conclusions simultaneous arthroscopic acl and pcl reconstructions using hamstring tendon for combined acl and pcl injuries is a clinically effective, safe, time saving and cost-effective procedure with better patient compliance and reproducible for a timely return of motion, strength, and function with favorable outcome. background multiligamentous injuries of knee are a complex problem in orth...

BACKGROUND Anterior cruciate ligament reconstruction is commonly performed with autogenous hamstring tendon grafts. PURPOSE To ascertain the effects of braiding on ultimate tensile strength and stiffness of hamstring tendon graft. STUDY DESIGN Controlled laboratory study. METHODS Sixteen fresh-frozen semitendinosus and gracilis tendons were harvested from eight matched (right and left) hu...

BACKGROUND It is now well documented that women are more likely to suffer anterior cruciate ligament injuries than are men. A few studies have examined gender differences in the outcome of anterior cruciate ligament reconstruction with patellar tendon graft and hamstring tendon with EndoButton fixation, but no well-controlled studies have specifically compared men and women after anterior cruci...

The aim of our review is to identify the reconstruction technique that has a superior functional outcome and decreased number of complications for the anterior cruciate ligament (ACL). We have divided our review into 2 sections. Our primary question evaluates the functional results and complications of autografts compared to allografts for ACL reconstruction. Our subsidiary question evaluates t...

Much controversy exists regarding the potential advantages and disadvantages of various graft choices for anterior cruciate ligament reconstruction. Advocates of hamstring autografts often cite the limited apparent morbidity associated with semitendinosus or semitendinosus and gracilis harvest, including evidence that hamstring tendons may regenerate after harvest. In this article, we attempt t...

The hamstring tendons are an increasingly popular graft choice for anterior cruciate ligament reconstruction due to preservation of quadriceps function and the absence of anterior knee pain post-operatively. Two commonly used hamstring grafts are a quadruple strand semitendinosus graft (4ST) and a double strand semitendinosus-double strand gracilis graft (2ST-2G). It has been suggested that con...

Several anatomical anterior cruciate ligament (ACL) reconstruction techniques have been proposed to restore normal joint kinematics. However, the relative superiorities of these techniques with one another and traditional single-bundle reconstructions are unclear. Kinematic responses of five previously reported reconstruction techniques (single-bundle reconstruction using a bone-patellar tendon...

BACKGROUND Tibial fixation is more problematic than femoral fixation in anterior cruciate ligament reconstruction. HYPOTHESIS There is no difference in initial fixation strength among hamstring tendon graft tibial fixation devices. STUDY DESIGN Randomized experimental study. METHODS Each of six devices used to fix 120 quadrupled human semitendinosus-gracilis tendon grafts into porcine tib...

An injury to the ACL can result in significant functional impairment. It has been estimated that more than 100,000 new ACL injuries occur each year. Surgeons employ numerous techniques for reconstruction of the ACL. Of critical importance is the source of the graft to replace the damaged ACL. The graft choices include autografts (the patient's own tissue), allografts (donor tendon), and synthet...