MID-TERM FUNCTIONAL OUTCOMES OF ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION WITH ANTEROMEDIAL PORTAL TECHNIQUE
DOI:
https://doi.org/10.46827/ejphs.v4i2.107Keywords:
ACL injury, reconstruction, BMI, IKDCAbstract
The goal of this study was to assess the influence of midterm clinical and functional results following ACL restoration using an autogenous hamstring tendon graft using an anteromedial portal technique. Between 2014 and 2018, 177 patients underwent arthroscopic ACL reconstruction in this clinic, with a mean follow-up of 42,63 months. The mean age was 31.1±7,86 (16–54), and the mean time between rupture and surgery was 20.7±41,1 (1–288). The mean BMI was 28.9±2.8 kg/m2 (19-43 kg/m2). Activities of the patients were evaluated with Tegner Activity Scale and IKDC (International Knee Documentation Committee) for pre-injury, pre-surgery, and post-surgery last follow-up. The IKDC score of the patients, which was 55.35 (35-88) for pre-surgery, was found as 85.05 (range 58–100) in the last follow-up. Tegner activity score of the patients, which was 3.49 (1-8) for pre-surgery, was found as 5.46 (range 3–8) in the last follow-up. Arthroscopic ACL reconstruction using autogenous hamstring tendon graft has a low complication rate and can be preferred in terms of the functional outcomes.
References
Adachi, N., M. Ochi, Y. Uchio, J. Iwasa, K. Ryoke, and M. Kuriwaka. 2002. 'Mechanoreceptors in the anterior cruciate ligament contribute to the joint position sense', Acta Orthop Scand, 73: 330-4.
Aglietti, P., F. Giron, P. Cuomo, M. Losco, and N. Mondanelli. 2007. 'Single-and double-incision double-bundle ACL reconstruction', Clin Orthop Relat Res, 454: 108-13.
Biau, D. J., S. Katsahian, J. Kartus, A. Harilainen, J. A. Feller, M. Sajovic, L. Ejerhed, S. Zaffagnini, M. Röpke, and R. Nizard. 2009. 'Patellar tendon versus hamstring tendon autografts for reconstructing the anterior cruciate ligament: a meta-analysis based on individual patient data', Am J Sports Med, 37: 2470-8.
Burks, Robert T, and Robert Leland. 1988. 'Determination of graft tension before fixation in anterior cruciate ligament reconstruction', Arthroscopy: The Journal of Arthroscopic & Related Surgery, 4: 260-66.
Eriksson, K., P. Anderberg, P. Hamberg, A. C. Löfgren, M. Bredenberg, I. Westman, and T. Wredmark. 2001. 'A comparison of quadruple semitendinosus and patellar tendon grafts in reconstruction of the anterior cruciate ligament', J Bone Joint Surg Br, 83: 348-54.
Eriksson, Karl, Per Hamberg, Eva Jansson, Hans Larsson, Adel Shalabi, and Torsten Wredmark. 2001. 'Semitendinosus muscle in anterior cruciate ligament surgery: morphology and function', Arthroscopy: The Journal of Arthroscopic & Related Surgery, 17: 808-17.
Freedman, K. B., M. J. D'Amato, D. D. Nedeff, A. Kaz, and B. R. Bach, Jr. 2003. 'Arthroscopic anterior cruciate ligament reconstruction: a metaanalysis comparing patellar tendon and hamstring tendon autografts', Am J Sports Med, 31: 2-11.
Fu, Freddie H, Christopher D Harner, Darren L Johnson, Mark D Miller, and Savio L-Y Woo. 1993. 'Biomechanics of knee ligaments: basic concepts and clinical application', JBJS, 75: 1716-27.
Garrick, James G. 2004. 'Orthopedic knowledge update: sports medicine'.
Gorschewsky, Ottmar, Andreas Klakow, Kathrin Riechert, Martin Pitzl, and Roland Becker. 2005. 'Clinical comparison of the Tutoplast allograft and autologous patellar tendon (bone-patellar tendon-bone) for the reconstruction of the anterior cruciate ligament: 2-and 6-year results', The American journal of sports medicine, 33: 1202-09.
Graham, Scott M, and Richard D Parker. 2002. 'Anterior cruciate ligament reconstruction using hamstring tendon grafts', Clinical Orthopaedics and Related Research (1976-2007), 402: 64-75.
Hamner, Dyson L, Charles H Brown, Mark E Steiner, Aaron T Hecker, and Wilson C Hayes. 1999. 'Hamstring tendon grafts for reconstruction of the anterior cruciate ligament: biomechanical evaluation of the use of multiple strands and tensioning techniques', JBJS, 81: 549-57.
Harner, Christopher D, Eric Olson, James J Irrgang, Scott Silverstein, Freddie H Fu, and Mark Silbey. 1996. 'Allograft versus autograft anterior cruciate ligament reconstruction: 3-to 5-year outcome', Clinical Orthopaedics and Related Research®, 324: 134-44.
