Clinical Outcome of Anatomical Transportal Arthroscopic Anterior Cruciate Ligament Reconstruction with Hamstring Tendon Autograft

Document Type : RESEARCH PAPER

Authors

1 Orthopedic Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Ahmad-Abad Street Mashhad, Iran

2 1Orthopedic Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Ahmad-Abad Street Mashhad, Iran.

Abstract

Background: Good clinical outcome and return to sport and daily functions after anatomical arthroscopic anterior
cruciate ligament (ACL) reconstruction is goal standard in this surgery. but to date, there are different challenging
issues between orthopedic surgeons regarding graft selection and surgical techniques.
Methods: We retrospectively reviewed the patients who underwent anatomical arthroscopic one bundle ACL
reconstruction with quadruple hamstring tendon autograft from 2010 to 2016 in our orthopedic sport medicine center.
Eighty-two eligible patients (82 knees) who had met our inclusion criteria were examined in terms of knee stability by
clinical examinations and KT 2000 arthrometer and - also were evaluated regarding variables related to their health
and knee status with a mean 48months follow-up.
Results: Seventy-seven patients (93.9%) were male and the other 5 cases (6.1%) were female. The mean age
was 33 ± 8.06 years old at the time of surgery and mean BMI amount was 26.81 ± 3.72. 78 patients (95%) returned
to pre-injury sport activity level after ACL reconstruction and two patients (2.4%) had re-rupture. 63 patients
(76.8%) had negative anterior drawer and 67patients (81.8%) negative lachman tests respectively. 10 patients
(13%) were found to have positive pivot shift tests which was correlated with pain and a less KOOS scores with a
significant difference (P= 0.03). 72 patients (87%) had negative tests in active and 70 (85.4%) had less than 3 mm
side to side difference in manual testing by KT2000. Final KOOS score was 70.87 ± 19.76. Mean Lysholm score
was 90 ± 4.77. Mean International Knee Documentation Committee (IKDC) score of this study was 85 ± 14.11.
Patients who had concomitant partial meniscectomy had significantly lower IKDC scores (P<0.01).Mean kujala
score was 79 ± 3.07.
Conclusion: The use of quadrupled hamstring tendon autograft besides the most important part of the treatment
which is the surgical technique would yield to excellent results in ACL reconstruction both subjectively and objectively.
In addition, patient selection and surgeon’s experience should be considered in determining the treatment plan for the
patients.

Keywords

Main Subjects

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The Archives of Bone and Joint Surgery
Volume 6, Issue 2
March 2018
Pages 130-139

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History

  • Receive Date: 03 July 2017
  • Revise Date: 23 February 2018
  • Accept Date: 24 November 2017

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