BibTex RIS Cite

Anterior Cruciate Ligament Reconstruction with Hamstring Tendon Allograft

Year 2011, Volume: 16 Issue: 4, 186 - 189, 01.08.2011

Abstract

Objective: We evaluated the results of arthroscopic reconstruction of anterior cruciate ligament ruptures using autogenous Hamstring tendon autograft. Materials and Methods: We evaluated 76 patients undergo arthroscopic reconstruction of ACL tears whom are treated surgically between years 2006 − 2008 in Fırat University Hospital Department of Orthopaedics Clinics. All patients were evaluated with Lysholm knee score, IKDC (International Knee Documentation Committee) score for functional evaluation, range of motion of the joint, stability tests, thigh atropy measurements and subjective satisfaction for clinical evaluation, at the end of the postoperative 20,5 (14 – 27) month. Results: The Lysholm scores were good and excellent for 46 patients (% 88,5) and the IKDC scores were grade A or B in 47 patients (% 90,4 ) and grade C in 7 patients (% 9,6). Radiographic examination showed mild (nine patients) or moderate (two patients) degenerative changes in the knee joint. Compared with the normal side, no flexion or extension losses occurred in the affected knees. Subjective satisfaction of the patients was noted as 7,5. Conclusion: We conclude that arthroscopic reconstructions of anterior cruciate ligament with use of a four strand Hamstring tendon autograft which revealed successful functional results and also provided high personal satisfaction, is a reliable technique in the surgical treatment of anterior cruciate ligament ruptures.

