Functional Outcome of Anterior Cruciate Ligament Reconstruction with Quadrupled Semitendinosus Tendon Autograft
Creators
- 1. Assistant Professor, Department of Orthopaedics, Mallareddy Institute of Medical sciences, Hyderabad, Telangana
- 2. Senior Resident, Department of Orthopaedics, ESIC Medical College & Hospital, Sanathnagar, Hyderabad, Telangana
- 3. Assistant Professor, Department of Orthopaedics, Government Medical College, Kothagudem, Telangana
Description
Introduction: The anterior cruciate ligament tear is the most common severe ligamentous injury to the knee. Arthroscopic ACL reconstruction is indicated, with many graft possibilities including quadrupled semitendinosus and gracilis, doubled peroneus, quadriceps tendon, and bone patellar tendon-bone. So, the current study was conducted to evaluate the functional outcome of anterior cruciate ligament reconstruction with quadrupled semitendinosus autograft. Materials and Methods: The present prospective study comprised 30 patients under the age of 55 years who were referred with ACL deficit to the orthopedic department of a Mallareddy Institute of Medical Sciences in Hyderabad between August 2021 and July 2022 and had arthroscopic ACL Reconstruction. They were examined utilizing the Lysholm and Gilquist knee grading system. Patients were followed up for a minimum of one year. Results: In the present study, out of 30 patients, 23(76.7%) were male and 7(23.3%) were female patients aged between 18 and 50 years were included in this study, with 24 (80%) being younger than 36 years. 19 patients (63%) had knee involvement on the right side, while 11 patients (37%) had knee involvement on the left side.. As per the Lysholm scoring system, 11 (36.7%) patients had an Excellent outcome; 15 (50%) had a Good outcome. complications were seen in only 6 patients. Conclusion: In conclusion, quadrupled semitendinosus graft arthroscopic ACL Reconstruction yields excellent functional outcomes with low morbidity.
Abstract (English)
Introduction: The anterior cruciate ligament tear is the most common severe ligamentous injury to the knee. Arthroscopic ACL reconstruction is indicated, with many graft possibilities including quadrupled semitendinosus and gracilis, doubled peroneus, quadriceps tendon, and bone patellar tendon-bone. So, the current study was conducted to evaluate the functional outcome of anterior cruciate ligament reconstruction with quadrupled semitendinosus autograft. Materials and Methods: The present prospective study comprised 30 patients under the age of 55 years who were referred with ACL deficit to the orthopedic department of a Mallareddy Institute of Medical Sciences in Hyderabad between August 2021 and July 2022 and had arthroscopic ACL Reconstruction. They were examined utilizing the Lysholm and Gilquist knee grading system. Patients were followed up for a minimum of one year. Results: In the present study, out of 30 patients, 23(76.7%) were male and 7(23.3%) were female patients aged between 18 and 50 years were included in this study, with 24 (80%) being younger than 36 years. 19 patients (63%) had knee involvement on the right side, while 11 patients (37%) had knee involvement on the left side.. As per the Lysholm scoring system, 11 (36.7%) patients had an Excellent outcome; 15 (50%) had a Good outcome. complications were seen in only 6 patients. Conclusion: In conclusion, quadrupled semitendinosus graft arthroscopic ACL Reconstruction yields excellent functional outcomes with low morbidity.
