Evidence map›Paper›PMID 35755794›Full record

ArticleThe archives of bone and joint surgery2022

Comparative Analysis of Arthroscopic Tight Rope ACL Reconstruction Using four Strand Isolated Semitendinosus Graft and Quadrupled Combined Hamstring Graft.

Ramesh Kumar, Dushyant Chouhan, Amit Narang, Mukesh Kalra, Ranjeet Choudhary, Ankush Kumar

Abstract read
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Article in The archives of bone and joint surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Ramesh KumarDepartment of Orthopaedics, Vardhman Mahavir Medical College, New Delhi.
Dushyant ChouhanDepartment of Orthopedics, Lady Hardinge Medical College, New Delhi.
Amit NarangDepartment of Orthopedics, Lady Hardinge Medical College, New Delhi.
Mukesh KalraDepartment of Orthopedics, Lady Hardinge Medical College, New Delhi.
Ranjeet ChoudharyDepartment of Orthopedics, All India Institute of Medical Sciences, Raipur.
Ankush KumarDepartment of Orthopedics, Lady Hardinge Medical College, New Delhi.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Arthroscopic ACL reconstruction using hamstring autograft is a quite a popular surgical procedure. But there is a conflict regarding the use of isolated semitendinosus graft or a combined hamstring graft. We did a comparative analysis of the functional outcome after ACL reconstruction performed with four strand semitendinosus graft and a combined hamstring graft over tightrope. Methods: Two groups of 30 patients each with similar demographic profiles, presenting with symptoms of instability after chronic ACL tear were included. A standard single bundle arthroscopic ACL reconstruction was performed by using four-strand semitendinosus graft in Group A and combined hamstring graft in Group B patients. Clinical and functional outcome analysis was done using quantitative anterior tibial translation measurement and Lysholm score. Results: The mean age of subjects in group A was 29 years and in Group B was 28 years. The semitendinosus graft length was insufficient in 13.33% cases in group A. The improvement in Lysholm score and the decrease in the tibial translation were comparable in both the groups at one year of follow-up. No added comorbidities were noted in additional removal of gracilis tendon in group B patients. Conclusion: Isolated semitendinosus four-strand autograft can be used for arthroscopic single bundle ACL reconstruction when adequate graft length is obtained. However, one should not be hesitant in additional removal of gracilis tendon when needed. In terms of functional outcome and patient satisfaction, both the graft configurations stand the same.

Indexed as

Combined Hamstring graftFour-strand semitendinosusSingle bundle ACL reconstruction

Identifiers

PMID35755794
PMCPMC9194715

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