Early period results of arthroscopic anterior cruciate ligament reconstruction with quadrupled hamstring autograft

Abstract Aim. In recent years there has been an increase in the tendency to use autograft in anterior knee reconstruction. Quadrupled hamstring tendons are known to be the hardest and the most powerful grafts. This study aims to report the first two year results of anterior knee reconstructions performed with proximal femoral transfix fixation by using quadrupled hamstring tendon grafts. Methods. Quadrupled hamstring tendon autografts were used in 89 knees of 89 patients [87 male (97.7%), 2 female (2.3%)]. The mean age of the patients was 24 years (range 20-34 years). Five patients were professional and 35 patients were amateur sportsmen. Subjective, clinical, functional, Telos stress device, and radiographic evaluations were applied to all patients at the end of the first and second years. International Knee Documentation Committee (IKDC) scoring and Lysholm scoring were used to assess knee function and activity. Results. Subjectively 92% of the patients expressed their reconstructed knees to be normal with 100% stability. Eighty-seven percent of the patients returned to their normal daily activities and life at pre-injury level. A and B scores were obtained in 87 of 89 patients (97.7%) as average IKDC knee score. The average Lysholm score was 94. A statistically significant difference was determined in the degree of laxity measured by Telos stress device which had a mean value of 13.7 mm preoperatively and 2.8 mm postoperatively. Conclusion. Successful and excellent subjective, objective, functional and radiological results were obtained in the early follow-up period with the endoscopic anterior cruciate ligament reconstruction technique performed by using femoral transfix fixation with quadrupled semitendinosus-gracilis autograft. Keywords: Anterior cruciate ligament, hamstring autograft, arthroscopy Ozet Amac. Son yillarda daha cok on capraz bag rekonstruksiyonunda otogreft kullanma egiliminde artis vardir. Bilinen en sert ve en guclu greft dortlu hamstring tendonlaridir. Amacimiz dortlu hamstring tendon greftini kullanarak proksimal femoral transfix fiksasyonu ile yapilan on capraz bag rekonstruksiyonunun ilk 2 yillik sonuclarini yayinlamaktir. Yontemler. Seksen dokuz hastanin [87 erkek (%97,7), 2 kadin (%2,3)] 89 dizinde dortlu hamstring tendon otogrefti kullanilmistir. Hastalarin yas ortalamasi 24 (20-34 yas arasi) idi. 5 hasta profesyonel, 35 hasta amator sporcuydu. Subjektif, klinik, fonksiyonel, Telos stres cihazi ve radyografik degerlendirmeler, 1. ve 2. Yilin sonunda her hasta icin uygulanmistir. Diz fonksiyon ve aktivitesini degerlendirmek icin International Knee Documentation Committee (IKDC) ve Lysholm diz skoru kullanildi. Bulgular. Subjektif olarak hastalarin %92’si rekonstrukte edilen dizlerini %100 stabilite ile normal kabul etmislerdir. %87’si zedelenme oncesi aktivite duzeyine donmuslerdir. Ortalama IKDC diz skoru olarak 89 hastanin 87’sinde (%97,7) A ve B skorlari elde edildi. Lysholm ortalama skoru 94 olarak bulundu. Telos stres cihazi ile ameliyat oncesi ortalama 13,7 mm ve ameliyat sonrasi ortalama 2,8 mm olculen laksite degerleri arasinda anlamli fark bulundu. Sonuc. Femoral transfix fiksasyonu ile dort katli semitendinosus-grasilis otogrefti kullanarak yapilan endoskopik on capraz bag rekonstruksiyonu tekniginde erken donemde basarili ve mukemmel subjektif, objektif, fonksiyonel ve radyolojik sonuclar elde ettik. Anahtar sozcukler: On capraz bag, hamstring otograft, artroskopi