Files
IJPCR,Vol16,Issue3,Article266.pdf
Files
(329.3 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:29ccbf850ca3764aa5385fdc7c54d545
|
329.3 kB | Preview Download |
Additional details
Dates
- Accepted
-
2024-02-26
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue3,Article266.pdf
- Development Status
- Active
References
- 1. Miller RH. Knee injuries: in Campbell's operative. Orthopaedics. 2008; 8(2):1186. 2. Butler DL, Noyes FR, Grood ES. Ligamentous restraints to anterior-posterior drawer in human knee A biomechanical study. J Bone Joint Surg Am. 1980; 62:259-70. 3. Butler DL, Noyes FR, Grood ES. Ligamentous restraints to anterior-posterior drawer in human knee: A biomechanical study. J Bone Joint Surg Am 1980; 62:259-70. 4. 4.Arnold JA, Coker TP, Heaton LM. Natural history of anterior cruciate tears. Am J Sports Med. 1979;7:305. 5. Noyes FR, Mooar PA, Matthews DS Butler DL. The symptomatic anterior cruciatedeficient knee. I. The long-term functional disability in athletically active individual. J Bone Joint Surg. 1983; 65-A:154. 6. McGinty JB. Arthroscopic surgery in sports injuries. Orthop Clin North Am. 1980; 11:787. 7. Cambell WC. Reconstruction of the ligaments of the Knee. Am J Surg. 1939; 43:473. 8. Jones KG. Reconstruction of the anterior cruciate ligament using the central one-third of the patellar ligament. J Bone joint Surg. 1970; 52- A:1302. 9. Insall JN, Joseph DM, Aglietti P, Campbell RD Jr. Bone-block iliotibial band transfer for anterior cruciate insufficiency. J Bone Joint Surg. 1981; 63-A:560. 10. Clancy WG, Nelson DA, Reider B. Narechania RG: Anterior cruciate ligament reconstruction using one third of the patellar ligament, augmented by extra-articular tendon transfer. J Bone joint Surg. 1982;64-A:352 11. Puddu G. method for reconstruction of anterior cruciate ligament using the semitendinosus tendon. Am J Sports Med. 1980; 8:402. 12. Beynnon BD, Johnson RJ, Fleming BC, Kannus P, Kaplan M, Samani J et al. Anterior cruciate ligament replacement: comparison of bone-patellar tendon-bone grafts with two strand hamstring grafts. J Bone Joint Surg (Am). 2002; 84:1503-13. 13. Aglietti P, Buzzi R, Zaccherotti G, DeBiase P. Patellar tendon versus doubled semitendinosus and gracillis tendons for anterior cruciate ligament reconstruction. Am J Sports Med. 1994; 22:211-8. 14. Marder RA, Raskind JR, Carroll M. Prospective evaluation of arthroscopically assisted anterior cruciate ligament reconstruction. Patellar tendon versus semitendinosus and gracillis tendons. Am J Sports Med. 1991; 19:478-84. 15. Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med. 1982; 10:150-4. 16. Feller JA, Webster KE. A randomized comparison of patellar tendon and hamstring tendon anterior cruciate ligament reconstruction. Am J Sports Med. 2003;31: 564-73. 17. Freedman KB, D'Amato MJ, Nedeff DD, Kaz A, Bach BR Jr. Arthroscopic anterior cruciate ligament reconstruction: a metaanalysis comparing patellar tendon and hamstring tendon autografts. Am J Sports Med. 2003; 31:2-11. 18. Laxdal G, Kartus J, Hansson L, Heidvall M, Ejerhed L, Karlsson J. A prospective randomized comparison of bone-patellar tendon-bone and hamstring grafts for anterior cruciate ligament reconstruction. Arthroscopy. 2005; 21:34-42.19. Patel JV, Church JS, Hall AJ: Central third bonepatellar tendon-bone anterior cruciate ligament reconstruction: A 5-year follow-up. Arthroscopy16:67–70, 2000. 20. Jomha NM, Pinczewski LA, Clingeleffer A, et al: Arthroscopic reconstruction of the anterior cruciate ligament with patellar-tendon autograft and interference screw fixation. The results at seven years. J Bone Joint Surg81B: 775–779, 1999. 21. Bach BR Jr, Tradonsky S, Bojchuk J, et al: Arthroscopically assisted anterior cruciate ligament reconstruction using patellar tendon autograft. Five to nine-year follow-up evaluation. Am J Sports Med 26: 20–29, 1998. 22. Awasthi S, Mahapatra S, Aggarwal P, Tripathy SS, Yadav RRS, Verma C. Analysis of fixation modalities in arthroscopic anterior cruciate ligament reconstruction. Int J Orthop Sci. 2017; 3(4):102-5. 23. Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med 1982; 10(3):150–154.