Author/Authors :
Şanel, Selim 29 Mayıs Hospital - Orthopaedics and Traumatology Clinic, Turkey , Kılınç, Barış Gölcük Military Hospital - Orthopaedics and Traumatology Clinic, Turkey , Fırat, Ahmet Keçiören Training and Research Hospital - Department of Orthopaedics and Traumatology, Turkey , Özdemir, Metin Üro-Fiz Private Physical Therapy Centre - Department of Physical Therapy and Rehabilitation, Turkey , Gökakın, Ali Kağan Cumhuriyet University - School of Medicine - Department of General Surgery, Turkey , Öçgüder, Ali Atatürk Training and Research Hospital - Department of Orthopaedics and Traumatology, TURKEY
Abstract :
Aim. In recent years there has been an increase in the tendency to use autograft in anterior knee reconstruction. Quadrupled hamstring tendons are known to be the hardest and the most powerful grafts. This study aims to report the first two year results of anterior knee reconstructions performed with proximal femoral transfix fixation by using quadrupled hamstring tendon grafts. Methods. Quadrupled hamstring tendon autografts were used in 89 knees of 89 patients [87 male (97.7%), 2 female (2.3%)]. The mean age of the patients was 24 years (range 20-34 years). Five patients were professional and 35 patients were amateur sportsmen. Subjective, clinical, functional, Telos stress device, and radiographic evaluations were applied to all patients at the end of the first and second years. International Knee Documentation Committee (IKDC) scoring and Lysholm scoring were used to assess knee function and activity. Results. Subjectively 92% of the patients expressed their reconstructed knees to be normal with 100% stability. Eighty-seven percent of the patients returned to their normal daily activities and life at pre-injury level. A and B scores were obtained in 87 of 89 patients (97.7%) as average IKDC knee score. The average Lysholm score was 94. A statistically significant difference was determined in the degree of laxity measured by Telos stress device which had a mean value of 13.7mm preoperatively and 2.8 mm postoperatively. Conclusion. Successful and excellent subjective, objective, functional and radiological results were obtained in the early follow-up period with the endoscopic anterior cruciate ligament reconstruction technique performed by using femoral transfix fixation with quadrupled semitendinosus-gracilis autograft.
