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Evidence-Based Orthopaedics   |    
Commentary
John C. Richmond, MD
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New England Medical Center, Boston, Massachusetts

J Bone Joint Surg Am, 2002 Feb 01;84(2):323-a-323
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Extract

Techniques for the reconstruction of the anterior cruciate ligament continue to evolve. Reconstruction with use of an autogenous bone-patellar tendon-bone graft has been regarded by many as the standard for comparison with alternative techniques. When Anderson et al. conducted this study, there were concerns that soft-tissue techniques involving a quadrupled hamstring graft would not be as successful as an autogenous bone-patellar tendon-bone graft in stabilizing the knee. Some surgeons thought that the addition of an extra-articular augmentation, such as the Losee tenodesis, to the procedure done with use of the quadrupled hamstring graft would lead to results equivalent to those of reconstruction with use of an autogenous bone-patellar tendon-bone graft.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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