A comparison of the doubled semitendinosus/gracilis and central third of the patellar tendon autografts in arthroscopic anterior cruciate ligament reconstruction

Otero, Angelo L.; Hutcheson, Lonn

doi:10.1016/s0749-8063(05)80363-9

Cited by 183 publications

(110 citation statements)

References 8 publications

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“…This is in agreement with previous clinical findings [5,8,12]. The results also correspond very well with the results of Steiner et al [16] on human cadavers.…”

Section: Discussionsupporting

confidence: 94%

Patellar tendon vs. doubled semitendinosus and gracilis tendon for anterior cruciate ligament reconstruction

Witvrouw

Bellemans

Verdonk

et al. 2001

International Orthopaedics (SICOT)

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In a prospective study on ACL reconstruction we treated 17 patients with a "central third-bone-patellar tendon-bone" autograft (PT group) and 32 patients with a doubled semitendinosus/doubled gracilis autograft (HS group). Patients were reviewed at 6 weeks, and at 3, 6, and 12 months postoperatively and the groups compared. Up till 6 months, the KT-1000 side-to-side difference was significantly greater in the HS group (P<0.05) and at 6 and 12 months isokinetic hamstrings strength was lower (P<0.05). No significant differences were noted at any stage with respect to quadriceps strength, functional scores, range of motion, or swelling.Résumé Dans une étude prospective de la reconstruction du ligament croisé antérieur nous avons traité 17 patients avec un transplant rotulien os-tendon-os (PT Groupe) et 32 patients avec une autogreffe de tendon gracilis doublé et semitendineux doublé (HS Groupe). Les Patients ont été examinés à 6 semaines, et à 3, 6, et 12 mois postopératoires. Jusqu'à 6 mois, les KT-1000 comparatifs des deux cotés étaient significativement plus grands dans le groupe HS (P<0.05) et à 6 et 12 mois la force isocinetique des tendons ischio jambiers était inférieure (P<0.05). Aucune différence notable n'a été notée en ce qui concerne la force du quadriceps, les scores fonctionnels, la mobilité ou les épanchements articulaires.

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“…This is in agreement with previous clinical findings [5,8,12]. The results also correspond very well with the results of Steiner et al [16] on human cadavers.…”

Section: Discussionsupporting

confidence: 94%

Patellar tendon vs. doubled semitendinosus and gracilis tendon for anterior cruciate ligament reconstruction

Witvrouw

Bellemans

Verdonk

et al. 2001

International Orthopaedics (SICOT)

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“…As the initial results in comparison to PTB-SB reconstructions were inferior [8], further analyses proved a need to evaluate the type of graft fixation, to be able to compare those two different techniques more appropriately [21]. After introduction of new fixation devices in hamstring techniques, the clinical results of the STG-DB technique improved in terms of subjective and objective measurements [22] and therefore, some surgeons prefer the STG-DB technique because less anterior knee pain and a higher rotational stability can be achieved [5,7,23].…”

Section: Discussionmentioning

confidence: 88%

“…On the other hand, these theoretical advantages may be obscured by the added complexity of the surgical procedure [4]. Various studies have compared the outcome of semitendinosus gracilis single bundle (STG-SB) with semitendinosus gracilis double bundle (STG-DB) or bone-patella tendon-bone single bundle (PTB-SB) ACL reconstructions in mid-term follow-up [5][6][7][8], but up until now, few papers have analysed the comparative outcome between PTB-SB and STG-DB ACL reconstruction [3]. Our manuscript contributes to further understanding of this comparative setting and verification of previous investigations in literature.…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of the anterior cruciate ligament: a clinical comparison of bone-patellar tendon-bone single bundle versus semitendinosus and gracilis double bundle technique

Sadoghi

Müller

Jansson

et al. 2010

International Orthopaedics (SICOT)

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The study hypothesis was that the outcome of semitendinosus gracilis double bundle (STG-DB) anterior cruciate ligament (ACL) reconstruction is advantageous in terms of clinical results and restoration of anterior-posterior and rotational laxity in comparison to bone-patellar tendonbone single-bundle (PTB-SB) ACL reconstruction. We analysed 41 PTB-SB and 51 STG-DB patients using the Tegner, IKDC and WOMAC scores preoperatively and at a minimum follow-up of two years. At follow-up, there was no significant difference in the clinical scores. The KT 1000 side-to-side measurement showed no significant difference between groups. The STG-DB group was significantly superior in terms of the pivot-shift sign and anterior knee pain. We conclude that the outcome of STG-DB reconstruction in the mid-term was not advantageous in terms of clinical scores and anterior-posterior laxity evaluated by the KT 1000. Nevertheless, the restored rotational laxity measured by the pivot shift test was significantly superior in the STG-DB technique.

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“…To avoid these problems the semitendinosus tendon, combined with that of gracilis (STG), has been used as an alternative procedure. Several comparative studies of ACL reconstruction using BTB and STG have been reported [1,4,5,7,13,18]. Marder et al [13] did not find any significant difference between the two methods in a prospective randomised study of 80 consecutive patients.…”

Section: Introductionmentioning

confidence: 97%

Effects of aggressive early rehabilitation on the outcome of anterior cruciate ligament reconstruction with multi-strand semitendinosus tendon

Muneta

Sekiya

Ogiuchi

et al. 1998

International Orthopaedics

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A comparison of the doubled semitendinosus/gracilis and central third of the patellar tendon autografts in arthroscopic anterior cruciate ligament reconstruction

Cited by 183 publications

References 8 publications

Patellar tendon vs. doubled semitendinosus and gracilis tendon for anterior cruciate ligament reconstruction

Patellar tendon vs. doubled semitendinosus and gracilis tendon for anterior cruciate ligament reconstruction

Reconstruction of the anterior cruciate ligament: a clinical comparison of bone-patellar tendon-bone single bundle versus semitendinosus and gracilis double bundle technique

Effects of aggressive early rehabilitation on the outcome of anterior cruciate ligament reconstruction with multi-strand semitendinosus tendon

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