Tripled semitendinosus with single harvesting is as effective but less invasive compared to standard gracilis-semitendinosus harvesting

Drocco, L.; Camazzola, D.; Ferracini, Riccardo; Lustig, S.; Ravera, L.; Graziano, E.; Massè, Alessandro; Bistolfi, A.

doi:10.32098/mltj.04.2017.11

Cited by 8 publications

(10 citation statements)

References 20 publications

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“…Of note, 1 study reported 2 separate mean IKDC scores for a cohort of soccer players treated with semitendinosus in triple configuration (91.4 ± 7.9) and a cohort of soccer players treated with double semitendinosus combined with a gracilis autograft (79.6 ± 12.9). 20 Lysholm score was reported in 7 studies. 1,2,10,20,33,54,61 The mean preoperative Lysholm score ranged from a minimum of 52.5 ± 5.1 to a maximum of 80.5 ± 11.9.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Clinical Outcomes After ACL Reconstruction in Soccer (Football, Futbol) Players: A Systematic Review and Meta-Analysis

Hong

Pierpoint

Hellwinkel

et al. 2023

Sports Health: A Multidisciplinary Approach

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Context: The risk factors for anterior cruciate ligament (ACL) tear for athletes participating in pivoting sports includes young age and female sex. A previous meta-analysis has reported a reinjury rate of 15% after ACL reconstruction (ACLR) for athletes across all sports. To the best of the authors’ knowledge, this is the first systematic review and meta-analysis of available literature reporting outcomes after ACLR in soccer players. Objective: To review and aggregate soccer-specific outcomes data after ACLR found in current literature to help guide a more tailored discussion regarding expectations and prognosis for soccer players seeking operative management of ACL injuries. Data Sources: A comprehensive search of publications was performed using PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and SPORTDiscus databases. Study Selection: Inclusion criteria consisted of original studies, level of evidence 1 to 4, studies reporting clinical and patient-reported outcomes (PROs) after primary ACLR in soccer players at all follow-up length. Study Design: The primary outcomes of interest were graft failure/reoperation rates, ACL injury in contralateral knee, return to soccer time, and PROs. Level of Evidence: Level 4. Data Extraction: Search of literature yielded 32 studies for inclusion that involved 3112 soccer players after ACLR. Results: The overall graft failure/reoperation rate ranged between 3.0% and 24.8% (mean follow-up range, 2.3-10 years) and the combined ACL graft failure and contralateral ACL injury rate after initial ACLR was 1.0% to 16.7% (mean follow-up range, 3-10 years); a subgroup analysis for female and male players revealed a secondary ACL injury incidence rate of 27%, 95% CI (22%, 32%) and 10%, 95% CI (6%, 15%), respectively. Soccer players were able to return to play between 6.1 and 11.1 months and the majority of PROs showed favorable scores at medium-term follow-up. Conclusion: Soccer players experience high ACL injury rates after primary ACLR and demonstrated similar reinjury rates as found in previous literature of athletes who participate in high-demand pivoting sports.

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Section: Resultsmentioning

confidence: 99%

“…20 Lysholm score was reported in 7 studies. 1,2,10,20,33,54,61 The mean preoperative Lysholm score ranged from a minimum of 52.5 ± 5.1 to a maximum of 80.5 ± 11.9. The mean postoperative Lysholm score at final follow-up ranged from a minimum 88 ± 15 to a maximum of 96 (SD not reported).…”

Section: Resultsmentioning

confidence: 99%

Clinical Outcomes After ACL Reconstruction in Soccer (Football, Futbol) Players: A Systematic Review and Meta-Analysis

Hong

Pierpoint

Hellwinkel

et al. 2023

Sports Health: A Multidisciplinary Approach

View full text Add to dashboard Cite

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“…Our aim was to determine the reproducibility of MR graft measurements between two readers pre-operatively and to produce a measure of accuracy, rather than correlation between the MR measurements and the actual graft size. The previous literature has attempted pre-operative measurements of hamstring diameter and cross sectional area [1][2][3][4][5][6] . The diameter readings have shown poorer correlation and therefore we have focused on cross sectional area of the tendons as per the existing literature.…”

