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Comparative Results Of Anterior Cruciate Ligament Reconstruction With Full Tibial Tunnel: Quadrupled Semitendinosus Suspensory Femoral And Tibial Fixation Versus Quadrupled Semitendinosus and Gracilis Suspensory Femoral and Tibial Screw & Staple Fixation

2023 Congress Paper Abstracts
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Comparative Results Of Anterior Cruciate Ligament Reconstruction With Full Tibial Tunnel: Quadrupled Semitendinosus Suspensory Femoral And Tibial Fixation Versus Quadrupled Semitendinosus and Gracilis Suspensory Femoral and Tibial Screw & Staple Fixation

Mahir Mahirogullari, MD, Prof., TURKEY Lokman Kehribar, MD, TURKEY Serkan Surucu, MD, UNITED STATES M. Enes Kayaalp, MD, Assoc. Prof., TURKEY Ali Kerim Yılmaz, PhD, TURKEY Mahmud Aydın, MD, TURKEY

Memorial Health Group Sisli Memorial Hospital, Istanbul , TURKEY


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Anatomic Location

Anatomic Structure

Diagnosis / Condition

Ligaments

ACL

Patient Populations

Diagnosis Method

Sports Medicine


Summary: ACl reconstruction can be done by using single hamstring and suspensory adjustable bigger button without using retrodrill


ntroduction
This study compared the clinical outcomes of patients treated with described “modified all-inside” anterior cruciate ligament reconstruction (ACLR) technique with those of patients treated with suspensory femoral fixation and a bioabsorbable tibial interference screw with the ACLR technique.

Material And Methods

This study comprised 98 patients who underwent ACLR surgery by two surgeons using one of the two procedures between 2017 and 2019. Patients in Group 1 were treated with the “modified all-inside” ACLR technique. Only the semitendinosus tendon was harvested as a 4 quadrupled graft and fixed to the tibia and femur with suspensory buttons in this technique. ACL reconstruction was performed in Group 2 patients using suspensory femoral fixation and bioabsorbable tibial interference screws. Patients’ functional outcomes were evaluated by the Lysholm score, Tegner activity scale, and International Knee Documentation Committee (IKDC) subjective score. Postoperative knee stability of the patients was evaluated using the Lachman test and the pivot shift test.

Results

The mean ages of the patients were 31.1 (16–55) and 28.7 (18–48) years in Group 1 and 2, respectively. The mean durations of follow-up for both groups were 26 (20-30) and 25.9 (22-30) months. There was no significant difference between the preoperative and postoperative Lysholm score, Tegner activity score, and IKDC subjective score of Group 1 and Group 2. There were no major complications or re-ruptures in either group.

Conclusions

ACLR with the "modified all-inside" ACL reconstruction technique yielded equivalent clinical outcomes to ACLR using a suspensory femoral fixation and a bioabsorbable tibial interference screw.


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