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Intra- and extra-articular anterior cruciate ligament reconstruction utilizing autogeneous semitendinosus and gracilis tendons: 5-year clinical results

  • Maurilio Marcacci
  • Stefano Zaffagnini
  • Francesco Iacono
  • Alberto Vascellari
  • Ivano Loreti
  • Elisaveta Kon
  • Mirco Presti
Knee

Abstract.

This prospective study examined 50 patients who underwent ACL surgery using hamstring tendons with a modification including intra- and extra-articular reconstruction. All patients were athletes competing at a high level in various sports. Full return to sports was allowed at 4 months. IKDC score and KT-2000 were used for assessing clinical outcome at a mean of 6.4 years (5–7 years) Resumption of sport, Tegner activity score, and isokinetic test were also used. The IKDC score showed 92% of normal or nearly normal knees. Of the 50 patients 48 regained full extension, and only two had extension deficit between 0° and 3°. KT evaluation was less than 3 mm in 38 cases (76%), 3–5 mm in 9 (18%), and more than 5 mm in 3 (6%). In 90% of cases the patient resumed sport at the same level. The mean Tegner activity score was 8.1 (5–10). The isokinetic test showed no deficit for hamstring and quadriceps muscles. Removal of staples was necessary in eight cases (16%) due to femoral lateral bursitis. Acute reconstruction had significantly better clinical assessment of abnormal laxity and KT value. Men had significantly better results then women. This technique demonstrated a high reliability, low morbidity, low functional deficit and fast recovery using hamstring grafts.

Anterior cruciate ligament Hamstring tendons Follow-up Sport activity 

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Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • Maurilio Marcacci
    • 1
  • Stefano Zaffagnini
    • 1
  • Francesco Iacono
    • 1
  • Alberto Vascellari
    • 1
  • Ivano Loreti
    • 1
  • Elisaveta Kon
    • 1
  • Mirco Presti
    • 1
  1. 1.Biomechanics Laboratory, Rizzoli Orthopedic Institute, V. Di Barbiano 1/10, 40136 Bologna, Italy

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