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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2011 October;62(5):337-40
Anterior cruciate ligament reconstruction using a hamstring tendon graft with proximal suspension button fixation
Pascale W. 1, Pascale V. 2, Lavazza M. 1
1 Arthroscopic and Knee Surgery II, IRCCS Galeazzi, Milan, Italy;
2 Orthopedic Clinical Orthopedics, IRCCS Galeazzi, Milan, Italy
AIM:Aim of this study is to evaluate arthroscopic anterior cruciate ligament (ACL) reconstruction using quadrupled hamstring tendons stabilized with a distal absorbable interference screw and a proximal suspension button device.
METHODS: This non-randomized prospective case series included 689 patients who underwent arthroscopic ACL reconstruction between March, 2007 and April, 2009. Follow-up visits were made at 3, 6, 12 and 24 months. Lysholm Knee Scale, International Knee Documentation Committee (IKDC) ratings and KT-1000 arthrometric evaluations were recorded for each patient. The operated knee was evaluated in comparison with the contralateral (healthy) knee.
RESULTS: The mean values at 24 months were: Lysholm Knee Score 93 points (range 90-97); IKDC 91 points (range 90-96). Arthrometric measurement at 134 N showed a mean anterior translation of 1.9 mm (range 0-4 mm), compared with the contralateral knee.
CONCLUSION:Our results show good to excellent outcomes in patients who underwent ACL surgery with quadrupled hamstring tendon graft. This proximal fixation method should be considered a valid alternative in ACL surgery.