Advertisement for orthosearch.org.uk
Orthopaedic Proceedings Logo

Receive monthly Table of Contents alerts from Orthopaedic Proceedings

Comprehensive article alerts can be set up and managed through your account settings

View my account settings

Visit Orthopaedic Proceedings at:

Loading...

Loading...

Full Access

LONG TERM RESULTS OF QUADRUPLE HAMSTRING ACL RECONSTRUCTION



Abstract

We report 97 quadruple hamstring ACLR reconstructed knees with 2 to 9.5 year follow-up. All procedures were arthroscopically assisted. The great majority were performed on an outpatient basis without pain pumps or femoral blocks. A low profile screw and washer was used in all cases as a tibial fixation post. Femoral fixation for most patients was with a single endobutton. The earliest patients in the study had a screw and washer used as a femoral post through a second incision. All patients had subjective and objective ALCR follow-up with modified Noyes, Lisholm and Sane ratings. All patients had KT 1000 tests and X-rays. Hamstring harvest was carried out via a new 1st posterior mini-incision technique developed by the senior author. Eleven year experience with this technique is described.

KT 1000 testing showed 93 patients with 0–3mm, and 4 patients with 4–5mm, side to side differences. No patient had 5mm or more side-to-side difference. There were no known graft failures and no re-operations for repeat ACLR reconstruction. There were no serious complications and there was no significant donor site morbidity. Range of motion was excellent, with no patient having a flexion contracture of as much as 5 degrees. There were no instances of endo-button migration or failure. ACLR ratings were high although some patients had minor pain or swelling with heavy use. Overall the procedure produced excellent stability and function with low morbidity.

Correspondence should be addressed to 8 Martiou Str. Panorama, Thessaloniki PC:55236, Greece.