{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T01:59:32Z","timestamp":1792720772941,"version":"4.5.0"},"reference-count":39,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"5","license":[{"start":{"date-parts":[[2012,5,1]],"date-time":"2012-05-01T00:00:00Z","timestamp":1335830400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:p>The purpose of this study was to report the outcome of \u2018isolated\u2019 anterior cruciate ligament (ACL) ruptures treated with anatomical endoscopic reconstruction using hamstring tendon autograft at a mean of 15 years (14.25 to 16.9). A total of 100 consecutive men and 100\u00a0consecutive women with \u2018isolated\u2019 ACL rupture underwent four-strand hamstring tendon reconstruction with anteromedial portal femoral tunnel drilling and interference screw fixation by a single surgeon. Details were recorded pre-operatively and at one, two, seven and 15 years post-operatively. Outcomes included clinical examination, subjective and objective scoring systems, and radiological assessment. At 15 years only eight of 118\u00a0patients (7%) had moderate or severe osteo-arthritic changes (International Knee Documentation Committee Grades C and D), and 79 of 152 patients (52%) still performed very strenuous activities. Overall graft survival at 15 years was 83% (1.1% failure per year). Patients aged &lt; 18 years at the time of surgery and patients with &gt; 2\u00a0mm of laxity at one year had a threefold increase in the risk of suffering a rupture of the graft (p = 0.002 and p\u00a0=\u00a00.001, respectively). There was no increase in laxity of the graft over time.<\/jats:p><jats:p>ACL reconstructive surgery in patients with an \u2018isolated\u2019 rupture using this technique shows good results 15 years post-operatively with respect to ligamentous stability, objective and subjective outcomes, and does not appear to cause osteoarthritis.<\/jats:p>","DOI":"10.1302\/0301-620x.94b5.28675","type":"journal-article","created":{"date-parts":[[2012,4,23]],"date-time":"2012-04-23T13:59:45Z","timestamp":1335189585000},"page":"630-637","source":"Crossref","is-referenced-by-count":91,"title":["The outcome at 15 years of endoscopic anterior cruciate ligament reconstruction using hamstring tendon autograft for \u2018isolated\u2019 anterior cruciate ligament rupture"],"prefix":"10.1302","volume":"94-B","author":[{"given":"H. 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