Anterior cruciate ligament reconstruction using four-strand semitendinosus and gracilis tendon grafts and metal interference screw fixation
Purpose: The purpose of this study was to determine the outcome of 200 anterior cruciate ligament (ACL) reconstructions using hamstring tendons. Type of Study: This is a case series reporting on 200 endoscopic procedures for reconstruction of the ACL. Methods: This study included patients over 18 ye...
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| Veröffentlicht in: | Arthroscopy 2002-03, Vol.18 (3), p.232-237 |
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| creator | Colombet, Philippe Allard, Michel Bousquet, Vincent de Lavigne, Christophe Flurin, Pierre-Henri Lachaud, Christophe |
| description | Purpose: The purpose of this study was to determine the outcome of 200 anterior cruciate ligament (ACL) reconstructions using hamstring tendons. Type of Study: This is a case series reporting on 200 endoscopic procedures for reconstruction of the ACL. Methods: This study included patients over 18 years old with a healthy controlateral knee, intact posterior cruciate ligament, and without any peripheral surgical procedure or cartilage injury. Patients having undergone prior ligament reconstruction were excluded from the study. The minimum follow-up was 1 year. Clinical review allowed for documentation of International Knee Documentation Committee (IKDC), KT-1000 arthrometer laxity measurement, and isokinetic dynamometric analysis. Results: Quadriceps and hamstring muscle strength loss was less than 17%. At review, overall IKDC evaluation found that 50% of patients graded A, 44% graded B, and 6% were C or D. The differential anterior laxity was graded A for 157 patients with a median of 1 mm. Of the 113 high-performance athletes, 98 (86%) had resumed a preinjury level of sporting activity. Conclusions: Endoscopic reconstruction using 4-strand hamstring autograft may be considered safe, reliable, and reproducible. Preliminary outcome is fulfilling and this technique corresponds completely to therapeutic fields regarding ACL reconstructions.
Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 18, No 3 (March), 2002: pp 232–237 |
| doi_str_mv | 10.1053/jars.2002.30637 |
| format | Article |
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Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 18, No 3 (March), 2002: pp 232–237</description><subject>Adult</subject><subject>Anterior Cruciate Ligament - surgery</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Arthroscopy</subject><subject>Biological and medical sciences</subject><subject>Bone Screws</subject><subject>Exercise Test</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Internal Fixators</subject><subject>Knee Injuries - complications</subject><subject>Knee Injuries - diagnosis</subject><subject>Knee Injuries - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metals - therapeutic use</subject><subject>Orthopedic surgery</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Sports</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tendons - transplantation</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Colombet, Philippe</creatorcontrib><creatorcontrib>Allard, Michel</creatorcontrib><creatorcontrib>Bousquet, Vincent</creatorcontrib><creatorcontrib>de Lavigne, Christophe</creatorcontrib><creatorcontrib>Flurin, Pierre-Henri</creatorcontrib><creatorcontrib>Lachaud, Christophe</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>MEDLINE - Academic</collection><jtitle>Arthroscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Colombet, Philippe</au><au>Allard, Michel</au><au>Bousquet, Vincent</au><au>de Lavigne, Christophe</au><au>Flurin, Pierre-Henri</au><au>Lachaud, Christophe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anterior cruciate ligament reconstruction using four-strand semitendinosus and gracilis tendon grafts and metal interference screw fixation</atitle><jtitle>Arthroscopy</jtitle><addtitle>Arthroscopy</addtitle><date>2002-03-01</date><risdate>2002</risdate><volume>18</volume><issue>3</issue><spage>232</spage><epage>237</epage><pages>232-237</pages><issn>0749-8063</issn><issn>1526-3231</issn><eissn>1526-3231</eissn><coden>ARTHE3</coden><abstract>Purpose: The purpose of this study was to determine the outcome of 200 anterior cruciate ligament (ACL) reconstructions using hamstring tendons. Type of Study: This is a case series reporting on 200 endoscopic procedures for reconstruction of the ACL. Methods: This study included patients over 18 years old with a healthy controlateral knee, intact posterior cruciate ligament, and without any peripheral surgical procedure or cartilage injury. Patients having undergone prior ligament reconstruction were excluded from the study. The minimum follow-up was 1 year. Clinical review allowed for documentation of International Knee Documentation Committee (IKDC), KT-1000 arthrometer laxity measurement, and isokinetic dynamometric analysis. Results: Quadriceps and hamstring muscle strength loss was less than 17%. At review, overall IKDC evaluation found that 50% of patients graded A, 44% graded B, and 6% were C or D. The differential anterior laxity was graded A for 157 patients with a median of 1 mm. Of the 113 high-performance athletes, 98 (86%) had resumed a preinjury level of sporting activity. Conclusions: Endoscopic reconstruction using 4-strand hamstring autograft may be considered safe, reliable, and reproducible. Preliminary outcome is fulfilling and this technique corresponds completely to therapeutic fields regarding ACL reconstructions.
Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 18, No 3 (March), 2002: pp 232–237</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>11877607</pmid><doi>10.1053/jars.2002.30637</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries Arthroscopy Biological and medical sciences Bone Screws Exercise Test Female Follow-Up Studies Humans Internal Fixators Knee Injuries - complications Knee Injuries - diagnosis Knee Injuries - surgery Male Medical sciences Metals - therapeutic use Orthopedic surgery Reconstructive Surgical Procedures - methods Sports Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tendons - transplantation Treatment Outcome |
| title | Anterior cruciate ligament reconstruction using four-strand semitendinosus and gracilis tendon grafts and metal interference screw fixation |
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