References

  • 1. Griffin LY, Angel J, Albohm MJ, et al. Noncontact anterior cruciate ligament injuries: risk factor and prevention strategies. J Am Acad Orthop Surg 2000; 8: 141-150.
  • 2. Buoncristiani AM, Tjoumakaris FP, Starman JS, Ferretti M, Fu FH. Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction. Arthroscopy: Arthroscopy 2006; 22: 1000- 1006.
  • 3. Kerimoğlu S, Aynacı O, Saraçoğlu M, Aydın H, Turhan AU. Peroneus longus tendonu ile ön çapraz bağ rekonstrüksiyonu. Acta Orthop Traumatol Turc 2008; 42: 38-43.
  • 4. Gillquist J, Odensten M. Artrhroscopic Reconstruction of the Anterior Cruciate Ligament Arthroscopy 1996; 4: 5-9.
  • 5. Gorschewsky O, Klakow A, Riechert K, Pitzl M, Becker R. 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. Am J Sports Med 2005; 33: 1202-1209.
  • 6. Indelli P, Francesco P , Michael F , Gary S , Anterior Cruciate Ligament Reconstruction Using Cryopreserved Allografts. Clin Orthop Relat Res 2004; 420: 268-275.
  • 7. Plancher KD , Rıchard JS, Briggs KK . Reconstruction of the anterior cruciate ligament in patients who are at least forty years old. A long-term follow-up and outcome study. J Bone Joint Surg Am 1998; 80: 184-197.
  • 8. Moholkar K, Taylor D, O'Reagan M, Fenelon G.A Biomechanical analysis of four different methods of harvesting bone-patellar tendon-bone graft in porcine knees. J Bone Joint Surg Am 2002; 84: 1782-1787.
  • 9. Bruks TR, Leand R. Determination of graft tension before fixation in anterior cruciate ligament reconstruction. Arthroscopy 2000; 4: 260-266.
  • 10. Harter RA, Osterning LR, Singer KM. Long term evaluation of knee stability and function following surgical reconstruction for anterior cruciate ligament insufficiency. Am J Sports Med 1998; 16: 434-440.
  • 11. Hoffmann RFG, Peine R, Bail HJ, Südkamp NP, Weiler A. Initial fixation strenght of modified patellar tendon grafts for anatomic fixation in anterior cruciate ligament reconstruction. Arthroscopy 1999; 15: 392-399.
  • 12. Graham SM, Parker RD. Anterior cruciate ligament reconstruction using hamstring tendon grafts. Clin Orthop Relat Res 2002; 402: 64-75.
  • 13. Keith LM, Daniel MB, Matheww MS. Biomechanical consequences of replacement of the anterior cruciate ligament with a patellar ligament allograft. Part I: ınsertion of the graft and anterior-posterior testing. J Bone Joint Surg Am 1996; 78: 1720 -1727.
  • 14. Kurt PS, Todd AW, Callison JC, Secic M, Sheryl B. Clinical outcome at a minimum of five years after reconstruction of the anterior cruciate ligament. J Bone Joint Surg Am 2005; 87: 1673-1679.
  • 15. Hamada M, Shino K, Mitsuka T, Abe N, Horibe S. Crosssectional area measurement of the semitendinosus tendon for anterior cruciate ligament reconstruction. Arthroscopy 1998; 14; 696-701.
  • 16. Falconiero RP, Di Stefano VJ, Cokk TM. Revascularization and ligamentization of autogenous anterior cruciate ligament graft in humans. Arthroscopy 1998; 14: 197-205.
  • 17. Yashiya S, Nagano M, Kurusaka M, Muratsu H, Mizuno K. Graft healing in the bone tunnel in anterior cruciate ligament reconstruction. Clin Orthop Relat Res 1995; 376: 278-281.
  • 18. Howell G, Wertheimer C, Johnson RJ, Nichols CE, Pope MH, Beynnon B. Artrhroscopic Strain gauge measurement of the anterior cruciate ligament. Arthroscopy 2000; 6: 198-204.
  • 19. Eriksson K, Anderberg P, Hamberg P, et al. A Comparision of quadruple semitendinosus and patellar tendon graft in Reconstruction of the Anterior Cruciate Ligament. J Bone Joint Surg 2001; 83B: 622-640.
  • 20. Pinczewski LA, Clingeleffer AJ, Otto DD, Bone SF, Corry SJ. İntegration of hamstring tendon graft with bone in reconstruction of the anterior cruciate ligament. Arthroscopy 1997; 13: 641-643.
  • 21. Mahiroğullari M, Kuşkucu M, Kiral A, Pehlivan O, Akmaz I, Tirmik U. Early results of reconstruction of chronic anterior cruciate ligament ruptures using four-strand hamstring tendon autografts. Acta Orthop Traumatol Turc 2005; 39: 224-230.
  • 22. Corry IS, Webb JM, Clingeleffer AJ, Pinczewski LA. Arthroscopic reconstruction of the anterior cruciate ligament. Am J Sports Med 1999; 27: 444-454.
  • 23. Aglietti P, Buzzi R, D'Andria S, Zaccherotti G. Long-term study of anterior cruciate ligament reconstruction for chronic instability using the central one-third patellar. Tendon and a lateral extraarticular tenodesis. Am J Sports Med 1992; 20: 38- 45.
  • 24. Clark R, Olsen RE, Larson BJ, Goble EM, Farrer RP. Crosspin femoral fixation: a new technique for hamstring anterior cruciate ligament reconstruction of the knee. Arthroscopy 1998; 14: 258-267.
  • 25. Değirmenci E, Yücel İ, Özturan K. Hamstring tendon otogrefti ile ön çapraz bağ rekonstrüksiyonu. Bakırköy Tıp Dergisi 2010; 6: 29-34.
  • 26. Karaoğlu S, Duygulu F, Halıcı M, Eroğlu M. Hızlandırılmış rehabilitasyon yönteminin hamstring tendonları kullanılarak rekonstrükte edilmiş ön çapraz bağ üzerine etkileri: 59 vakanın ortalama 19 ay takip sonuçları. Artroplasti Artroskopik Cerrahi 2001; 12: 50-55.

Hamstring Tendon Otogrefti ile Ön Çapraz Bağ Rekonstrüksiyonu

Year 2011, Volume: 16 Issue: 4, 186 - 189, 01.08.2011

Abstract

Amaç: Bu çalışmada semptomatik kronik ön çapraz bağ yırtığının otojen Hamstring tendon grefti kullanılarak yapılan artrosko¬pik rekonstruksiyonunun sonuçları incelenmiştir. Gereç ve Yöntem: 2006 − 2008 tarihleri arasında Fırat Üniversitesi Tıp Fakültesi Hastanesi Ortopedi ve Travmatoloji Anabilim Dalında artroskopik olarak ön çapraz bağ yırtığı rekonstrüksiyonu yapılan 52 hasta incelendi. Tüm hastalar ortalama 20,5 (14 – 27) ay sonunda fonksiyonel olarak Lysholm diz skorlaması, IKDC (International Knee Documentation Committee) skorlaması ile klinik olarak diz eklem hareket açıklığı, stabilite testleri, uyluk çevresi ölçümü ve kişisel memnuniyet ile değerlendirildi. Bulgular: Lysholm skorlamasında 46 hasta (% 88,5) iyi ve mükemmel sonuç, IKDC skorlamasına göre 47 hasta (% 90,4) A veya B, 5 hasta (% 9,6) ise C olarak değerlendirildi. Radyografik değerlendirmede, 9 hastanın diz ekleminde hafif, iki hastada orta derecede dejeneratif değişiklikler gözlendi. Sağlam tarafla karşılaştırıldığında, hastalarda fleksiyon ve ekstansiyon kaybı gözlenmedi. Sonuç: Ön çapraz bağ yırtıklarının, dört katlı otojen Hamstring tendon grefti kullanılarak yapılan artroskopik rekonstrüksiyonlarında hem fonksiyonel olarak düzelme hem de hastalarda yüksek memnuniyet oranları tespit edilmiştir.

