Anterior Cruciate Ligament Reconstruction with a Four-Strand Single Semitendinosus Tendon Autograft

반건양건 단일 4가닥을 이용한 전방십자인대 재건술

  • Kyung, Hee-Soo (Department of Orthopedic Surgery, School of Medicine, Kyungpook National University) ;
  • Kim, Tae-Gong (Department of Orthopedic Surgery, School of Medicine, Kyungpook National University) ;
  • Oh, Chang-Wug (Department of Orthopedic Surgery, School of Medicine, Kyungpook National University) ;
  • Yoon, Sang-Hyup (Department of Orthopedic Surgery, School of Medicine, Kyungpook National University)
  • 경희수 (경북대학교 의학전문대학원 정형외과학교실) ;
  • 김태공 (경북대학교 의학전문대학원 정형외과학교실) ;
  • 오창욱 (경북대학교 의학전문대학원 정형외과학교실) ;
  • 윤상협 (경북대학교 의학전문대학원 정형외과학교실)
  • Published : 2009.06.30

Abstract

Purpose: The purpose of this study was to evaluate the result of anterior cruciate ligament (ACL) reconstruction using a fourstrand single semitendinous tendon to decrease the donor site morbidity due to harvest both semitendinosus and gracilis tendon. Materials and Methods: Thirty seven consecutive patients who had underwent ACL reconstruction using four-strand single semitendinosus tendon were evaluated. Mean age was 28.6 years old. Male was 34, female 3 patients. Time from injury to surgery was 5.4 months. Combined injuries were 10 meniscus injuries, 3 medial collateral ligament injuries and 1 osteochondral injury. Mean follow-up period was 16 months(12~18 months). Clinical evaluation was done using range of motion, Lachman test, pivot-shift test, Lysholm score & KT-2000 arthrometer. Results: All patients showed the normal range of motion of mean 150..at follow-up. Lachman test and pivot-shift test was negative in 35 cases. Lysholm score was improve from 84 to 92. Two cases had residual laxity due to poor compliance. Mean anterior translation compared to contralateral side by KT-2000 arthrometer improved from 6.7 mm preoperatively to 2.1 mm at follow-up. Conclusion: Reconstruction of the anterior cruciate ligament with use of a four-strand single semitendinosus tendon autograft showed good clinical results.