The blood supplies of 45 unimpinged, human anterior cruciate ligament grafts were studied during the first 2 years of implantation. Grafts were defined as unimpinged by the low signal intensity of the graft observed on a sagittal proton density magnetic resonance scan. Magnetic resonance imaging with the intravenous contrast agent gadolinium diethylenetriamine pentacetic acid was used to evalua...

BACKGROUND Recent years have seen anterior cruciate ligament (ACL) reconstruction being performed in a broad range of patients, regardless of age, sex and occupation, thanks to great advances in surgical techniques, surgical instruments and basic research. In cases of ACL reconstruction, bone-patellar tendon-bone (BTB) graft or hamstring graft are frequency used. However, potential complication...

The purpose of this study was to report the outcome of 'isolated' anterior cruciate ligament (ACL) ruptures treated with anatomical endoscopic reconstruction using hamstring tendon autograft at a mean of 15 years (14.25 to 16.9). A total of 100 consecutive men and 100 consecutive women with 'isolated' ACL rupture underwent four-strand hamstring tendon reconstruction with anteromedial portal fem...

PurposeTo evaluate clinical outcomes of the contralateral, nonoperative limb in patients undergoing contralateral hamstring (HS) autograft harvest compared with ipsilateral HS alone.MethodsThis study included 96 who underwent isolated anterior cruciate ligament reconstruction (ACLR) using 4-stranded (n = 85) or augmented 13) due to inclusion graft diameter <8 mm. Isokinetic flexion and extensio...

BACKGROUND Autogenous Iliac Crest Bone Graft (ICBG) has been the "gold standard" for spinal fusion. However, bone graft harvest may lead to complications, such as chronic pain, numbness, and poor cosmesis. The long-term impact of these complications on patient function and well-being has not been established but is critical in determining the value of expensive bone graft substitutes such as re...

We describe a method for tying a self-locking knot to apply tension to a free tendon end for hamstring graft anterior cruciate ligament reconstruction. This is faster, safer and easier than Whip stitching and is secure enough to feed the graft through bone tunnels. The suture is folded and the tendon is laid on top (Fig 1a). The suture ends are then fed over the tendon and through the loop (Fig...

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