Ön Çapraz Bağ Yırtıklarının Dört Katlı Otojen Hamstring Tendon Grefti İle Artroskopik Rekonstrüksiyonu

Abstract

Objective: The aim of this study was to determine the results of arthroscopic reconstruction of anterior cruciate ligament with hamstring tendon graft. Method: Thirty-eight patients with a mean age of 27.35 years were analyzed. Functional evaluation was made with Lysholm knee score, IKDC (International Knee Documentation Committee) score, Modified Cincinnati knee score and Tagner Activity score, clinical evaluation was made with stability tests, range of motion of the joint and thigh atropy measurements at the final control (mean 18, range 8 - 28 months). Results: The Lysholm scores were excellent for 27 patients, good for 11 patients and Modified Cincinnati knee scores were excellent for 31 patients, good for 7 patients. The final functional results were significantly better than pre-operative results according to the Lysholm scores, Modified Cincinnati knee scores and Tagner Activity scores. Pre-operative activity results were achieved after operation. The final IKDC scores were significantly better than pre-operative scores. There was not significantly difference between pre-injury and final results. Lachman, Pivot-shift tests were measured as 1 (+) in 8 patients at final control. Compared with the normal side, the thigh circumferences were measured as equal in 24 patients, < 10 mm difference in 10 patients and 10 – 20 mm difference in 4 patients. No flexion or extension losses occurred in the affected knees; mean flexion was measured as 124° (range 115°- 130°). Conclusion: We conclude that arthroscopic reconstructions of anterior cruciate ligament with use of Hamstring tendon autograft which revealed both satisfactory functional results and high personal satisfaction