BACKGROUND Graft choice is very controversial. This study compared the second-look evaluation and clinical outcomes of anatomic ACL-R using a thin autograft versus a thick hybrid graft. MATERIAL AND METHODS Sixty-eight patients who had received ACL-R with hamstring autograft or autograft-allograft hybrid graft accepted second-look arthroscopy were grouped (autograft: n=31, age: 32.8±8.9, Male/F...

Trauma to the anterior cruciate ligament (ACL) is a season-ending injury and involves months of activity modification and rehabilitation. The annual incidence of ACL tears in the United States is approximately 200,000, which allows for a broad range of individualized treatment options. Various surgical techniques, including transtibial and independent tunnel drilling, allograft and autograft ti...

PURPOSE Extensive tunnel expansion in hamstring anterior cruciate ligament (ACL) reconstruction can complicate revision surgery. The purpose of this study was to examine our hypothesis that compaction of a bone dowel into the tibial tunnel reduces the cross-sectional area of the tunnel on the day of surgery and limits tunnel expansion to that of the cross-sectional area of the reamer at 4 month...

BACKGROUND There are no controlled, prospective studies comparing the 10-year outcomes of anterior cruciate ligament (ACL) reconstruction using patellar tendon (PT) and 4-strand hamstring tendon (HT) autografts. HYPOTHESIS Comparable results are possible with HT and PT autografts. STUDY DESIGN Cohort study; Level of evidence, 2. METHODS One hundred eighty ACL-deficient knees that met incl...

A 12-year-old child presented to us with an avulsion injury left lower limb 6 hours following road traffic accident. On examination, the patient had avulsion of skin from the anterolateral surface of the thigh and circumferential skin avulsion extending from knee joint to the foot (figure 1). The non-viable avulsed skin was debrided till the fresh bleeding edges were obtained. The avulsed skin ...

Background Medial patella-femoral ligament reconstruction (MPFLR) using hamstring tendon is the main procedure for recurrent patellar instability. The anterior half of the peroneus longus tendon (AHPLT) has been proven to be a useful alternate to the hamstring tendon in knee ligament reconstruction. The purpose of this study was to evaluate the clinical outcome of MPFLR using the new graft. M...

OBJECTIVE The aim of this study was to assess whether harvesting of two hamstring tendons (semitendinosus and gracilis) has the same rate of nerve injury as harvesting of the semitendinosus tendon alone, used as a triple graft. METHODS Changes in sensitivity relating to injury of the infrapatellar branch of the saphenous nerve were evaluated in 110 patients six months after they underwent ant...

Tendon-bone incorporation of a tendon graft within the bone tunnel is a major concern when using a tendon graft for ligament reconstruction. Successful anterior cruciate ligament (ACL) reconstruction with a tendon graft requires solid healing of the tendon graft in the bone tunnels. Improvement of graft healing to bone is crucial to facilitate early and aggressive rehabilitation and a rapid ret...

BACKGROUND Fracture of an ossified Achilles tendon is a rare entity, and no standard treatment has been established. This is the first report to describe the use of a hamstring tendon graft and gastrocnemius fascia flap for Achilles tendon reconstruction. CASE PRESENTATION We present the case of a 50-year-old woman with fracture of an ossified Achilles tendon. She presented to our clinic with...

BACKGROUND Injury to the saphenous vein endothelium during harvest impacts patency after coronary artery bypass graft surgery. Many centers are adopting endoscopic saphenous vein harvest (ESVH) instead of using the traditional open saphenous vein harvest (OSVH) technique. Our objective was to compare the effects of ESVH and OSVH on the structural and functional viability of saphenous vein endot...