Arthroscopic intra and extra articular ACL reconstruction with gracilis and semitendinosus tendons with early resumption of sport. Results at minimum two years follow-up

M. Marcacci, S. Zaffagnini, I. Loreti, F. Iacono, M. P. Neri

Research output: Contribution to journalArticle

Abstract

The purpose of this study was to evaluate the results at minimum 2 years follow-up of our original hamstrings technique, with intra and extra articular ACL plasty, followed by an aggressive rehabilitation program. Forty young sports practising patients were prospectively selected. IKDC score, Lysholm scale score as well as KT 2000 and isokinetic tests with a Lido machine (Lido CA) were used for patient evaluation. Ninety percent of the patients had a negative Lachman test and 85% experienced no pivot shift. Valgus rotation was 1 + in 22.5% of the cases. KT 2000 evaluation showed a similar trend in the three tests performed, with an average injured/uninjured difference of 2.1 mm. The results confirm our original hamstrings technique efficacy and its low morbidity. Patients with residual valgus laxity in relation to partial MCL tears had significantly higher KT parameters and consequently less favourable outcome. An aggressive rehabilitation reduces sensitively the sport recovery time without affecting knee stability.

Original languageEnglish
Pages (from-to)25-32
Number of pages8
JournalKnee
Volume6
Issue number1
DOIs
Publication statusPublished - Jan 1 1999

Keywords

  • ACL
  • Arthroscopy
  • Hamstrings
  • Knee
  • Ligaments

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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