Comparison of results after anterior cruciate ligament reconstruction using a four-strand single semitendinosus or a semitendinosus and gracilis tendon

Verfasser / Beitragende:
[Hee-Soo Kyung, Hyun-Joo Lee, Chang-Wug Oh, Han-Pyo Hong]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/11(2015-11-01), 3238-3243
Format:
Artikel (online)
ID: 605460582
LEADER caa a22 4500
001 605460582
003 CHVBK
005 20210128100239.0
007 cr unu---uuuuu
008 210128e20151101xx s 000 0 eng
024 7 0 |a 10.1007/s00167-014-3076-4  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3076-4 
245 0 0 |a Comparison of results after anterior cruciate ligament reconstruction using a four-strand single semitendinosus or a semitendinosus and gracilis tendon  |h [Elektronische Daten]  |c [Hee-Soo Kyung, Hyun-Joo Lee, Chang-Wug Oh, Han-Pyo Hong] 
520 3 |a Purposes: To compare the clinical and functional results of anterior cruciate ligament (ACL) reconstruction using an autologous four-strand single semitendinosus (ST) tendonor a ST and gracilis tendon. It was hypothesized that successful ACL reconstruction using a single ST tendon without the gracilis tendon could provide comparable knee stability and reduce donor site morbidity. Methods: This study evaluated 144 cases of single-bundle ACL reconstruction using an autologous hamstring tendon. The ST group included 85 cases of reconstruction using a single ST tendon, and the ST/G group included 59 cases of reconstruction using a ST tendon and a gracilis tendon. An extracortical suspension device and a suture tied around a screw post with an additional bioabsorbable screw were used to fix the femoral and tibial tunnels, respectively. Clinical evaluations involved the Lachman, pivot-shift, and one-leg hop tests; an isokinetic test; a KT-2000 arthrometer; an assessment of return to pre-injury activities; and Lysholm, Tegner activity, and International Knee Documentation Committee (IKDC) subjective scores. Results: No significant differences were found between the ST and ST/G groups with respect to the Lysholm, Tegner activity, and subjective IKDC scores; the Lachman, pivot-shift, and one-leg hop tests; KT-2000 arthrometer side-to-side differences; or return to pre-injury activities. However, mean peak torque deficit, as determined using the isokinetic test during flexion at 60°/s, was significantly lower in the ST group than in the ST/G group (p=0.047). Conclusion: This study showed good results for ACL reconstruction using a single ST tendon without deterioration of stability. This provides the evidence that ACL reconstruction using a single ST tendon without the gracilis tendon decreases donor site morbidity without compromising joint stability. Level of evidence: IV. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Anterior cruciate ligament reconstruction  |2 nationallicence 
690 7 |a Semitendinosus  |2 nationallicence 
690 7 |a Gracilis  |2 nationallicence 
690 7 |a Single semitendinosus  |2 nationallicence 
700 1 |a Kyung  |D Hee-Soo  |u Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University Hospital, 130 Dongduk-Ro Jung-Gu, 700-721, Daegu, Korea  |4 aut 
700 1 |a Lee  |D Hyun-Joo  |u Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University Hospital, 130 Dongduk-Ro Jung-Gu, 700-721, Daegu, Korea  |4 aut 
700 1 |a Oh  |D Chang-Wug  |u Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University Hospital, 130 Dongduk-Ro Jung-Gu, 700-721, Daegu, Korea  |4 aut 
700 1 |a Hong  |D Han-Pyo  |u Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University Hospital, 130 Dongduk-Ro Jung-Gu, 700-721, Daegu, Korea  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/11(2015-11-01), 3238-3243  |x 0942-2056  |q 23:11<3238  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3076-4  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3076-4  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kyung  |D Hee-Soo  |u Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University Hospital, 130 Dongduk-Ro Jung-Gu, 700-721, Daegu, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Hyun-Joo  |u Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University Hospital, 130 Dongduk-Ro Jung-Gu, 700-721, Daegu, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Oh  |D Chang-Wug  |u Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University Hospital, 130 Dongduk-Ro Jung-Gu, 700-721, Daegu, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hong  |D Han-Pyo  |u Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University Hospital, 130 Dongduk-Ro Jung-Gu, 700-721, Daegu, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/11(2015-11-01), 3238-3243  |x 0942-2056  |q 23:11<3238  |1 2015  |2 23  |o 167