PMC3058183_01
Illustration of surgical technique: Ethibond sutures have been used (through fibrous tissue overlying the patella) to secure two LARS ligament grafts to the patella. Interference screws were used for tibial fixation
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Fig1
The rounded end was fixed to the tibial tuberosity with an interference screw (Fig. 1).
The Insall/Salvati ratio (a/b = length of patella tendon/to length of patella) improved from 1.9 preoperatively (a) to 1.3 immediately postoperatively (b)
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Fig2
The Insall/Salvati ratio improved from 1.9 preoperatively to 1.3 postoperatively (Fig. 2a, b).
Follow-up at 1 year after surgery: Active knee flexion (a) and extension (b) were very satisfactory
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Fig3
At 1-year follow-up, she was able to mobilize unrestricted, had regained full knee flexion (Fig. 3a), and had full power of extension (Fig. 3b).