The advantage of arthroscopic anterior cruciate ligament reconstruction with autograft from the tendons of the semitendinosus - gracilis muscles for the recovery of the stability of the knee.
نویسندگان
چکیده
UNLABELLED Anterior cruciate ligament (ACL) injuries remain a common orthopaedic disease, particularly in young adults. The treatment of choice for ACL injuries is ACL reconstruction (ligamentoplasty). ACL reconstruction is the surgical intervention used to replace the damaged ACL with a bone-patella tendon-bone (BTB) graft or with soft parts (semitendinosus - gracilis muscles (ST-G) - a method more frequently used nowadays). MATERIALS AND METHOD In the Clinic of Orthopedics and Traumatology of the University Emergency Hospital of Bucharest, during the period 01.01.2009 - 01.03.2011, a number of 37 arthroscopic ACL reconstructions with ST-G were studied, performed to treat ACL isolated injuries or injuries associated with complex trauma of the knee. RESULTS Clinical studies have shown that ACL reconstruction is highly superior to ACL repair (suturing). Arthroscopy was the main method of diagnosis in 28 cases, whereas the remaining ACL injuries were diagnosed using the MRI. CONCLUSIONS The rehabilitation of the patients who underwent arthroscopic ACL reconstructions with ST-G was easier and faster in comparison with that following the surgical interventions performed with BTB graft during the previous years.
منابع مشابه
Electromechanical delay of the knee flexor muscles is impaired after harvesting hamstring tendons for anterior cruciate ligament reconstruction.
BACKGROUND Changes in electromechanical delay during muscle activation are expected when there are substantial alterations in the structural properties of the musculotendinous tissue. In anterior cruciate ligament reconstruction, specific tendons are being harvested for grafts. Thus, there is an associated scar tissue development at the tendon that may affect the corresponding electromechanical...
متن کاملClinical Outcome of Anatomical Transportal Arthroscopic Anterior Cruciate Ligament Reconstruction with Hamstring Tendon Autograft
Background: Good clinical outcome and return to sport and daily functions after anatomical arthroscopic anteriorcruciate ligament (ACL) reconstruction is goal standard in this surgery. but to date, there are different challengingissues between orthopedic surgeons regarding graft selection and surgical techniques.Methods: We retrospectively reviewed the patients who underwent anatomical arthrosc...
متن کاملAnterior Cruciate Ligament Reconstruction with Hamstring Tendons Has no Deleterious Effect on Hip Extension Strength
Background: Hamstring tendons are secondary hip extensors. Their harvest for graft in anterior cruciate ligament(ACL) reconstruction may create deleterious effect on hip extension strength. This is of particular importance in sportsthat need powerful hip extension force like climbing and sprinting. Due to scarcity of a comprehensive study in thisarea, we designed this prospect...
متن کاملIsokinetic evaluation of internal/external tibial rotation strength after the use of hamstring tendons for anterior cruciate ligament reconstruction.
BACKGROUND Evaluation of the knee after an anterior cruciate ligament reconstruction with the use of the semitendinosus and gracilis (hamstring) autografts has primarily focused on flexion and extension strength. The semitendinosus and gracilis muscles contribute to internal tibial rotation, and it has been suggested that harvest of these tendons for the purpose of an anterior cruciate ligament...
متن کاملPredicting the Hamstring Tendon Diameter Using Anthropometric Parameters
Background: Despite the importance of hamstring tendon autograft, one major disadvantage in applying this technique in the surgical reconstruction of anterior cruciate ligament is individual variability in the tendon diameter. Hence, the purpose of the present study was to use anthropometric parameters such as gender, height and body mass index to predict 4-strand (quadruple) hamstring ten...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Maedica
دوره 6 2 شماره
صفحات -
تاریخ انتشار 2011