L'innesto con semitendinoso e gracile nell'instabilita anterolaterale cronica: Risultati con follow-up minimo di cinque anni

Translated title of the contribution: The semitendinosus and gracilis tendons as replacement for chronic antero-lateral instability: Results with a minimum five years follow-up

R. Buda, E. Verni, M. Guzzardella, E. Montanari, S. Giannini

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background. This article describes the results of replacement of the anterior cruciate ligament using the semitendinosus and gracilis tendons. The evaluation after five years shows the advantages and the morbidity within this technique. Methods, 46 consecutive ACL reconstructions were performed. The author describes the operative technique and the rehabilitation protocol. The pre-injury sports activities were collected and grouped into categories on the basis of the demands in terms of knee stability. Clinical evaluation was conducted according to the International Knee Documentation Committee guidelines. Return to sport was analysed. Results. After a minimum five-year follow-up there were 80,5% normal or nearly normal knees in the IKDC evaluation. Overall outcome was not age or sex dependent. Subjective result was good in thirty six patients. No problem was found to the extensor knee mechanism. A second surgery for removal of painful prominent hardware was required. Thirteen athletes reduced their level of sports activity and four could not return to sport because of knee-related change. Conclusions. The semitendinosus and gracilis tendons autografts offer several advantages for reconstruction of antero-lateral instability over the central third of the patellar tendon. The hamstring replacement provides a large surface area of revascularization, a precise positioning, and an easy tensioning. The fast knee motion recovery allows this surgical procedure as the first choice for a torn ACL reconstruction in the middle aged patient (over forty years). A careful patient selection accomplishes good results. On the bases of this study it is author's opinion that ACL replacement with doubled semitendinosus and gracilis tendons can reduce the incidence of failed return to sport.

Original languageItalian
Pages (from-to)49-54
Number of pages6
JournalMedicina dello Sport
Volume53
Issue number1
Publication statusPublished - Mar 2000

Fingerprint

Knee
Patellar Ligament
Athletic Injuries
Anterior Cruciate Ligament
Autografts
Athletes
Documentation
Patient Selection
Sports
Hamstring Tendons
Rehabilitation
Guidelines
Morbidity
Incidence
Return to Sport

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Public Health, Environmental and Occupational Health
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

L'innesto con semitendinoso e gracile nell'instabilita anterolaterale cronica : Risultati con follow-up minimo di cinque anni. / Buda, R.; Verni, E.; Guzzardella, M.; Montanari, E.; Giannini, S.

In: Medicina dello Sport, Vol. 53, No. 1, 03.2000, p. 49-54.

Research output: Contribution to journalArticle

Buda, R. ; Verni, E. ; Guzzardella, M. ; Montanari, E. ; Giannini, S. / L'innesto con semitendinoso e gracile nell'instabilita anterolaterale cronica : Risultati con follow-up minimo di cinque anni. In: Medicina dello Sport. 2000 ; Vol. 53, No. 1. pp. 49-54.
@article{08e8137c22d641eaa2c19834681540da,
title = "L'innesto con semitendinoso e gracile nell'instabilita anterolaterale cronica: Risultati con follow-up minimo di cinque anni",
abstract = "Background. This article describes the results of replacement of the anterior cruciate ligament using the semitendinosus and gracilis tendons. The evaluation after five years shows the advantages and the morbidity within this technique. Methods, 46 consecutive ACL reconstructions were performed. The author describes the operative technique and the rehabilitation protocol. The pre-injury sports activities were collected and grouped into categories on the basis of the demands in terms of knee stability. Clinical evaluation was conducted according to the International Knee Documentation Committee guidelines. Return to sport was analysed. Results. After a minimum five-year follow-up there were 80,5{\%} normal or nearly normal knees in the IKDC evaluation. Overall outcome was not age or sex dependent. Subjective result was good in thirty six patients. No problem was found to the extensor knee mechanism. A second surgery for removal of painful prominent hardware was required. Thirteen athletes reduced their level of sports activity and four could not return to sport because of knee-related change. Conclusions. The semitendinosus and gracilis tendons autografts offer several advantages for reconstruction of antero-lateral instability over the central third of the patellar tendon. The hamstring replacement provides a large surface area of revascularization, a precise positioning, and an easy tensioning. The fast knee motion recovery allows this surgical procedure as the first choice for a torn ACL reconstruction in the middle aged patient (over forty years). A careful patient selection accomplishes good results. On the bases of this study it is author's opinion that ACL replacement with doubled semitendinosus and gracilis tendons can reduce the incidence of failed return to sport.",
keywords = "Anterior cruciate ligament, Antero-lateral chronic instability, Semitendinosus and gracilis autografts",
author = "R. Buda and E. Verni and M. Guzzardella and E. Montanari and S. Giannini",
year = "2000",
month = "3",
language = "Italian",
volume = "53",
pages = "49--54",
journal = "Medicina dello Sport",
issn = "0025-7826",
publisher = "Edizioni Minerva Medica S.p.A.",
number = "1",

