Anterior cruciate ligament reconstruction using four-strand semitendinosus and gracilis tendon grafts and metal interference screw fixation

• Published in: Arthroscopy Vol. 18; no. 3; p. 232
• Main Authors: Colombet, Philippe, Allard, Michel, Bousquet, Vincent, de Lavigne, Christophe, Flurin, Pierre-Henri, Lachaud, Christophe
• Format: Journal Article
• Language: English
• Published: United States 01.03.2002
• Subjects: Adult; Anterior Cruciate Ligament - surgery; Anterior Cruciate Ligament Injuries; Arthroscopy; Bone Screws; Exercise Test; Female; Follow-Up Studies; Humans; Internal Fixators; Knee Injuries - complications; Knee Injuries - diagnosis; Knee Injuries - surgery; Male; Metals - therapeutic use; Reconstructive Surgical Procedures - methods; Sports; Tendons - transplantation; Treatment Outcome
• ISSN: 1526-3231
• DOI: 10.1053/jars.2002.30637

The purpose of this study was to determine the outcome of 200 anterior cruciate ligament (ACL) reconstructions using hamstring tendons. This is a case series reporting on 200 endoscopic procedures for reconstruction of the ACL. 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. 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. 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.