Reconstruction of the anterior cruciate ligament with a semitendinosus-gracilis autograft fixed with bioabsorbable interference screws: clinical and functional evaluation
Keywords:
Anterior Cruciate Ligament, Bone Screws, Transplantation AutologousAbstract
Introduction: Anterior cruciate ligament injury (ACL) is one of the most common and not treating it increases the risk of osteoarthrosis in the knee, so nowadays it’s surgical reconstruction is recommended.
Methods: A case series study was carried out in order to determine the outcome of all patients who underwent an ACL reconstruction surgery using semitendinous autograft. Fifty-four patients were clinically evaluated. All of them underwent a single approach sugery for anterior cruciate ligament reconstruction, using a semitendinous-gracilis autograft fixed with self resorbable interference screws, from October 2005 to October 2008. A minimum one year follow-up was performed in every patient. The patients were evaluated using Lysholm or Tegner scale, and a satisfaction scale for patients.
Results: Results were graded good and excellent in 86% of the patients and fair in 11% according to Lysholm. Furthermore, an increase in Tegner scale was well documented. The only complication observed in patients was a postoperative synovitis in some of them.
Discussion: Our results has shown that semitendinous-gracilis autograft fixed with self resorbable interference screws has good functional results, similar to those found up in overall existing medical literature.
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