Instrument-Guided Semitendinosus-Gracilis Tendon Autograft Anterior Cruciate Ligament Replacement Using a Polyester Tape and Cortical Fixation Device

Fules, P J; Goddard, R.; Madhav, Rohit; Singh, B.I.; Prem, Hari; Jadeja, H; Mowbray, M. A. S.

doi:10.3928/0147-7447-20030701-12

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…As with primary ACL reconstruction, the goal of revision ACL surgery is to provide a stable and functional ACL that most accurately reproduces the kinematics of the native anatomic knee. A variety of factors dictate the surgical strategy in revision ACL reconstruction, including tunnel position, tunnel widening/bone loss, graft type, and fixation method [7, 9, 16]. In situations of significant tunnel malposition and/or tunnel widening, staged bone grafting followed by delayed reconstruction is often required [10].…”

Section: Introductionmentioning

confidence: 99%

Single-stage revision anterior cruciate ligament reconstruction using bone grafting for posterior or widening tibial tunnels restores stability of the knee and improves clinical outcomes

Dragoo

Kalisvaart

Smith

et al. 2019

Knee Surg Sports Traumatol Arthrosc

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PurposeRevision ACL surgery may be complicated by tunnel malposition and/or tunnel widening and often requires a staged treatment approach that includes bone grafting, a period of several months to allow bone graft incorporation and then definitive revision ACL reconstruction. The purpose of this study was to evaluate the results of a single‐staged ACL revision reconstruction technique using a cylindrical dowel bone graft for patients who have existing posteriorly placed and/or widened tibial tunnels in the tibia at a minimum of 2 years follow‐up. MethodsBetween 2010 and 2014, patients undergoing single‐stage revision ACL reconstruction with the described technique were prospectively enrolled and evaluated. At a minimum of 24 months, patients were evaluated by physical examination, multiple clinical outcome instruments including KOOS, Tegner and Lysholm, and preoperative and postoperative MRIs. ResultsAt a mean of 35.1 months, 18 consecutive patients had no revision surgery and no subjective knee instability. There were statistically significant improvements in the Tegner (median 2, interquartile range 2.25; p < 0.01), Lysholm (20.0 ± 15.0; p < 0.01), KOOS symptoms scale (12.9 ± 11.8; p < 0.01), KOOS pain scale (15.4 ± 18.7; p < 0.01), KOOS ADL scale (13.5 ± 19.0; p < 0.01), KOOS sports scale (32.8 ± 26.4; p < 0.01), and KOOS QoL scale (18.1 ± 16.9; p < 0.01). Postoperative MRI demonstrated statistically significant anteriorization of the tibial tunnel and a statistically significant decrease in tunnel widening. ConclusionRevision ACL reconstruction utilizing a single‐staged tibial tunnel grafting technique resulted in improved knee pain, function, and stability at a minimum of 24‐month follow‐up. Level of evidenceIV.

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Section: Introductionmentioning

confidence: 99%

Single-stage revision anterior cruciate ligament reconstruction using bone grafting for posterior or widening tibial tunnels restores stability of the knee and improves clinical outcomes

Dragoo

Kalisvaart

Smith

et al. 2019

Knee Surg Sports Traumatol Arthrosc

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“…Under general anaesthesia, without a tourniquet, an arthroscopically assisted ACL reconstruction with quadrupled hamstring tendons autologous graft was performed using the Mark II method [6][7][8]. The Mark II Buttonhole Soffix consists of a double looped tape with three button holes separated by transverse braiding at either end.…”

Section: Case Reportmentioning

confidence: 99%

Rejection reaction to stabilizing bolts after ACL reconstruction: a case report

Lamprakis¹,

Fortis²,

Dimas³

2007

Knee Surg Sports Traumatol Arthr

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A case of an adverse reaction to the stabilizing bolts after an ACL reconstruction is presented. A 21-year-old patient had an ACL reconstruction using the Mark II system. Six months post op, he presented to clinic having formed a pretibial swelling with serous discharge. There was mild tenderness over the femoral scar. Successive cultures of the tibial cyst effluent showed no microorganism growth and laboratory tests were normal. One year post op, symptoms and swelling persisted. X-rays showed periosteal reaction around the femoral bolt and resorption with widening of the distal tibial tunnel. An adverse reaction to the bolts was suggested as the possible cause. Surgical exploration was then performed. During the operation, free fluid evacuated from the femoral site and the tibial cyst was completely excised. All specimens were sent for culture, which were proven negative. Tibial and femoral bolts were both removed and no communication of the osseous tunnels to the joint was found. An arthroscopy was performed at the same time which showed degeneration of the ACL autograft, but an otherwise normal joint. Eighteen months later, the patient was symptom free and all inflammation indices still within the normal range.

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Instrument-Guided Semitendinosus-Gracilis Tendon Autograft Anterior Cruciate Ligament Replacement Using a Polyester Tape and Cortical Fixation Device

Abstract: Anterior cruciate iigament reconstruction using an over-the-top femoral routing and autologous four-strand semitendinosus-gracilis tendon gran provides good, early functional results and restores knee stability.

Cited by 2 publications

References 23 publications

Single-stage revision anterior cruciate ligament reconstruction using bone grafting for posterior or widening tibial tunnels restores stability of the knee and improves clinical outcomes

Single-stage revision anterior cruciate ligament reconstruction using bone grafting for posterior or widening tibial tunnels restores stability of the knee and improves clinical outcomes

Rejection reaction to stabilizing bolts after ACL reconstruction: a case report

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