Anatomical single bundle anterior cruciate ligament reconstruction using the hamstring tendon graft to restore knee function in patients with sport injury, falling trauma or road traffic accident

Authors

  • Emad-El-Deen Abd-Elmotalb Orthopedic Surgery Department, Elhelal Health Insurance Hospital, Sohag, Egypt
  • Anis Shiha Orthopedic Surgery Department, Faculty of Medicine, Sohag University, Sohag, Egypt
  • Shazly Mousa Orthopedic Surgery Department, Faculty of Medicine, Sohag University, Sohag, Egypt
  • Abd-El-Rahman Hafez Orthopedic Surgery Department, Faculty of Medicine, Sohag University, Sohag, Egypt
  • Ahmed Fawaz Orthopedic Surgery Department, Faculty of Medicine, Sohag University, Sohag, Egypt
  • Mohamed Ali Orthopedic Surgery Department, Faculty of Medicine, Sohag University, Sohag, Egypt
  • Moustafa Elsayed Orthopedic Surgery Department, Faculty of Medicine, Sohag University, Sohag, Egypt
DOI: https://doi.org/10.6018/sportk.580691
Keywords: Anterior Cruciate Ligament (ACL), Knee Arthroscopy, Knee Injury, Hamstring Tendon Graft

Abstract

The purpose of this study was to evaluate the effect of anatomic single bundle ACL reconstruction using the hamstring tendon to restore knee function in patients with anterior cruciate ligament (ACL) injury. This was a prospective study with 30 patients (3 women and 27 men, aged 20-40 years) who underwent the arthroscopic single bundle ACL reconstruction using semi-tendinosus and gracilis autograft fixed with an interference screw with anatomical femoral tunnel placement at the Orthopaedic Surgery Department of Sohag University Hospital. All patients were followed up at 2 weeks, 6 weeks, 3 months and 6 months to assess their progress in the rehabilitation program and to address any complications. They were examined preoperatively for knee stability and associated injuries (i.e., meniscal injury), knee X-ray and MRI. All patients were assessed using the Lysholm score, the IKDC score, the Lachman score, and the pivot shift score preoperatively and six months postoperatively, and the results were compared. For data analysis, we used the Statistical Program for the Social Sciences (SPSS). Our study showed highly statistically significant differences between the preoperative and postoperative Lysholm scores, the IKDC score, the Lachman score, and the pivot shift score in favor of the postoperative scores (p < 0.001**). Anatomic single bundle ACL reconstruction using the hamstring tendon is an effective technique for restoring knee function and in patients with deficient ACL.

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References

Beynnon, B. D., Johnson, R. J., Abate, J. A., Fleming, B. C., & Nichols, C. E. (2005). Treatment of anterior cruciate ligament injuries, part 2. The American Journal of Sports Medicine, 33(11), 1751–1767. https://doi.org/10.1177/0363546505279922

Demirağ, B., Ermutlu, C., Aydemir, F., & Durak, K. (2012). A comparison of clinical outcome of augmentation and standard reconstruction techniques for partial anterior cruciate ligament tears. Joint Diseases & Related Surgery, 23(3), 140–144.

Guglielmetti, L. G., Cury, R., de Oliveira, V. M., de Camargo, O. P., Severino, N. R., & Fucs, P. M. (2014). Anterior cruciate ligament reconstruction: a new cortical suspension device for femoral fixation with transtibial and transportal techniques. Journal of Orthopaedic Surgery and Research, 9, 110. https://doi.org/10.1186/s13018-014-0110-7

Herbort, M., Lenschow, S., Fu, F. H., Petersen, W., & Zantop, T. (2010). ACL mismatch reconstructions: influence of different tunnel placement strategies in single-bundle ACL reconstructions on the knee kinematics. Knee Surgery, Sports Traumatology, Arthroscopy, 18(11), 1551–1558. https://doi.org/10.1007/s00167-010-1163-8

Hussin, E. A., Aldaheri, A., Alharbi, H., & Farouk, H. A. (2018). Modified transtibial versus anteromedial portal techniques for anterior cruciate ligament reconstruction, a comparative study. Open Access Journal of Sports Medicine, 9, 199–213. https://doi.org/10.2147/OAJSM.S157729

Inácio, A. M., Lopes Júnior, O. V., Kuhn, A., Saggin, J. I., Fernandes Saggin, P. R., de Freitas Spinelli, L., & de Castro, D. M. (2014). Reconstruction of the anterior cruciate ligament by means of an anteromedial portal and femoral fixation using Rigidfix. Revista Brasileira de Ortopedia, 49(6), 619–624. https://doi.org/10.1016/j.rboe.2014.10.004

Kim, H. S., Seon, J. K., & Jo, A. R. (2013). Current trends in anterior cruciate ligament reconstruction. Knee Surgery & Related Research, 25(4), 165–173. https://doi.org/10.5792/ksrr.2013.25.4.165

Kim, M. K., Lee, B. C., & Park, J. H. (2011). Anatomic single bundle anterior cruciate ligament reconstruction by the two anteromedial portal method: the comparison of transportal and transtibial techniques. Knee Surgery & Related Research, 23(4), 213–219. https://doi.org/10.5792/ksrr.2011.23.4.213

Kopf, S., Forsythe, B., Wong, A. K., Tashman, S., Anderst, W., Irrgang, J. J., & Fu, F. H. (2010). Nonanatomic tunnel position in traditional transtibial single-bundle anterior cruciate ligament reconstruction evaluated by three-dimensional computed tomography. The Journal of Bone and Joint Surgery, 92(6), 1427–1431. https://doi.org/10.2106/JBJS.I.00655

