We compared the outcome of anterior cruciate ligament reconstruction using hamstring tendon autograft with outcome using patellar tendon autograft at 2 years after surgery. Patients had an isolated anterior cruciate ligament injury and, apart from the grafts, the arthroscopic surgical technique was identical. Prospective assessment was performed on 90 patients with isolated anterior cruciate li...

Introduction: Over 200,000 anterior cruciate ligament reconstructions (ACLR) are performed in the United States yearly, making it one of the most common orthopedic procedures. Graft choices for ACLR include both autograft and allograft tendons. The most popular autograft choices are the bone-patellar tendon-bone (BPTB) and hamstring (HS) tendons. While the BPTB has long been considered “the gol...

BACKGROUND Anterior cruciate ligament (ACL) reconstruction with hamstring autografts less than 8.5 mm in diameter is associated with worse patient-reported outcome scores and increased risk of revision surgery compared with reconstructions performed with larger grafts. One proposed solution to small autograft harvest is to create a hybrid graft by augmenting autografts with allograft tissue to ...

Background Quadrupled (4-strand) hamstring tendon autografts are commonly used in anterior cruciate ligament (ACL) reconstruction, but there is significant variability in their diameter. The 5-strand hamstring autograft has been used as a means of increasing the graft diameter in patients with undersized hamstring grafts. Purpose To report the outcomes of primary ACL reconstruction using 5-st...

Advances in surgical technique and rehabilitation have resulted in marked improvement in the outcome of anterior cruciate ligament (ACL) reconstruction over the past 10 years. Most recent series approach a 90% success rate in terms of restoration of knee stability, patient satisfaction, and return to full athletic activity.1 The optimal graft material remains controversial, regardless of the gr...

BACKGROUND Anterior cruciate ligament (ACL) reconstruction, using hamstring auto-graft is a common surgical procedure, which often leads to persistent hamstring muscle-strength deficiency and reduced function. The purpose of this randomized controlled trial (RCT) is to investigate the effect of a combined, progressive, strength and neuromuscular exercise intervention on knee muscle strength, fu...

PURPOSE The aim of the present study was to compare primary stability in ACL reconstruction and ultimate load to failure of a mesh augmented hamstring tendon graft fixed with two cross pins to established hamstrings and bone-patellar-tendon-bone (BTB) graft fixation methods. METHODS Forty fresh porcine femora were divided into four groups: (A): BTB graft fixed with two RigidFix® pins, (B): ha...

Clinically significant laxity occurs in 10%-30% of knees after anterior cruciate ligament reconstruction. Graft slippage and tension loss at the hamstring graft tibial fixation site during and after reconstruction surgery contribute to postoperative joint laxity and are detrimental to long-term knee stability and graft properties. Limiting graft slippage will reduce associated complications. We...