References

  • 1. Griffin LY, Angel J, Albohm MJ, et al. Noncontact anterior cruciate ligament injuries: risk factor and prevention strategies. J Am Acad Orthop Surg 2000; 8: 141-150.
  • 2. Buoncristiani AM, Tjoumakaris FP, Starman JS, Ferretti M, Fu FH. Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction. Arthroscopy: Arthroscopy 2006; 22: 1000- 1006.
  • 3. Kerimoğlu S, Aynacı O, Saraçoğlu M, Aydın H, Turhan AU. Peroneus longus tendonu ile ön çapraz bağ rekonstrüksiyonu. Acta Orthop Traumatol Turc 2008; 42: 38-43.
  • 4. Gillquist J, Odensten M. Artrhroscopic Reconstruction of the Anterior Cruciate Ligament Arthroscopy 1996; 4: 5-9.
  • 5. Gorschewsky O, Klakow A, Riechert K, Pitzl M, Becker R. 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. Am J Sports Med 2005; 33: 1202-1209.
  • 6. Indelli P, Francesco P , Michael F , Gary S , Anterior Cruciate Ligament Reconstruction Using Cryopreserved Allografts. Clin Orthop Relat Res 2004; 420: 268-275.
  • 7. Plancher KD , Rıchard JS, Briggs KK . Reconstruction of the anterior cruciate ligament in patients who are at least forty years old. A long-term follow-up and outcome study. J Bone Joint Surg Am 1998; 80: 184-197.
  • 8. Moholkar K, Taylor D, O'Reagan M, Fenelon G.A Biomechanical analysis of four different methods of harvesting bone-patellar tendon-bone graft in porcine knees. J Bone Joint Surg Am 2002; 84: 1782-1787.
  • 9. Bruks TR, Leand R. Determination of graft tension before fixation in anterior cruciate ligament reconstruction. Arthroscopy 2000; 4: 260-266.
  • 10. Harter RA, Osterning LR, Singer KM. Long term evaluation of knee stability and function following surgical reconstruction for anterior cruciate ligament insufficiency. Am J Sports Med 1998; 16: 434-440.
  • 11. Hoffmann RFG, Peine R, Bail HJ, Südkamp NP, Weiler A. Initial fixation strenght of modified patellar tendon grafts for anatomic fixation in anterior cruciate ligament reconstruction. Arthroscopy 1999; 15: 392-399.
  • 12. Graham SM, Parker RD. Anterior cruciate ligament reconstruction using hamstring tendon grafts. Clin Orthop Relat Res 2002; 402: 64-75.
  • 13. Keith LM, Daniel MB, Matheww MS. Biomechanical consequences of replacement of the anterior cruciate ligament with a patellar ligament allograft. Part I: ınsertion of the graft and anterior-posterior testing. J Bone Joint Surg Am 1996; 78: 1720 -1727.
  • 14. Kurt PS, Todd AW, Callison JC, Secic M, Sheryl B. Clinical outcome at a minimum of five years after reconstruction of the anterior cruciate ligament. J Bone Joint Surg Am 2005; 87: 1673-1679.
  • 15. Hamada M, Shino K, Mitsuka T, Abe N, Horibe S. Crosssectional area measurement of the semitendinosus tendon for anterior cruciate ligament reconstruction. Arthroscopy 1998; 14; 696-701.
  • 16. Falconiero RP, Di Stefano VJ, Cokk TM. Revascularization and ligamentization of autogenous anterior cruciate ligament graft in humans. Arthroscopy 1998; 14: 197-205.
  • 17. Yashiya S, Nagano M, Kurusaka M, Muratsu H, Mizuno K. Graft healing in the bone tunnel in anterior cruciate ligament reconstruction. Clin Orthop Relat Res 1995; 376: 278-281.
  • 18. Howell G, Wertheimer C, Johnson RJ, Nichols CE, Pope MH, Beynnon B. Artrhroscopic Strain gauge measurement of the anterior cruciate ligament. Arthroscopy 2000; 6: 198-204.
  • 19. Eriksson K, Anderberg P, Hamberg P, et al. A Comparision of quadruple semitendinosus and patellar tendon graft in Reconstruction of the Anterior Cruciate Ligament. J Bone Joint Surg 2001; 83B: 622-640.
  • 20. Pinczewski LA, Clingeleffer AJ, Otto DD, Bone SF, Corry SJ. İntegration of hamstring tendon graft with bone in reconstruction of the anterior cruciate ligament. Arthroscopy 1997; 13: 641-643.
  • 21. Mahiroğullari M, Kuşkucu M, Kiral A, Pehlivan O, Akmaz I, Tirmik U. Early results of reconstruction of chronic anterior cruciate ligament ruptures using four-strand hamstring tendon autografts. Acta Orthop Traumatol Turc 2005; 39: 224-230.
  • 22. Corry IS, Webb JM, Clingeleffer AJ, Pinczewski LA. Arthroscopic reconstruction of the anterior cruciate ligament. Am J Sports Med 1999; 27: 444-454.
  • 23. Aglietti P, Buzzi R, D'Andria S, Zaccherotti G. Long-term study of anterior cruciate ligament reconstruction for chronic instability using the central one-third patellar. Tendon and a lateral extraarticular tenodesis. Am J Sports Med 1992; 20: 38- 45.
  • 24. Clark R, Olsen RE, Larson BJ, Goble EM, Farrer RP. Crosspin femoral fixation: a new technique for hamstring anterior cruciate ligament reconstruction of the knee. Arthroscopy 1998; 14: 258-267.
  • 25. Değirmenci E, Yücel İ, Özturan K. Hamstring tendon otogrefti ile ön çapraz bağ rekonstrüksiyonu. Bakırköy Tıp Dergisi 2010; 6: 29-34.
  • 26. Karaoğlu S, Duygulu F, Halıcı M, Eroğlu M. Hızlandırılmış rehabilitasyon yönteminin hamstring tendonları kullanılarak rekonstrükte edilmiş ön çapraz bağ üzerine etkileri: 59 vakanın ortalama 19 ay takip sonuçları. Artroplasti Artroskopik Cerrahi 2001; 12: 50-55.
There are 26 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Sancar Serbest This is me