}

TY - JOUR

T1 - L'innesto con semitendinoso e gracile nell'instabilita anterolaterale cronica

T2 - Risultati con follow-up minimo di cinque anni

AU - Buda, R.

AU - Verni, E.

AU - Guzzardella, M.

AU - Montanari, E.

AU - Giannini, S.

PY - 2000/3

Y1 - 2000/3

N2 - Background. This article describes the results of replacement of the anterior cruciate ligament using the semitendinosus and gracilis tendons. The evaluation after five years shows the advantages and the morbidity within this technique. Methods, 46 consecutive ACL reconstructions were performed. The author describes the operative technique and the rehabilitation protocol. The pre-injury sports activities were collected and grouped into categories on the basis of the demands in terms of knee stability. Clinical evaluation was conducted according to the International Knee Documentation Committee guidelines. Return to sport was analysed. Results. After a minimum five-year follow-up there were 80,5% normal or nearly normal knees in the IKDC evaluation. Overall outcome was not age or sex dependent. Subjective result was good in thirty six patients. No problem was found to the extensor knee mechanism. A second surgery for removal of painful prominent hardware was required. Thirteen athletes reduced their level of sports activity and four could not return to sport because of knee-related change. Conclusions. The semitendinosus and gracilis tendons autografts offer several advantages for reconstruction of antero-lateral instability over the central third of the patellar tendon. The hamstring replacement provides a large surface area of revascularization, a precise positioning, and an easy tensioning. The fast knee motion recovery allows this surgical procedure as the first choice for a torn ACL reconstruction in the middle aged patient (over forty years). A careful patient selection accomplishes good results. On the bases of this study it is author's opinion that ACL replacement with doubled semitendinosus and gracilis tendons can reduce the incidence of failed return to sport.

AB - Background. This article describes the results of replacement of the anterior cruciate ligament using the semitendinosus and gracilis tendons. The evaluation after five years shows the advantages and the morbidity within this technique. Methods, 46 consecutive ACL reconstructions were performed. The author describes the operative technique and the rehabilitation protocol. The pre-injury sports activities were collected and grouped into categories on the basis of the demands in terms of knee stability. Clinical evaluation was conducted according to the International Knee Documentation Committee guidelines. Return to sport was analysed. Results. After a minimum five-year follow-up there were 80,5% normal or nearly normal knees in the IKDC evaluation. Overall outcome was not age or sex dependent. Subjective result was good in thirty six patients. No problem was found to the extensor knee mechanism. A second surgery for removal of painful prominent hardware was required. Thirteen athletes reduced their level of sports activity and four could not return to sport because of knee-related change. Conclusions. The semitendinosus and gracilis tendons autografts offer several advantages for reconstruction of antero-lateral instability over the central third of the patellar tendon. The hamstring replacement provides a large surface area of revascularization, a precise positioning, and an easy tensioning. The fast knee motion recovery allows this surgical procedure as the first choice for a torn ACL reconstruction in the middle aged patient (over forty years). A careful patient selection accomplishes good results. On the bases of this study it is author's opinion that ACL replacement with doubled semitendinosus and gracilis tendons can reduce the incidence of failed return to sport.

KW - Anterior cruciate ligament

KW - Antero-lateral chronic instability

KW - Semitendinosus and gracilis autografts

UR - http://www.scopus.com/inward/record.url?scp=0034129666&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034129666&partnerID=8YFLogxK

M3 - Articolo

AN - SCOPUS:0034129666

VL - 53

SP - 49

EP - 54

JO - Medicina dello Sport

JF - Medicina dello Sport

SN - 0025-7826

IS - 1

ER -