Functional outcome of anterior cruciate ligament reconstruction with quadruple hamstring tendon graft using EndoButton and bioabsorbable interference screw: minimum 2-year follow-up

Suranigi, Shishir Murugharaj; Kanagasabai, R; Najimudeen, Syed; Gnanadoss, James J

doi:10.18203/issn.2455-4510.intjresorthop20164172

Cited by 2 publications

(3 citation statements)

References 14 publications

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“…QHT graft are satisfactory (Shishir Murugharaj Suranigi, 2016). [14] In this study the postoperative complications at 24th weeks was pain (5%) and infection (1.7%). Pain was more in group 2 (6.7%) in comparison to group 1 (3.3%), infection was present in group 2 (3.3%) whereas no infection was reported in group 1.…”

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confidence: 52%

Comparative Study of Arthroscopic Anterior Cruciate Ligament Reconstruction by Quadrupled Semitendinosus-Gracilis and Tripled Semitendinosus Auto Graft

Islam¹

2022

AIMDR

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Background: The anterior cruciate ligament (ACL) is the most frequently disrupted ligament of the knee. Arthroscopic ACL reconstruction is one of the most common orthopaedic procedures now-a-days and has become the gold standard method of treatment in complete ACL tear. Though the choice of graft for ACL reconstruction and the methods of its fixation are matters of debate, hamstring tendon is considered as the favorable graft. Common options for the choice of graft are quadrupled semitendinosus-gracilis and tripled semitendinosus auto graft. Aim of our study is to compare the outcome of arthroscopic ACL reconstruction by quadrupled semitendinosus-gracilis and tripled semitendinosus auto graft.Material & Methods:In this prospective interventional study purposive sampling was done. Sixty patients with complete ACL tear were included in this study from May 2017 to August 2019 at NITOR, strictly considering the inclusion and exclusion criteria. Thirty of them treated with quadrupled semitendinosus-gracilis (group 1) and thirty with tripled semitendinosus (group 2) auto graft. Evaluation by Lysholm knee score was done before and after surgery. Final outcome was evaluated at 24th week post-operatively.Results:Preoperative Lysholm Knee Score was almost similar in group 1 (63.2±2.1) and in group 2 (63.1±2.5). This difference was not statistically significant (p=0.582). Postoperative Lysholm Knee Score at 24th week was slightly higher in group 1 (95.0±2.0) in comparison to group 2 (94.4±3.2). This difference was also not statistically significant (p=0.361). But excellent functional outcome was more in group 1 (80.0%) in comparison to group 2 (73.3%) whereas no poor or fair outcome was reported in group 1 but fair outcome was reported in 6.7% of patients in group 2. Overall complication rate was 6.67% with no significant intergroup difference.Conclusions:Quadrupled semitendinosus-gracilis auto graft has yielded more excellent results than tripled semitendinosus graft. But as this difference was not significant, it can be said that, both the procedure can be performed for arthroscopic reconstruction of ACL.

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confidence: 52%

Comparative Study of Arthroscopic Anterior Cruciate Ligament Reconstruction by Quadrupled Semitendinosus-Gracilis and Tripled Semitendinosus Auto Graft

Islam¹

2022

AIMDR

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“…Hill [17] Chidanand et al [14] (2016) Quadruple Semitendinosus graft Endobutton Suture disc 2 years Shishir [20] M et al (2016) Quadruple Hamstring Graft Endobutton Bioabsorbable Interference screw 2 years Jagtap et al [15] (2017) Single Bundle Semitendinosus graft Endobutton Suture disc 1 year…”

Section: Author and Year Of Publisher Graft Used Femoral Fixation Tibial Fixation Duration Of Follow Upmentioning

confidence: 99%

“…Agni et al [19] [20] et al average preoperative score was 64.45 and post-operative at the end 6 months was 83.00 as shown in Table 17. [20] et al…”

Section: Author and Year Of Publisher Graft Used Femoral Fixation Tibial Fixation Duration Of Follow Upmentioning

confidence: 99%

Transportal single bundle ACL reconstruction with quadruple hamstring graft using suspensory femoral and hybrid tibial fixation: A prospective study

Gautam¹,

Nagpal²,

Girotra³

2020

Int. J. Orthop. Sci.

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The aim of the study was to evaluate the functional outcome of transportal single bundle ACL reconstruction with Quadruple Hamstring Graft using suspensory femoral and hybrid tibial fixation for restoration of joint stability, patient satisfaction and for any complications. Design: Prospective Study Design. Methods: Patients admitted to the department of Orthopaedics, Bhagat Phool Singh Government medical college, Khanpur Kalan, Sonipat and fulfilling the inclusion criteria of age group 20-45 years without pre-existing arthritis and clinical and radiological evidence of anterior cruciate ligament tear were included in the study who were followed upto six months. Preoperatively Lysholm score and IKDC score was evaluated of each patient and post operatively Lysholm score and IKDC score were calculated at 2 weeks, 8 weeks, 12 weeks and 24 weeks. Results and conclusion: All patients were taken for single bundle ACL reconstruction using suspensory femoral and hybrid tibial fixation. The Lysholm and Knee Scoring Scale consists of eight parameters for evaluation. The individual parameters were allotted specific scores depending on the patient's functional ability. The maximum possible knee score was 100. Based on the outcome scores they were divided into Excellent, Good, Fair and Poor. The Subjective IKDC scale was evaluated by summing the scores for the individual items and then transforming the score to a scale that ranges from 0 to 100. The patients were followed up in OPD and their functional outcomes were measured by Lysholm scoring and IKDC scoring at 2 weeks, 8 weeks, 12 weeks, 24 weeks. There were 20 (83.3%) male patients and 4 (16.7%) female patients. The right side was more commonly injured (54.2%) than the left side (45.8%). The most common mode of injury in our study was Road Traffic Accidents (58.3%) followed by sports (20.8%). Most of the patients (41.7%) presented 4 to 6 months after injury. The most common symptom at presentation was knee pain (37.5%) followed by instability (29.2%). Both knee pain and instability were present in 16.7% of patients. There was associated meniscal injury in 75.0% of patients. The most commonly injured was medial meniscus (50%) followed by injury to both medial and lateral menisci (16.7%). Isolated ACL tear was present in 25% of the patients. In our study, 83.3% had excellent functional outcome while 16.7% patients had good outcome on the basis of Lysholm Scoring. In our study the mean pre-operative IKDC score was 55.60 whereas the post-operative score after 24 weeks was 86.13. There was significant improvement in post-operative IKDC score when compared with preoperative score. In young active adults, anatomic single bundle reconstruction with quadrupled hamstring graft gives good functional results. Endobutton on the femoral side and Bioabsorbable interference screw and suture disc on the tibial end is a good mechanical and strong suspensory type of fixation device for ACL reconstruction. This technique offers an excellent knee function, knee stability and restoration of pr...

show abstract

Functional outcome of anterior cruciate ligament reconstruction with quadruple hamstring tendon graft using EndoButton and bioabsorbable interference screw: minimum 2-year follow-up

Cited by 2 publications

References 14 publications

Comparative Study of Arthroscopic Anterior Cruciate Ligament Reconstruction by Quadrupled Semitendinosus-Gracilis and Tripled Semitendinosus Auto Graft

Comparative Study of Arthroscopic Anterior Cruciate Ligament Reconstruction by Quadrupled Semitendinosus-Gracilis and Tripled Semitendinosus Auto Graft

Transportal single bundle ACL reconstruction with quadruple hamstring graft using suspensory femoral and hybrid tibial fixation: A prospective study

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