T00:00:00Z","timestamp":1107388800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2005,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Multiple techniques for anterior cruciate ligament (ACL) reconstruction are currently available, most of which use hardware or resorbable material for fixation of the graft inside or outside the bony tunnels. In this study, the long\u2010term results of 95 patients at a mean follow\u2010up of 10.7 years were assessed. The ACL was reconstructed using a patellar tendon autograft with a press\u2010fit fixation. Between 1987 and 1991, 159 patients were operated by the senior author (PH), 95 could be seen for follow\u2010up. Evaluation included detailed history, physical examination, functional knee ligament testing, KT\u20101000 arthrometer testing, the IKDC standard evaluation form, Lysholm, Flandry, and Tegner scoring systems. Radiographs were obtained preoperatively and at follow\u2010up to assess the grade of osteoarthritis. Subjectively, none of the patients that were seen for follow\u2010up complained of instability. Numbness of the skin was reported by 54% of the patients and pain during knee walking was described as mild in 25% and severe in 2%. The mean Flandry score was 243 (max: 280). The mean Lysholm score was 93.2 at follow\u2010up and the Tegner activity level was 6.8 preinjury and 6.0 postoperatively. The average KT\u20101000 side\u2010to\u2010side difference was 1.8\u00a0mm on a manual maximum pull. The IKDC knee scoring revealed 84% of the patients with normal (A) or nearly normal (B) knee joints, 15% were (C), 1% was (D). Radiographically, joint space narrowing was found in 19%, 15%, and 25% for the patello\u2010femoral, medial, and lateral compartments, respectively. Meniscus surgery was a determining factor. This study presents long\u2010term clinical data on a press\u2010fit fixation for ACL reconstruction. Results were excellent and good in more then 80% of the followed patients. The advantages of the press\u2010fit fixation are direct bone\u2010to\u2010bone healing of the graft, decreased donor site morbidity, cost\u2010effectiveness and ease for revision surgery.<\/jats:p>","DOI":"10.1007\/s00167-004-0606-5","type":"journal-article","created":{"date-parts":[[2005,2,2]],"date-time":"2005-02-02T08:09:48Z","timestamp":1107331788000},"page":"248-255","source":"Crossref","is-referenced-by-count":139,"title":["ACL reconstruction using bone\u2010patellar tendon\u2010bone press\u2010fit fixation: 10\u2010year clinical results"],"prefix":"10.1002","volume":"13","author":[{"given":"P.","family":"Hertel","sequence":"first","affiliation":[{"name":"Department of Trauma Surgery Martin\u2010Luther\u2010Hospital Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Behrend","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery Martin\u2010Luther\u2010Hospital Berlin Germany"},{"name":"Department of Orthopaedic Surgery Kantonsspital St. Gallen 9007 St. Gallen Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Cierpinski","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery Martin\u2010Luther\u2010Hospital Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Musahl","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery Martin\u2010Luther\u2010Hospital Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Widjaja","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery Martin\u2010Luther\u2010Hospital Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,2,3]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001670050041"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-003-0419-y"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-003-0604-y"},{"key":"e_1_2_5_5_1","first-page":"770","article-title":"Patellar fracture and avulsion of the patellar ligament complicating arthroscopic anterior cruciate ligament reconstruction","volume":"20","author":"Bonatus T","year":"1991","journal-title":"Orthopedics"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(97)90030-X"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-199304000-00008"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(03)00735-7"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.74B4.1624526"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659402200511"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.82B7.10573"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001130050081"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659101900204"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001670100230"},{"key":"e_1_2_5_15_1","unstructured":"Hertel.Anatomic reconstruction of the(1990) ACL: a"},{"key":"e_1_2_5_16_1","first-page":"240","article-title":"Technik der offenen Ersatzplastik des vorderen Kreuzbandes mit autologer Patellarsehne. 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