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Kumar, Ramesh, Chouhan, Dushyant, Narang, Amit, Kalra, Mukesh, Choudhary, Ranjeet, Kumar, Ankush. (1401). Comparative Analysis of Arthroscopic Tight Rope ACL Reconstruction Using four Strand Isolated Semitendinosus Graft and Quadrupled Combined Hamstring Graft. , 10(5), 426-431. doi: 10.22038/abjs.2021.49619.2463
Ramesh Kumar; Dushyant Chouhan; Amit Narang; Mukesh Kalra; Ranjeet Choudhary; Ankush Kumar. "Comparative Analysis of Arthroscopic Tight Rope ACL Reconstruction Using four Strand Isolated Semitendinosus Graft and Quadrupled Combined Hamstring Graft". , 10, 5, 1401, 426-431. doi: 10.22038/abjs.2021.49619.2463
Kumar, Ramesh, Chouhan, Dushyant, Narang, Amit, Kalra, Mukesh, Choudhary, Ranjeet, Kumar, Ankush. (1401). 'Comparative Analysis of Arthroscopic Tight Rope ACL Reconstruction Using four Strand Isolated Semitendinosus Graft and Quadrupled Combined Hamstring Graft', , 10(5), pp. 426-431. doi: 10.22038/abjs.2021.49619.2463
Kumar, Ramesh, Chouhan, Dushyant, Narang, Amit, Kalra, Mukesh, Choudhary, Ranjeet, Kumar, Ankush. Comparative Analysis of Arthroscopic Tight Rope ACL Reconstruction Using four Strand Isolated Semitendinosus Graft and Quadrupled Combined Hamstring Graft. , 1401; 10(5): 426-431. doi: 10.22038/abjs.2021.49619.2463

Comparative Analysis of Arthroscopic Tight Rope ACL Reconstruction Using four Strand Isolated Semitendinosus Graft and Quadrupled Combined Hamstring Graft

The Archives of Bone and Joint Surgery
مقاله 8، دوره 10، شماره 5، مرداد 2022، صفحه 426-431    اصل مقاله (948.81 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2021.49619.2463
نویسندگان
Ramesh Kumar1؛ Dushyant Chouhan2؛ Amit Narang* 2؛ Mukesh Kalra2؛ Ranjeet Choudhary3؛ Ankush Kumar2
1Department of Orthopaedics, Vardhman Mahavir Medical College, New Delhi
2Department of Orthopedics, Lady Hardinge Medical College, New Delhi
3Department of Orthopedics, All India Institute of Medical Sciences, Raipur
چکیده
Background: Arthroscopic ACL reconstruction using hamstring autograft is a quite a popular surgical procedure. 
But there is a conflict regarding the use of isolated semitendinosus graft or a combined hamstring graft. We did a 
comparative analysis of the functional outcome after ACL reconstruction performed with four strand semitendinosus 
graft and a combined hamstring graft over tightrope.
Methods: Two groups of 30 patients each with similar demographic profiles, presenting with symptoms of instability 
after chronic ACL tear were included. A standard single bundle arthroscopic ACL reconstruction was performed by using 
four-strand semitendinosus graft in Group A and combined hamstring graft in Group B patients. Clinical and functional 
outcome analysis was done using quantitative anterior tibial translation measurement and Lysholm score. 
Results: The mean age of subjects in group A was 29 years and in Group B was 28 years. The semitendinosus 
graft length was insufficient in 13.33% cases in group A. The improvement in Lysholm score and the decrease in the 
tibial translation were comparable in both the groups at one year of follow-up. No added comorbidities were noted in 
additional removal of gracilis tendon in group B patients.
Conclusion: Isolated semitendinosus four-strand autograft can be used for arthroscopic single bundle ACL 
reconstruction when adequate graft length is obtained. However, one should not be hesitant in additional removal of 
gracilis tendon when needed. In terms of functional outcome and patient satisfaction, both the graft configurations stand 
the same.
Level of evidence: I
کلیدواژه‌ها
Combined Hamstring graft؛ Four-strand semitendinosus؛ Single bundle ACL reconstruction
مراجع
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