Augmentation technique with semitendinosus and gracilis tendons in chronic partial lesions of the ACL: Clinical and arthrometric analysis

Roberto Buda, Alberto Ferruzzi, Francesca Vannini, Lisa Zambelli, Francesco Di Caprio

Research output: Contribution to journalArticlepeer-review

Abstract

Most of the techniques described in the literature for the repair of chronic partial ACL tears, don't spare the intact portion of the ligament. The aim of this study was to perform a prospective analysis of the results of augmentation surgery using gracilis and semitendinosus tendons to treat partial sub-acute lesions of the ACL. This technique involves an "over the top" femoral passage, which enables salvage and strengthening of the intact portion of the ACL. The study included 47 patients treated consecutively at our institute from 1993 to 1998, with a mean injury-surgery interval of 18 weeks (range 12-36). The patients were followed up by clinical and instrumental assessment criteria at 3 months, 1 and 5 years after surgery. Clinical assessment was performed using the IKDC form. Subjective and functional parameters were assessed by the Tegner activity scale. Instrumental evaluation was done using the KT-2000 instrument: the 30-pound passive test and the manual maximum displacement test were performed. We obtained good or excellent results in 95.7% of cases. No recurrences in ligamentous laxity were observed. We believe that the described technique has the advantage of being compatible with ACL anatomy, and enables very rapid functional recovery.

Original languageEnglish
Pages (from-to)1101-1107
Number of pages7
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume14
Issue number11
DOIs
Publication statusPublished - Nov 2006

Keywords

  • Anterior cruciate ligament
  • Hamstring
  • Over the top
  • Partial rupture

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Surgery

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