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International Orthopaedics

Erschienen in:

01.02.2013 | Original Paper

Hamstring tendon anterior cruciate ligament reconstruction: does gracilis tendon harvest matter?

verfasst von: Björn Barenius, Webster Kate Webster, Jodie McClelland, Julian Feller

Erschienen in: International Orthopaedics | Ausgabe 2/2013

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Abstract

Purpose

Hamstring tendon grafts are a popular choice for anterior cruciate ligament (ACL) reconstruction. Typical morbidity reported after hamstring tendon harvest is muscle weakness in flexion, and whilst still a matter for debate, this morbidity may be greater if the gracilis tendon is harvested in addition to the semitendinosus.

This study sought to comprehensively compare the outcome of ACL reconstructions in which the semitendinosus was harvested alone (ST group) or with the gracilis (ST/G group).

Methods

Twenty patients (ten ST, ten ST/G) were assessed with a variety of measures that included subjective scores, function, strength and tibial rotation as measured by gait analysis during a pivoting task.

Results

Results showed that the graft diameter was significantly larger in the ST group, but there were no other differences between the groups for any other outcome measure.

Conclusion

Harvesting the gracilis in addition to semitendinosus does not appear to affect either the outcome or graft-related morbidity after hamstring ACL reconstruction.

Noyes FR, Butler DL, Grood ES, Zernicke RF, Hefzy MS (1984) Biomechanical analysis of human ligament grafts used in knee-ligament repairs and reconstructions. J Bone Joint Surg [Am] 66(3):344–352

Yunes M, Richmond JC, Engels EA, Pinczewski LA (2001) Patellar versus hamstring tendons in anterior cruciate ligament reconstruction: a meta-analysis. Arthroscopy 17(3):248–257PubMedCrossRef

Barenius B, Nordlander M, Ponzer S, Tidermark J, Eriksson K (2010) Quality of life and clinical outcome after anterior cruciate ligament reconstruction using patellar tendon graft or quadrupled semitendinosus graft: an 8-year follow-up of a randomized controlled trial. Am J Sports Med 38(8):1533–1541PubMedCrossRef

Pinczewski LA, Lyman J, Salmon LJ, Russell VJ, Roe J, Linklater J (2007) A 10-year comparison of anterior cruciate ligament reconstructions with hamstring tendon and patellar tendon autograft: a controlled, prospective trial. Am J Sports Med 35(4):564–574PubMedCrossRef

Duquin TR, Wind WM, Fineberg MS, Smolinski RJ, Buyea CM (2009) Current trends in anterior cruciate ligament reconstruction. J Knee Surg 22(1):7–12PubMedCrossRef

Nakamura N, Horibe S, Sasaki S, Kitaguchi T, Tagami M, Mitsuoka T, Toritsuka Y, Hamada M, Shino K (2002) Evaluation of active knee flexion and hamstring strength after anterior cruciate ligament reconstruction using hamstring tendons. Arthroscopy 18(6):598–602PubMedCrossRef

Viola RW, Sterett WI, Newfield D, Steadman JR, Torry MR (2000) Internal and external tibial rotation strength after anterior cruciate ligament reconstruction using ipsilateral semitendinosus and gracilis tendon autografts. Am J Sports Med 28(4):552–555PubMed

Tashiro T, Kurosawa H, Kawakami A, Hikita A, Fukui N (2003) Influence of medial hamstring tendon harvest on knee flexor strength after anterior cruciate ligament reconstruction. A detailed evaluation with comparison of single-and double-tendon harvest. Am J Sports Med 31(4):522–529PubMedCrossRef

Gobbi A (2010) Single versus double hamstring tendon harvest for ACL reconstruction. Sports Med Arthrosc 18(1):15–19PubMedCrossRef

10.

Ardern CL, Webster KE, Taylor NF, Feller JA (2010) Hamstring strength recovery after hamstring tendon harvest for anterior cruciate ligament reconstruction: a comparison between graft types. Arthroscopy 26(4):462–469PubMedCrossRef

11.

