Intra- and extra-articular anterior cruciate ligament reconstruction utilizing autogeneous semitendinosus and gracilis tendons: 5-year clinical results

This prospective study examined 50 patients who underwent ACL surgery using hamstring tendons with a modification including intra- and extra-articular reconstruction. All patients were athletes competing at a high level in various sports. Full return to sports was allowed at 4 months. IKDC score and...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2003-01, Vol.11 (1), p.2-8
Main Authors: Marcacci, Maurilio, Zaffagnini, Stefano, Iacono, Francesco, Vascellari, Alberto, Loreti, Ivano, Kon, Elisaveta, Presti, Mirco Lo
Format: Article
Language:English
Subjects:
Acute Disease
Adolescent
Adult
Analysis of Variance
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries
Athletic Injuries - surgery
Chronic Disease
Female
Functional Laterality
Humans
Joint Instability - surgery
Knee
Knee Joint - innervation
Knee Joint - physiopathology
Knee Joint - surgery
Ligaments
Linear Models
Male
Pain - etiology
Paresthesia - etiology
Patients
Postoperative Complications
Prospective Studies
Range of motion
Range of Motion, Articular - physiology
Recovery of Function
Regression Analysis
Sex Factors
Surgery
Surgical techniques
Tendons
Tendons - transplantation
Treatment Outcome
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Summary:This prospective study examined 50 patients who underwent ACL surgery using hamstring tendons with a modification including intra- and extra-articular reconstruction. All patients were athletes competing at a high level in various sports. Full return to sports was allowed at 4 months. IKDC score and KT-2000 were used for assessing clinical outcome at a mean of 6.4 years (5-7 years) Resumption of sport, Tegner activity score, and isokinetic test were also used. The IKDC score showed 92% of normal or nearly normal knees. Of the 50 patients 48 regained full extension, and only two had extension deficit between 0 degrees and 3 degrees. KT evaluation was less than 3 mm in 38 cases (76%), 3-5 mm in 9 (18%), and more than 5 mm in 3 (6%). In 90% of cases the patient resumed sport at the same level. The mean Tegner activity score was 8.1 (5-10). The isokinetic test showed no deficit for hamstring and quadriceps muscles. Removal of staples was necessary in eight cases (16%) due to femoral lateral bursitis. Acute reconstruction had significantly better clinical assessment of abnormal laxity and KT value. Men had significantly better results then women. This technique demonstrated a high reliability, low morbidity, low functional deficit and fast recovery using hamstring grafts.
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-002-0323-x