Morbidities Following Anterior Cruciate Ligament Reconstruction Using Semitendinosis-Gracilis Autograft

Abstract

Aims and objectives: To evaluate the performance of ST-G graft in ACL reconstruction and to study the associated morbidities in short term follow-up. Evaluation of hamstring strength following use of semitendinosus and gracilis graft to reconstruct ACL was also done.Methodology: The prospective study was done in a tertiary care center involving subjects with clinically confirmed ACL rupture who underwent ACL reconstruction with semitendinosus and gracilis quadruple graft with distal titanium endobuters and tractopexy proximally (ST-G Graft) during the study period. Post-operatively, the muscle strength was assessed at 2, 4 and 6 post-operative months. Results: The average flexion of the knee at first and third month of follow-up was 44.5 (range: 10-90) and 115 (range: 90-140) respectively. The mean power at 3 month was 4.7 kg (range: 4kg-6kg).Conclusion: In the series of evaluation of hamstring strength following ST-G graft to reconstruct ACL, we found that most of the study subjects had regained hamstring strength by 3 post-op month.