Segawa H, Omori G, Koga Y, Kameo T, Iida S, Tanaka M (2002) Rotational muscle strength of the limb after anterior cruciate ligament reconstruction using semitendinosus and gracilis tendon. Arthroscopy 18(2):177–182PubMedCrossRef

12.

Ristanis S, Stergiou N, Patras K, Tsepis E, Moraiti C, Georgoulis AD (2006) Follow-up evaluation 2 years after ACL reconstruction with bone-patellar tendon-bone graft shows that excessive tibial rotation persists. Clin J Sport Med 16(2):111–116PubMedCrossRef

13.

Georgoulis AD, Ristanis S, Chouliaras V, Moraiti C, Stergiou N (2007) Tibial rotation is not restored after ACL reconstruction with a hamstring graft. Clin Orthop Relat Res 454:89–94PubMedCrossRef

14.

Webster KE, Wittwer JE, O’Brien J, Feller JA (2005) Gait patterns after anterior cruciate ligament reconstruction are related to graft type. Am J Sports Med 33(2):247–254PubMedCrossRef

15.

Webster KE, Feller JA (2011) Alterations in joint kinematics during walking following hamstring and patellar tendon anterior cruciate ligament reconstruction surgery. Clin Biomech (Bristol, Avon) 26(2):175–180CrossRef

16.

Noyes FR, Stabler CL (1989) A system for grading articular cartilage lesions at arthroscopy. Am J Sports Med 17(4):505–513PubMedCrossRef

17.

Irrgang JJ, Anderson AF, Boland AL, Harner CD, Kurosaka M, Neyret P, Richmond JC, Shelborne KD (2001) Development and validation of the international knee documentation committee subjective knee form. Am J Sports Med 29(5):600–613PubMed

18.

Davis Iii RB, Ounpuu S, Tyburski D, Gage JR (1991) A gait analysis data collection and reduction technique. Hum Mov Sci 10(5):575–587CrossRef

19.

Kadaba MP, Ramakrishnan HK, Wootten ME (1990) Measurement of lower extremity kinematics during level walking. J Orthop Res 8(3):383–392PubMedCrossRef

20.

Webster KE, Palazzolo SE, McClelland JA, Feller JA (2012) Tibial rotation during pivoting in anterior cruciate ligament reconstructed knees using a single bundle technique. Clin Biomech (Bristol, Avon) 26(5):480–484CrossRef

21.

Prodromos C (2007) The anterior cruciate ligament reconstruction and basic science. 2ST/2Gr, 4ST, and 3ST/2Gr techniques: deciding which hamstring configuration to use. Saunders, pp 110–114

22.

Ma CB, Keifa E, Dunn W, Fu FH, Harner CD (2010) Can pre-operative measures predict quadruple hamstring graft diameter? Knee 17(1):81–83PubMedCrossRef

23.

Zantop T, Ferretti M, Bell KM, Brucker PU, Gilbertson L, Fu FH (2008) Effect of tunnel-graft length on the biomechanics of anterior cruciate ligament-reconstructed knees: intra-articular study in a goat model. Am J Sports Med 36(11):2158–2166PubMedCrossRef

24.

Webster KE, McClelland JA, Wittwer JE, Tecklenburg K, Feller JA (2010) Three dimensional motion analysis of within and between day repeatability of tibial rotation during pivoting. Knee 17(5):329–333PubMedCrossRef

25.

McGinley JL, Baker R, Wolfe R, Morris ME (2009) The reliability of three-dimensional kinematic gait measurements: a systematic review. Gait Posture 29(3):360–369PubMedCrossRef

Titel: Hamstring tendon anterior cruciate ligament reconstruction: does gracilis tendon harvest matter?
verfasst von: Björn Barenius
Webster Kate Webster
Jodie McClelland
Julian Feller
Publikationsdatum: 01.02.2013
Verlag: Springer-Verlag
Erschienen in: International Orthopaedics / Ausgabe 2/2013
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-012-1672-9

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Abstract

Purpose

Methods

Results

Conclusion

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Acknowledgement to referees

An extra-articular procedure improves the clinical outcome in anterior cruciate ligament reconstruction with hamstrings in female athletes