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Revision ACL reconstruction using contralateral hamstrings

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

Due to the increasing number of primary anterior cruciate ligament (ACL) reconstructions, the need for revision surgery has risen. The aim of this study was to evaluate the use of contralateral doubled semitendinosus and gracilis tendon (DGST) for revision anterior cruciate ligament reconstruction.

Methods

Twelve patients undergoing revision ACL reconstruction with hamstring tendon were examined at an average follow-up of 3 years. All patients underwent a thorough subjective and objective evaluation, which included a KT-1000 arthrometric evaluation, and a radiographic examination.

Results

Subjective evaluation yielded a median score of 5.5 (range 2–9) on the Tegner activity scale. The mean Lysholm score was 95 (SD 9.5), and the mean subjective IKDC 2000 score was 95.4 (SD 7.8). At physical examination, a negative Lachman test was found in ten patients; one patient had a positive Lachman test with a firm end-point, and one other patient had a clearly positive Lachman test. Two patients had a grade 1+ on pivot shift testing. Only 1 patient showed a side-to-side difference more than 5 mm at the maximum manual KT-1000 arthrometer. Three patients (25 %) showed initial signs of osteoarthritis.

Conclusions

The results of the study show that the use of hamstring tendons harvested from the unaffected knee represents a valid option for revision surgery following a failed primary ACL reconstruction using DGST grafts.

Level of evidence

IV.

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Conflict of interest

The authors declare no conflict of interest.

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Authors and Affiliations

  1. Azienda Ospedaliera S. Andrea, Via di Grottarossa, 1035, Rome, Italy

    Andrea Ferretti, Edoardo Monaco, Ludovico Caperna, Tommaso Palma & Fabio Conteduca

  2. Via Lidia 73, 00100, Rome, Italy

    Andrea Ferretti

  3. Via D. Di Boninsegna 22, 00142, Rome, Italy

    Edoardo Monaco

  4. Largo Olgiata 15, 00123, Rome, Italy

    Ludovico Caperna & Tommaso Palma

  5. Via Flaminia 1035, 00100, Rome, Italy

    Fabio Conteduca

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  1. Andrea Ferretti
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  2. Edoardo Monaco
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  3. Ludovico Caperna
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  4. Tommaso Palma
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  5. Fabio Conteduca
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Correspondence to Edoardo Monaco.

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Ferretti, A., Monaco, E., Caperna, L. et al. Revision ACL reconstruction using contralateral hamstrings. Knee Surg Sports Traumatol Arthrosc 21, 690–695 (2013). https://doi.org/10.1007/s00167-012-2039-x

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  • DOI: https://doi.org/10.1007/s00167-012-2039-x

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