Why should we sacrifice the gracilis in ACL hamstring reconstruction ?
نویسندگان
چکیده
The use of hamstring tendons for ACL reconstruction has become more accepted in the recent years. Many authors have shown good results using semitendinosus and gracilis grafts (1, 2, 3) while others have had similar results using the quadrupled semitendinosus alone (4, 5, 6). Some, however, have been concerned about the possibility of muscular weakness and its effects on strength and stability after sacrifice of hamstrings (7, 8, 9, 13,14,15,18). In our study, we sought to determine if there was a difference in the clinical results of ACL reconstruction when using the semitendinosus tendon (ST) alone versus the semitendinosus and gracilis (STG) construct.
منابع مشابه
ACL Reconstruction Basics: Quadruple (4-Strand) Hamstring Autograft Harvest
Hamstring tendon autograft remains a popular graft choice for anterior cruciate ligament (ACL) reconstruction. Although there are a variety of autograft and allograft options available for ACL reconstruction, advantages of hamstring tendon autografts include decreased postoperative knee pain and an overall easier surgical recovery compared with bone patellar tendon bone autograft. In addition, ...
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 کاملHamstring tendon harvesting. Reviewing anatomic relationships and avoiding pitfalls.
The gracilis and semitendinosus tendons remain popular grafts for many reconstructive procedures, including anterior cruciate ligament reconstruction. Surgeons who use other grafts for ACL reconstruction should have the hamstring tendon techniques in their arsenal in the event other grafts are unavailable or undesirable. Detailed knowledge of the anatomy of the medial side of the knee is paramo...
متن کاملمیزان پایداری زانو در جراحی بازسازی لیگامان صلیبی قدامی در دو روش فیکساسیون گرافت در تونل فمورال: پین ترانس فمورال و اندوباتون
Background: One of the most common orthopedic complaints is direct or indirect trauma to the knee with torn anterior cruciate ligament (ACL). Reconstruction of the torn ACL is emphatically offered in active individuals as by this operation, we prevent osteoarthritis, knee instability and injury to the meniscus. There are numerous methods for graft fixation in the femoral tunnel in ACL reconstru...
متن کاملInjury to the Infrapatellar Branch of the Saphenous Nerve during ACL Reconstruction with Hamstring Tendon Autograft: A Comparison between Oblique and Vertical Incisions
Background: Injury to the infrapatellar branch of the saphenous nerve (IPBSN) is common after arthroscopic ACLreconstruction with hamstring tendon autograft, as reported in up to 88% of the cases. Due to close relationshipbetween the IPBSN with pes anserine tendons insertion skin incision may sever IPBSN while harvesting gracillis andsemitendinous tendons. As the IPBSN course at the anterior of...
متن کامل