{"title":"自体腿筋重建前交叉韧带的临床效果:一项随访6个月的前瞻性研究","authors":"Matjaž Sajovic, Igor Vucajnk, Natasa Sipka","doi":"10.4172/2161-0673.1000207","DOIUrl":null,"url":null,"abstract":"Objective: The goal of our study is to show that after single-bundle anatomic ACL reconstruction technique using hamstring tendon autograft (quadrupled semitendinosus and gracillis tendons), there is excellent objective knee stability and the return of flexor muscles strength. Methods: 65 patients aged 13–46 entered our study and were operated with a single bundle ACL reconstruction technique using hamstring tendon autograft. The operation and postoperative protocol were standardized. Patients were evaluated at 3 and 6 months postoperatively with clinical examination, KT–1000 measurements, functional scores (Balance index, Hop index, IKDC, isokinetic testing) and subjective questionnaire (Lysholm score, Tegner score). Results: 65 patients were evaluated 3 and 6 months postoperatively. Lachman test was negative in 92% and the pivot-shift test was negative in 89% of patients at 6 months follow-up. KT–1000 stability testing revealed a difference of 1.05 mm ± 2.83. At final follow-up, overall IKDC evaluation grade A and B were obtained in 96% of patients. The mean Lysholm score, 6 months postoperative was 94. There was no statistically significant difference in the angle of peak torque inflexion at 60°/s at 6 months follow-up. Conclusion: Our study shows that the strength of knee flexion six months after harvesting both hamstring tendons returns. However, there is still a statistically significant difference in knee flexion peak torque, when comparing the operative and non-operative side. Single bundle anatomic ACL reconstruction gives excellent knee stability and good clinical results with normal knee range of motion and returns to the appropriate level of activity.","PeriodicalId":17085,"journal":{"name":"Journal of Sports Medicine & Doping Studies","volume":"32 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Clinical Outcome after Anterior Cruciate Ligament Reconstruction Using Hamstring Tendon Autograft: A Prospective Study with 6 Months Follow-Up\",\"authors\":\"Matjaž Sajovic, Igor Vucajnk, Natasa Sipka\",\"doi\":\"10.4172/2161-0673.1000207\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective: The goal of our study is to show that after single-bundle anatomic ACL reconstruction technique using hamstring tendon autograft (quadrupled semitendinosus and gracillis tendons), there is excellent objective knee stability and the return of flexor muscles strength. Methods: 65 patients aged 13–46 entered our study and were operated with a single bundle ACL reconstruction technique using hamstring tendon autograft. The operation and postoperative protocol were standardized. Patients were evaluated at 3 and 6 months postoperatively with clinical examination, KT–1000 measurements, functional scores (Balance index, Hop index, IKDC, isokinetic testing) and subjective questionnaire (Lysholm score, Tegner score). Results: 65 patients were evaluated 3 and 6 months postoperatively. Lachman test was negative in 92% and the pivot-shift test was negative in 89% of patients at 6 months follow-up. KT–1000 stability testing revealed a difference of 1.05 mm ± 2.83. At final follow-up, overall IKDC evaluation grade A and B were obtained in 96% of patients. The mean Lysholm score, 6 months postoperative was 94. There was no statistically significant difference in the angle of peak torque inflexion at 60°/s at 6 months follow-up. Conclusion: Our study shows that the strength of knee flexion six months after harvesting both hamstring tendons returns. However, there is still a statistically significant difference in knee flexion peak torque, when comparing the operative and non-operative side. Single bundle anatomic ACL reconstruction gives excellent knee stability and good clinical results with normal knee range of motion and returns to the appropriate level of activity.\",\"PeriodicalId\":17085,\"journal\":{\"name\":\"Journal of Sports Medicine & Doping Studies\",\"volume\":\"32 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2018-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Sports Medicine & Doping Studies\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4172/2161-0673.1000207\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Sports Medicine & Doping Studies","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4172/2161-0673.1000207","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Clinical Outcome after Anterior Cruciate Ligament Reconstruction Using Hamstring Tendon Autograft: A Prospective Study with 6 Months Follow-Up
Objective: The goal of our study is to show that after single-bundle anatomic ACL reconstruction technique using hamstring tendon autograft (quadrupled semitendinosus and gracillis tendons), there is excellent objective knee stability and the return of flexor muscles strength. Methods: 65 patients aged 13–46 entered our study and were operated with a single bundle ACL reconstruction technique using hamstring tendon autograft. The operation and postoperative protocol were standardized. Patients were evaluated at 3 and 6 months postoperatively with clinical examination, KT–1000 measurements, functional scores (Balance index, Hop index, IKDC, isokinetic testing) and subjective questionnaire (Lysholm score, Tegner score). Results: 65 patients were evaluated 3 and 6 months postoperatively. Lachman test was negative in 92% and the pivot-shift test was negative in 89% of patients at 6 months follow-up. KT–1000 stability testing revealed a difference of 1.05 mm ± 2.83. At final follow-up, overall IKDC evaluation grade A and B were obtained in 96% of patients. The mean Lysholm score, 6 months postoperative was 94. There was no statistically significant difference in the angle of peak torque inflexion at 60°/s at 6 months follow-up. Conclusion: Our study shows that the strength of knee flexion six months after harvesting both hamstring tendons returns. However, there is still a statistically significant difference in knee flexion peak torque, when comparing the operative and non-operative side. Single bundle anatomic ACL reconstruction gives excellent knee stability and good clinical results with normal knee range of motion and returns to the appropriate level of activity.