The anterior tibial translation (ATT) (KT 1000) improved from 11.44 ± 1.93 mm to 3.59 ± 0.89 mm. There was no significant difference statistically between preinjury (5.89 ± 0.68) and postoperative (5.87 ± 0.67) Tegner score. All cases except two returned to the previous level of activity after ACLR. The mean preoperative Lysholm score of 47.15 ± 9.6, improved to 96.8 ± 2.4 at 1 year. Results: The mean length of quadrupled graft attached to tibia was 127.65 ± 7.5 mm, and the mean width was 7.52 ± 0.78 mm. The scoring was done by Lysholm, Tegner, and KT 1000 by independent observers. The graft was pulled up to the external aperture of femoral tunnel and fixed with interference screw (Arthrex). Single bundle ACLR was done by outside in technique and the femoral tunnel was created with cannulated reamer.
STRANDED DEEP TRAINER .07 FREE
The free ends of the tendons were whip stitched, quadrupled, and whip stitched again over the insertion site of hamstring with fiber wire (Arthrex). Hamstring tendons were harvested with open tendon stripper leaving the tibial insertion intact. The mean time interval from injury to surgery was of 7.5 ± 6.4 months. Materials and Methods: Seventy nine consecutive cases of ACL tear having age of 25.7 ± 6.8 years were included after Institutional Board Approval. We investigated short-term outcome of ACL reconstruction (ACLR) with tibial attachment sparing hamstring graft without implant on the tibial side by outside in technique. Different implants have been reportedly used for tibial side fixation with this technique.
Sinha, Skand Naik, Ananta Kumar Maheshwari, Mridul Sandanshiv, Sumedh Meena, Durgashankar Arya, Rajendra Kīackground: Tibial attachment preserving hamstring graft could prevent potential problems of free graft in anterior cruciate ligament (ACL) reconstruction such as pull out before graft-tunnel healing or rupture before ligamentization. This simple technique effectively enhances graft fixation and stability.Īnterior Cruciate Ligament Reconstruction with Tibial Attachment Preserving Hamstring Graft without Implant on Tibial Side We describe a new technique to augment the autologous double looped hamstring tendon graft during anterior cruciate ligament reconstruction using cancellous bone chips. In cases where the diameter of the graft is inadequate, the stability of graft fixation and subsequent bone to tendon healing may be compromised. The use of autologous quadrupled hamstring tendon graft is a well-known technique for anterior cruciate ligament reconstruction. Nha, Kyung Wook Shetty, Gautam M Ahn, Jin Hwan Lee, Yong Seuk Chae, Dong Ju Nam, Hyok Woo Lee, Dae Hee
Augmentation of autologous hamstring graft during anterior cruciate ligament reconstruction using the bone chip technique.
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