Section: Mri Scans Do Not Accurately Predict Hamstring Graft Diametermentioning

confidence: 99%

“…As a result the ability to predict graft size pre-operatively could help reduce failure rates, as it may aid in planning graft choice 2. 3 . Additionally this would help the surgeon provide informed consent to the patient pre-operatively regarding which graft would be taken during the operation.…”

Section: Introductionmentioning

confidence: 99%

MRI scans do not accurately predict hamstring graft diameter for ACL reconstruction

Plastow

Cullen

Imalingat

et al. 2019

Muscle Ligaments and Tendons J

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Introduction: Identify whether magnetic resonance imaging (MRI) pre-operatively can help predict intra-operative hamstring graft size for anterior cruciate ligament (ACL) reconstruction. Previous literature has shown correlation but not accuracy or reproducibility of such a prediction. Methods: 60 pre-operative MR scans from patients who had undergone ACL reconstruction were studied retrospectively. We measured the cross sectional area of gracilis and semitendinosus tendons using MR axial views. The intraoperative graft diameter was recorded. If the diameter intra-operatively was below an 8 mm threshold the case was highlighted. We then correlated these results with the pre-operative MR measurements. Pearson correlation and Bland-Altman plots were used to assess correlation and agreement between the MR and intra-operative measurements. Results: The Pearson correlation coefficient was 0.35. The Bland-Altman plots showed poor agreement and reproducibility between readers. We highlighted 6 cases that had a graft diameter below 8 mm. We were able to predict these 6 cases with the pre-operative MR scans producing 100% sensitivity, but low specificity of 19%. Conclusion: Pre-operative MR scan measurement

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“…In case of undersized tendons, one potential way to provide an adequate graft diameters is to triple hamstring grafts. Several authors [12][13][14][15][16][17][18] have presented mechanical assessment to clarify the properties of tripled grafts but the question remains open as to what is the best configuration that can maximize the cooperation effect between the strands.…”

Section: Introductionmentioning

confidence: 99%

Similar biomechanical properties of four tripled tendon graft models for ACL reconstruction

Pavan

Morello

Monachino

et al. 2021

Arch Orthop Trauma Surg

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Purpose The present study tested and compared the biomechanical properties of four different triplicate graft tendon techniques. Methods 32 tripled tendons from the common extensor muscle of bovine fingers were tested on a material testing machine, passing the end loop over a metal rod of a clevis connected to the load cell on the upper side, and fixing the lower end to a clamp. The samples were divided into four groups: (A) tripled with a free end sutured only to one of the two fixed bundles (B) tripled with a free end positioned between the two fixed strands and sutured to both (C) tripled with an S-shape and all the three strands sutured together at the upper and lower extremities of the graft (D) partially quadrupled with the free end sutured together with the other three bundles at the upper extremity. Each sample was pretensioned at 50 N for 10 min and then subjected to 1000 load control cycles between 50 and 250 N. Finally, each sample was subjected to a load to failure test. Authors also present some preliminary results on the feasibility of a non-contact and full-field Thermoelastic Stress Analysis technique, based on Infrared Thermography, to evaluate the level of stress on the whole graft, and hence on each strand, during fatigue loading. Results Eighty five percent of the samples failed at the level of the clamp. The cyclical elongation progressively decreased in all the samples and there was a simultaneous increase in stiffness. An increased stiffness was noted between Group 2 vs Group 3 and Group 2 vs Group 4 at the 500th and 1000th cycle. The failure loads were as follows: (a) 569.10 N, (b) 632.28 N, (c) 571.68 N, (d) 616.95 N. None of the parameters showed a statistically significant difference between the four groups. Conclusion This study reported similar biomechanical behavior of four different models of tripled grafts suitable for ACL reconstruction. In addition, the biomechanics of overall tripled tendon grafts seems more affected by the viscoelastic property of the tendon itself rather than the preparation method.

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Tripled semitendinosus with single harvesting is as effective but less invasive compared to standard gracilis-semitendinosus harvesting

Cited by 8 publications

References 20 publications

Clinical Outcomes After ACL Reconstruction in Soccer (Football, Futbol) Players: A Systematic Review and Meta-Analysis

Clinical Outcomes After ACL Reconstruction in Soccer (Football, Futbol) Players: A Systematic Review and Meta-Analysis

MRI scans do not accurately predict hamstring graft diameter for ACL reconstruction

Similar biomechanical properties of four tripled tendon graft models for ACL reconstruction

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