الفهرس 
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Abstract
We have reviewed, with an average follow up one year, a group of patients with chronic ACL deficiency whose knees were constructed with the central one-third patellar tendon and a lateral extra icular tenodesis. Valgus external rotation injury was the common mechanism of ’" ~ "ury (48%) followed by hyperextension in (28%). Thirty three patients 6%) reported having heard felt a defmite pop in their knee at the time of The average time interval between injury and reconstruction was 5 months. Pain was the main complaint in all patients, twenty one patients %) had pain with light recreational activity and twenty nine patients %) had pain with daily activities. Fourty one patients had a history of urrent swelling following an episode of giving way or with vigorous ivity. Before injury, the most of our patients (62%) were active icipant in vigorous activities and 28% with light recreational activity. er injury, twenty two patients had mild symptoms with light eational activity and can take part in sport. Twenty four patients had d symptoms with daily activity level and four patients had moderate ptoms with daily activity.