Kumar, C., Gupta, A. K., Singh, S. K., & Jain, R. (2017). Transportal Anterior Cruciate Ligament Reconstruction with Quadrupled Hamstring Tendon Graft: A Prospective Outcome Study. Indian Journal of Orthopaedics, 51(5), 600–605. https://doi.org/10.4103/ortho.IJOrtho_57_17

Lim, H. C., Yoon, Y. C., Wang, J. H., & Bae, J. H. (2012). Anatomical versus non-anatomical single bundle anterior cruciate ligament reconstruction: a cadaveric study of comparison of knee stability. Clinics in Orthopedic Surgery, 4(4), 249–255. https://doi.org/10.4055/cios.2012.4.4.249

Loh, J. C., Fukuda, Y., Tsuda, E., Steadman, R. J., Fu, F. H., & Woo, S. L. (2003). Knee stability and graft function following anterior cruciate ligament reconstruction: Comparison between 11 o'clock and 10 o'clock femoral tunnel placement. The Journal of Arthroscopic & Related Surgery, 19(3), 297–304. https://doi.org/10.1053/jars.2003.50084

Loucas, M., Loucas, R., D'Ambrosi, R., & Hantes, M. E. (2021). Clinical and Radiological Outcomes of Anteromedial Portal Versus Transtibial Technique in ACL Reconstruction: A Systematic Review. Orthopaedic Journal of Sports Medicine, 9(7), 23259671211024591. https://doi.org/10.1177/23259671211024591

Mall, N. A., Chalmers, P. N., Moric, M., Tanaka, M. J., Cole, B. J., Bach, B. R., Jr, & Paletta, G. A., Jr (2014). Incidence and trends of anterior cruciate ligament reconstruction in the United States. The American Journal of Sports Medicine, 42(10), 2363–2370. https://doi.org/10.1177/0363546514542796

Marcacci, M., Molgora, A. P., Zaffagnini, S., Vascellari, A., Iacono, F., & Presti, M. L. (2003). Anatomic double-bundle anterior cruciate ligament reconstruction with hamstrings. The Journal of Arthroscopic & Related Surgery, 19(5), 540–546. https://doi.org/10.1053/jars.2003.50129

Rezazadeh, S., Ettehadi, H., & Vosoughi, A. R. (2016). Outcome of arthroscopic single-bundle anterior cruciate ligament reconstruction: anteromedial portal technique versus transtibial drilling technique. Musculoskeletal Surgery, 100(1), 37–41. https://doi.org/10.1007/s12306-015-0392-x

Robin, B. N., & Lubowitz, J. H. (2014). Disadvantages and advantages of transtibial technique for creating the anterior cruciate ligament femoral socket. The Journal of Knee Surgery, 27(5), 327–330. https://doi.org/10.1055/s-0034-1382812

Sastre, S., Popescu, D., Núñez, M., Pomes, J., Tomas, X., & Peidro, L. (2010). Double-bundle versus single-bundle ACL reconstruction using the horizontal femoral position: a prospective, randomized study. Knee Surgery, Sports Traumatology, Arthroscopy, 18(1), 32–36. https://doi.org/10.1007/s00167-009-0844-7

Shaikh, S. A., Ahmed, N., Adil, S., & Jamali, A. R. (2020). A prospective evaluation of clinical and functional outcome of single bundle anatomic anterior cruciate ligament reconstruction with hamstrings autograft. The Journal of the Pakistan Medical Association, 70(12B), 2476–2480. https://doi.org/10.47391/JPMA.678

Sun, L., Zhao, J., Shen, J., Du, B., & Yuan, B. (2013). Anatomic single-bundle anterior cruciate ligament reconstruction in Asian population. ANZ Journal of Surgery, 83(4), 262–267. https://doi.org/10.1111/j.1445-2197.2012.0

Published
08-08-2023
How to Cite
Abd-Elmotalb, E.-E.-D. ., Shiha, A. ., Mousa, S. ., Hafez, A.-E.-R. ., Fawaz, A. ., Ali, M. ., & Elsayed, M. . (2023). Anatomical single bundle anterior cruciate ligament reconstruction using the hamstring tendon graft to restore knee function in patients with sport injury, falling trauma or road traffic accident. SPORT TK-EuroAmerican Journal of Sport Sciences, 12, 12. https://doi.org/10.6018/sportk.580691
Issue
Vol 12 (2023): Supplement 3
Section
Articles

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The works and papers that are published in this Journal are subject to the following terms:

1. The Publication Service of the University of Murcia (the publisher) has the Publication Rights (Copyright) to the published papers and works, and favors and permits the reusing of the same under the license indicated in point 2.

© Servicio de Publicaciones, Universidad de Murcia, 2013

2. The papers and works are to be published in the digital edition of the Journal under the license Creative Commons Reconocimiento-No Comercial-Sin Obra Derivada 3.0 España (legal text). The copying, using, spreading, transmitting and publicly displaying of the papers, works or publication are permitted as long as: i) the authors and original sources (Journal, publisher and URL of the publication) are quoted; ii) it is not used for commercial benefit; iii) the existence and specifications of this users license are mentioned.

3. Conditions of Self-Archiving. It is permitted and encouraged that the authors spread electronically the pre-print (before printing) and/or post-print (the revised, evaluated and accepted) versions of their papers or works before their publication since this favors their circulation and early diffusion and therefore can help increase their citation and quotation, and also there reach through the academic community.