Harter, Rod A, Louis R Osternig, Kenneth M Singer, Stanley L James, Robert L Larson, and Donald C Jones. 1988. 'Long-term evaluation of knee stability and function following surgical reconstruction for anterior cruciate ligament insufficiency', The American journal of sports medicine, 16: 434-43.
Howell, S. M., M. P. Wallace, M. L. Hull, and M. L. Deutsch. 1999. 'Evaluation of the single-incision arthroscopic technique for anterior cruciate ligament replacement. A study of tibial tunnel placement, intraoperative graft tension, and stability', Am J Sports Med, 27: 284-93.
Hui, C., L. J. Salmon, A. Kok, S. Maeno, J. Linklater, and L. A. Pinczewski. 2011. 'Fifteen-year outcome of endoscopic anterior cruciate ligament reconstruction with patellar tendon autograft for "isolated" anterior cruciate ligament tear', Am J Sports Med, 39: 89-98.
Indelli, Pier Francesco, Michael F Dillingham, Gary S Fanton, and David J Schurman. 2004. 'Anterior cruciate ligament reconstruction using cryopreserved allografts', Clinical Orthopaedics and Related Research®, 420: 268-75.
Jepsen, C. F., A. K. Lundberg-Jensen, and P. Faunoe. 2007. 'Does the position of the femoral tunnel affect the laxity or clinical outcome of the anterior cruciate ligament-reconstructed knee? A clinical, prospective, randomized, double-blind study', Arthroscopy, 23: 1326-33.
Kanamori, A., J. Zeminski, T. W. Rudy, G. Li, F. H. Fu, and S. L. Woo. 2002. 'The effect of axial tibial torque on the function of the anterior cruciate ligament: a biomechanical study of a simulated pivot shift test', Arthroscopy, 18: 394-8.
Kayaalp ME, Korkmaz O, Kehribar L, Mahirogullari M. 2020. 'Primary anterior cruciate ligament repair', TOTBID, 19: 523–33.
Kessler, MA, H Behrend, Samuel Henz, G Stutz, A Rukavina, and MS Kuster. 2008. 'Function, osteoarthritis and activity after ACL-rupture: 11 years follow-up results of conservative versus reconstructive treatment', Knee Surgery, Sports Traumatology, Arthroscopy, 16: 442-48.
Lee, Y. S., J. A. Sim, J. H. Kwak, S. W. Nam, K. H. Kim, and B. K. Lee. 2012. 'Comparative analysis of femoral tunnels between outside-in and transtibial double-bundle anterior cruciate ligament reconstruction: a 3-dimensional computed tomography study', Arthroscopy, 28: 1417-23.
Marzo, JM, and RF Warren. 1991. 'Results of nonoperative treatment of anterior cruciate ligament injury: Changing perspectives', Advances in Orthopaedic Surgery, 15: 59-69.
Mikami, S., K. Yasuda, R. Katsuragi, Y. Aoki, A. Minami, and H. Tohyama. 2004. 'Reduction of initial tension in the in situ frozen anterior cruciate ligament', Clin Orthop Relat Res: 207-13.
O'Neill, D. B. 2001. 'Arthroscopically assisted reconstruction of the anterior cruciate ligament. A follow-up report', J Bone Joint Surg Am, 83: 1329-32.
Prodromos, Chadwick C, Yung S Han, Brett L Keller, and Richelle J Bolyard. 2005. 'Stability results of hamstring anterior cruciate ligament reconstruction at 2-to 8-year follow-up', Arthroscopy: The Journal of Arthroscopic & Related Surgery, 21: 138-46.
Radford, M. J., J. Noakes, J. Read, and D. G. Wood. 2005. 'The natural history of a bioabsorbable interference screw used for anterior cruciate ligament reconstruction with a 4-strand hamstring technique', Arthroscopy, 21: 707-10.
Reider, Bruce, George Davies, and Matthew T Provencher. 2014. Orthopaedic rehabilitation of the athlete: Getting back in the game (Elsevier Health Sciences).
Schutte, M. J., E. J. Dabezies, M. L. Zimny, and L. T. Happel. 1987. 'Neural anatomy of the human anterior cruciate ligament', J Bone Joint Surg Am, 69: 243-7.
Tashman, S., W. Anderst, P. Kolowich, S. Havstad, and S. Arnoczky. 2004. 'Kinematics of the ACL-deficient canine knee during gait: serial changes over two years', J Orthop Res, 22: 931-41.
Yercan, Huseyin, and Semih Aydogdu. 1999. 'Ön çapraz bağ yaralanmalarının konservatif tedavisi', Acta Orthopaedica et Traumatologica Turcica, 33: 389-95.
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).