Revision ACL reconstruction using contralateral hamstrings.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Andrea FerrettiFabio Conteduca

Abstract

Due to the increasing number of primary anterior cruciate ligament (ACL) reconstructions, the need for revision surgery has risen. The aim of this study was to evaluate the use of contralateral doubled semitendinosus and gracilis tendon (DGST) for revision anterior cruciate ligament reconstruction. Twelve patients undergoing revision ACL reconstruction with hamstring tendon were examined at an average follow-up of 3 years. All patients underwent a thorough subjective and objective evaluation, which included a KT-1000 arthrometric evaluation, and a radiographic examination. Subjective evaluation yielded a median score of 5.5 (range 2-9) on the Tegner activity scale. The mean Lysholm score was 95 (SD 9.5), and the mean subjective IKDC 2000 score was 95.4 (SD 7.8). At physical examination, a negative Lachman test was found in ten patients; one patient had a positive Lachman test with a firm end-point, and one other patient had a clearly positive Lachman test. Two patients had a grade 1+ on pivot shift testing. Only 1 patient showed a side-to-side difference more than 5 mm at the maximum manual KT-1000 arthrometer. Three patients (25 %) showed initial signs of osteoarthritis. The results of the study show that the use of hamstring ...Continue Reading

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Citations

Jan 16, 2016·Archives of Orthopaedic and Trauma Surgery·Claudio LegnaniAlberto Ventura
Jul 24, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Luca AndrioloMaurilio Marcacci
Apr 6, 2016·Orthopedics·Brandon J EricksonSeth Sherman
Jul 10, 2019·Current Reviews in Musculoskeletal Medicine·Alexandra HorvathEleonor Svantesson
Jun 20, 2019·The Journal of Sports Medicine and Physical Fitness·Claudio LegnaniAlberto Ventura
Jan 6, 2017·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Claudio LegnaniAlberto Ventura
Mar 29, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jennifer L HunnicuttJohn W Xerogeanes

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