• Arch Orthop Trauma Surg · Nov 2006

    Anterior cruciate ligament reconstruction using hamstring tendon graft without detachment of the tibial insertion.

    • M Salman Ali, A Kumar, S Adnaan Ali, and T Hislop.
    • Department of Orthopaedic Surgery, Corbett Hospital, Stourbridge, West Midlands, UK.
    • Arch Orthop Trauma Surg. 2006 Nov 1; 126 (9): 644648644-8.

    IntroductionWe report results of the anterior cruciate ligament reconstruction using a four-strand hamstring graft without detachment of the tibial insertion of the tendons.Material And MethodsIn 74 patients the hamstring graft was fixed using an endobutton on the femoral side and a barbed staple on the tibial side. There were 69 male and 5 female patients. The mean age at the time of operation was 35.1 years (21-53 years). Postoperatively, an accelerated rehabilitation was followed with no protective braces. The mean follow-up period was 64 months (range 48 to 84 months).ResultsAll patients achieved full range of motion with a stable knee joint. The mean side-to-side difference using KT-1000 was 1.43 mm (SD 3.86). The average Lysholm score improved from 42 to 79.2 and the Tegner score improved from 3.4 to 5.9.ConclusionDetachment of hamstring tendons from their tibial insertion is unnecessary and our results with accelerated rehabilitation without protective braces are satisfactory and comparable to other studies.

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