Hacı Bayram Tosun This is me

Erhan Yılmaz This is me

Publication Date August 1, 2011
Published in Issue Year 2011 Volume: 16 Issue: 4

Cite

APA Serbest, S., Tosun, H. B., & Yılmaz, E. (2011). Hamstring Tendon Otogrefti ile Ön Çapraz Bağ Rekonstrüksiyonu. Fırat Tıp Dergisi, 16(4), 186-189.
AMA Serbest S, Tosun HB, Yılmaz E. Hamstring Tendon Otogrefti ile Ön Çapraz Bağ Rekonstrüksiyonu. Fırat Tıp Dergisi. August 2011;16(4):186-189.
Chicago Serbest, Sancar, Hacı Bayram Tosun, and Erhan Yılmaz. “Hamstring Tendon Otogrefti Ile Ön Çapraz Bağ Rekonstrüksiyonu”. Fırat Tıp Dergisi 16, no. 4 (August 2011): 186-89.
EndNote Serbest S, Tosun HB, Yılmaz E (August 1, 2011) Hamstring Tendon Otogrefti ile Ön Çapraz Bağ Rekonstrüksiyonu. Fırat Tıp Dergisi 16 4 186–189.
IEEE S. Serbest, H. B. Tosun, and E. Yılmaz, “Hamstring Tendon Otogrefti ile Ön Çapraz Bağ Rekonstrüksiyonu”, Fırat Tıp Dergisi, vol. 16, no. 4, pp. 186–189, 2011.
ISNAD Serbest, Sancar et al. “Hamstring Tendon Otogrefti Ile Ön Çapraz Bağ Rekonstrüksiyonu”. Fırat Tıp Dergisi 16/4 (August 2011), 186-189.
JAMA Serbest S, Tosun HB, Yılmaz E. Hamstring Tendon Otogrefti ile Ön Çapraz Bağ Rekonstrüksiyonu. Fırat Tıp Dergisi. 2011;16:186–189.
MLA Serbest, Sancar et al. “Hamstring Tendon Otogrefti Ile Ön Çapraz Bağ Rekonstrüksiyonu”. Fırat Tıp Dergisi, vol. 16, no. 4, 2011, pp. 186-9.
Vancouver Serbest S, Tosun HB, Yılmaz E. Hamstring Tendon Otogrefti ile Ön Çapraz Bağ Rekonstrüksiyonu. Fırat Tıp Dergisi. 2011;16(4):186-9.