Analysis of Functional Outcome of Arthroscopic Anterior Cruciate Ligament Reconstruction using Quadrupled Semitendinosus and Gracilis Autograft - A Two Year Prospective study
DOI:
https://doi.org/10.21276/bw2n4j02Keywords:
Anterior Cruciate Ligament, Reconstruction, AutographtAbstract
Background: The knee joint is frequently involved in sports injuries, road traffic accidents and during daily living activities. Anterior cruciate ligament is a very commonly involved ligament in these injuries. More and more cases of ACL tear are being diagnosed nowadays due to the increasing awareness among orthopaedic surgeon about importance of knee ligament injuries and also increasing availability of MRI as diagnostic tool.
Materials & Methods: The prospective study is conducted in Department of Orthopaedics, J.LN. Medical College and Attached Group of Hospitals, Ajmer from November 2014 to November 2016. All young and middle-aged patients presenting with unilateral knee complaints and history of trauma to the knee were evaluated by a thorough general and local clinical examination of the knee. In a relaxed patient and in supine position, the uninjured knee is examined first to establish reference values after which the affected knee is examined.
Results: The age of the patients ranged from 15-45 years with the mean age of 27.51 years. 37.1% of the patients in our study were in the age group of 20-25 years. The total of 20 cases (57.1%) of the right knees were involved and 15 cases (42.9%) of the left knee were involved in the study. The ratio of right knee to left knee involved in ACL injury was 1.33:1. After clinical, radiological and Arthroscopic examination we found that 51.4% (18 cases) patients had no associated injuries. Whereas rest 49.6% cases have associated meniscal injury (MM and LM or both).
Conclusion: ACL reconstruction using single stranded quadrupled semitendinosus and gracilis tendon autograft provide an intrinsically stable knee with full range of motion without any pain and with restoration of power.
Downloads
References
Azar FM, Arthur ST. Complications of anterior cruciate ligament reconstruction. Tech Knee Surg 2004; 3:238-250.
Marder RA, Raskind JR, Carroll M. Prospective evaluation of arthroscopically assisted anterior cruciate ligament reconstruction. Patella tendon versus semitendinosus and gracilis tendons. Am J Sports Med 1991; 19:478-84.
Butler DL, Noyes FR, Grood ES. Ligamentous restraints to anterior-posterior drawer in the human knee. J Bone Joint Surg Am 1980; 62 : 259-270.
Markolf KL, Mensch JS, Amstuts HC. Stiffness and laxity of the knee; the contribution of the supporting structures. J Bone Joint Surg Am 1976; 58:583-593.
Karlson JA, Steiner ME, Brown C, Johnston J. Anterior cruciate ligament reconstruction using gracilis and semitendinosus tendons. Comparison of through the condyle and over-the-top graft placements. Am J Sports Med 1994; 22:659-666.
Fowler PJ, Regan WD. The patient with symptomatic chronic anterior cruciate ligament insufficiency: results of minimal arthroscopic surgery and rehabilitation. Am J Sports Med 1987; 15 : 321-325.
Noyes FR, Maooar PA, Mathews DS, Butler DL. The symptomatic anterior cruciate-deficient knee. Part I. The long-term functional disability in athletically active individuals. J Bone Joint Surg Am 1983; 65 : 154-162.
Harvesting hamstring tendons for ACL reconstruction influences post-operative hamstring muscle performance. Nobuo Adachi-Arch Orthop Trauma Surg 2003; 123: 460-465.
Lipscomb AB, Johnston RK, snyder RB, Warburton MJ, Gilbert PP. Evaluation of hamstring strength following use of semitendinosus and gracilis tendons to reconstruct the anterior cruciate ligament. Am J Sports Med 1982; 10 : 340-342.
Mochizuki T, Akita K, Muneta T, Sato T. Anatomical bases for minimizing sensory disturbance after arthroscopically-assisted anterior cruciate ligament reconstruction using medial hamstring tendons. Surg Radiol Anat 2003; 25:192-199.
Mochizuki T, Muneta T, Yagishita K, Shinomiya K, Sekiya I. Skin sensory change after arthroscopically assisted anterior cruciate ligament reconstruction using medial hamstring tendons with a vertical incision. Knee Surg Sports Traumatol Arthrosc 2004; 12 : 198-202.
Papastergiou SG, Voulgaropoulos H, Mikalef P. Ziogas E, Pappis G, Giannakopoulos I. Injuries to the infrapatellar branch(es) of the saphenous nerve in anterior cruciate ligament reconstruction with four-strand hamstring tendon autograft: vertical versus horizontal incision for harvest. Knee Surg Sports traumatol Arthrosc 2006;14:789-793.
Spicer DD, Blagg SE, Unwin AJ, Allum RL, Anterior knee symptoms after four-strand hamstring tendon anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2000; 8:286-289.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 International Archives of BioMedical and Clinical Research
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors are required to sign and submit the completed “Copyright transfer Form” upon acceptance of publication of the paper. This is determined by a publishing agreement between the author and International Archives of Biomedical and Clinical Research. These rights might include the right to publish, communicate and distribute online. Author(s) retain the copyright of their work. International Archives of Biomedical and Clinical Research supports the need for authors to share, disseminate and maximize the impact of their research.
