Bone-patellar tendon-bone autografts versus hamstring autografts for reconstruction of anterior cruciate ligament: meta-analysisBMJ 2006; 332 doi: https://doi.org/10.1136/bmj.38784.384109.2F (Published 27 April 2006) Cite this as: BMJ 2006;332:995
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[Posted as supplied by the authors]
The lachman test12:
This test reproduces the anterior tibial displacement in relation to the femur with the knee at 15 degrees of flexion. It is reported as negative (hard end point) when the anterior cruciate ligament is intact, and positive when there is proprioceptive or visual anterior translation of the tibia relative to the femur with a characteristic soft end point. It has shown fair sensitivity and specificity in diagnosing an anterior cruciate ligament rupture
The pivot shift test12:
This test reproduces the anterior tibial translation of the tibial plateau in relation to the femoral condyle when the knee approaches extension with reduction produced with knee flexion. This test has a high specificity.
The instrumented measurement of knee laxity:
This test measures the anterior tibial displacement in relation to the femur with the knee at 15 degrees of flexion with the aid of an arthrometer at various forces (from 89N to manual maximum). It is reported as the difference in millimetres between the measures of the normal contralateral side minus the measure of the evaluated side.
[Posted as supplied by the authors]
- Was the randomisation process described and appropriate?
- Was the withdrawal/drop-out rate described and acceptable (<20%)?
- Were co-interventions comparable?
- Was the assessment independent?
- Were the main outcomes analysed according to the intention to treat principle?
One point is given for each positive answer. Studies are rated as poor for a total ≤ 2, fair for a total of 3 or 4, and good if all questions have been answered.
- This Week In The BMJ Published: 27 April 2006; BMJ 332 doi:10.1136/bmj.332.7548.0
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- Letter Published: 11 May 2006; BMJ 332 doi:10.1136/bmj.332.7550.1153-b
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