Study of outcomes after reconstruction of knee’s anterior cruciate ligament (ACL) using Hamstring-tendon autografts from Septamber 2010 to March 2012: 64 cases

Mostaffa  Shahrezayee; Farzan  Hashemi; Seyed Reza  Sharifzadeh; Ehsan  Fallah; Fatemeh  Khodabandehloo

Annals of Military and Health Sciences Research

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Study of outcomes after reconstruction of knee’s anterior cruciate ligament (ACL) using Hamstring-tendon autografts from Septamber 2010 to March 2012: 64 cases

Author(s):

Mostaffa Shahrezayee¹,

Farzan Hashemi^2,*,

Seyed Reza Sharifzadeh³,

Ehsan Fallah³,

Fatemeh Khodabandehloo²

1- Assistant Professor, Department of Orthopedic, AJA University of Medical Sciences, Tehran, Iran, Andorra

2Researcher, AJA University of Medical Sciences, Tehran, Iran, Andorra

3Assistant Professor, Department of Orthopedic, AJA University of Medical Sciences, Tehran, Iran, Andorra

Annals of Military and Health Sciences Research:Vol. 11, issue 3; e65093

Published online:Sep 18, 2013

Article type:Research Article

Received:Apr 28, 2013

Accepted:Aug 18, 2013

How to Cite:Mostaffa ShahrezayeeFarzan HashemiSeyed Reza SharifzadehEhsan Fallah Fatemeh KhodabandehlooStudy of outcomes after reconstruction of knee’s anterior cruciate ligament (ACL) using Hamstring-tendon autografts from Septamber 2010 to March 2012: 64 cases.Ann Mil Health Sci Res.11(3):e65093.

Abstract

Background: The aim of this study was to assess the outcomes after reconstruction of knee’s anterior cruciat ligament (ACL) using Hamstring-tendon autografts. Materials and Methods: In this descriptive study from Septamber 2010 to March 2012, 64 (62 Male and 2 Female) patients from Fajr and 501 hospitals of Iranian military hospitals were included. Pre- and postoperative conditions were similar and one surgeon performed all operations. Patient’s data were collected with blanks and objective assessments to case-series forms was filled at pre- and postoperation. Visits performed at 3, 6 month and 1 year after surgery. Assessments were included: time from trauma to surgery, accompanied traumas with subjective and objective features. Results: Time-average of trauma to surgery was 9. 3 (range: 3 weeks-18 month). Meniscal injury was existed in 45 patients (70.31%) that was higher than the similar studies. Accompanying condral injury was in 27 patients (42.18%). 80% of patients were returned to the pre-injury functional levels. Postoperative static laxity with Lachman test in 50 patients(78. 12%) was8mm with hard end point and only in 2 patients(3. 12%) was >10mm with soft end point. At the last postoperative visit, 59 patients (92.18%) do not have any pain in operated knee. Preoperative giving way was in all of patients but postoperative giving way was seen only in 2 (3.12%). None of patients did not have any limitation in extension but limitation in flexion was existed only in 3 (4.68%) and it was less than 25 degree. There was no case of graft rupture. Conclusion: Hamstring-tendon autografts in ACL-reconstraction was along with increasing laxity in womens and young people but it has little donor site morbidity.

Keywords

Anterior Cruciate Ligament

Tissue Grafts

Tendons

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