Evaluation of the Results of Arthroscopic Acl Reconstruction With Autogenous Flexor Tendons

Abstract

Objective: To evaluate the results from reconstruction of the anterior cruciate ligament (ACL) using with flexor tendon autografts from the thigh, with analysis on data relating to sex, body mass index (BMI) and associations with lower limb fracture. Methods: A group of 265 patients who underwent knee arthroscopy for the purposes of ACL reconstruction using an ipsilateral graft from the flexor tendon of the thigh between July 6, 2000, and November 19, 2007, were evaluated. Results: One hundred and seventy-six patients were evaluated over a mean period of 34.95 ± 18.8 months (median: 31 months) (IQR: 20-48 months). The minimum evaluation period was 12 months and the maximum was 87 months. One hundred and thirty-eight patients (78.4%) had excellent results, 22 (12.5%) had good results, eight (4.5%) had fair results and eight (4.5%) had poor results. Higher incidence of good and excellent results for the following categories was not considered to be significant: males (p = 0.128), patients with BMI < 25 (p = 0.848), or patients with ACL injuries unrelated to an initial traumatic episode of lower-limb fracture (p = 0.656). Conclusion: The ACL reconstruction technique using tendon autografts from the thigh showed good and excellent results for 91.4% of the sample. Male patients seemed to present a greater tendency towards good and excellent results. No statistically significant difference was found when the results were analyzed in relation to BMI or associations with initial traumatic fracture episodes in the lower limbs.

Comparison of Functional Results of Anterior Cruciate Ligament Reconstruction in Obese Patients With Normal Individuals

“…The Lysholm index is one of the evaluation scales mostly used in the follow-up of patients who underwent knee surgery. In the study conducted by Almeida et al, no significant difference was found between obese and normal BMI patients in terms of Lysholm scores (13). In our data, we observed that there were no significant differences in post-op Lysholm and modified Cincinnati scores when we compared the obese patient group to the normal group.…”

A study of functional outcome in patients undergoing arthroscopic reconstruction of anterior cruciate ligament injury using hamstring tendon graft with interference screws

“…Semitendinosus and gracilis tendon has less donor site morbidity compared to BPTB graft. There is conventional single bundle reconstruction technique which involves placing single bundle of graft in a tunnel whereas double bundle reconstruction involves two graft bundle in separate tunnel and is considered more anatomical [17] .…”