Arthroscopic Anterior Cruciate Ligament Reconstruction Using Quadrupled .
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- Category: Vol. 77, June 2009
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Arthroscopic Anterior Cruciate Ligament Reconstruction Using Quadrupled Semi-Semitendinosus and Gracilis Tendon without Side Screw Fixation,EMAD G.K. MOHAMAD and AMR M.S. ABD EL-MEGUID
Abstract
Background: Several graft options exist for reconstruction of the deficient ACL knees. The Semitendinosus-Gracilis Composit Autografts (STG) is used widely for its advantage over patellar tendon graft. A recent increase in the popularity of hamstring tendon is due to technique which allows it to be doubled or even quadrupled, and this improves tensile strength and cross sectional diameter of the graft. There is a recent increase in the popularity of arthroscopic ACL treatment upon open surgery.
Material and Methods: This study included 40 patients, 4 females and 36 males, the main presentation was repeated episodes of giving way of the affected knee after major trauma during football playing. The mean age at the time of surgery ranged from 20 to 40 years. Diagnosis included MRI and arthroscopic examinations in 25 patients, Lachman’s pivot shift test were positive in all patients. Hamstring tendons were fixed by non absorbable 2 transfixing pins in the femoral tunnel and loop in the tibial tunnel. The results were evaluated according to the International Knee Documentation Committee (IKDC) scale.
Results: Thirty nine out of forty patients with arthroscopic ACL reconstruction returned to the pre-injury level, one patient had reactive laxity. There was neither anterior knee pain nor knee effusion.
Conclusion: Arthroscopic ACL treatment using hamstring tendons achieved very good results, with low rate of compli-cations, such as harvest site morbidity, anterior knee pain and knee effusion.