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First Orthopaedic Clinic of the University of Florence, Florence, Italy
First Orthopaedic Clinic of the University of Florence, Florence, Italy
First Orthopaedic Clinic of the University of Florence, Florence, Italy
First Orthopaedic Clinic of the University of Florence, Florence, Italy
The results of intraarticular anterior cruciate ligament reconstruction with either the patellar tendon or the semitendinosus and gracilis tendons (four strands) were prospectively compared in a consecutive series of 60 patients with chronic injuries. A single surgeon per formed arthroscopically assisted reconstructions in an alternating sequence. Preoperative and operative data revealed no significant differences between the two groups. After 28 months of followup there were no sig nificant differences in the incidence of symptoms, and recurrent giving way was present in only one knee with semitendinosus and gracilis tendon graft. Return to sport participation was more frequent in the patellar ten don group (80% versus 43%, P < 0.01 ). A minor ex tension loss (
3°) was more frequent in the patellar tendon group (47% versus 3%, P < 0.001 ). Other dif ferences between the two groups were not significant. KT-2000 arthrometer side-to-side difference of anterior displacement >5 mm at 30 pounds was present in 13% of the knees with patellar tendon grafts and in 20% of those with semitendinosus and gracilis; a patellofemo ral crepitation developed in 17% and 3% of the two groups, respectively. Based on these data we routinely use patellar tendon grafts. Semitendinosus and gracilis tendons are preferred in selected cases: older patients, patients with preexisting patellofemoral problems, and those with failed patellar tendon grafts.
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M. D. Shaieb, D. M. Kan, S. K. Chang, J. M. Marumoto, and A. B. Richardson A Prospective Randomized Comparison of Patellar Tendon Versus Semitendinosus and Gracilis Tendon Autografts for Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., March 1, 2002; 30(2): 214 - 220. [Abstract] [Full Text] [PDF]
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J. C. Richmond Commentary J. Bone Joint Surg. Am., February 1, 2002; 84(2): 323 - 323. [Full Text] [PDF]
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A. K. Aune, I. Holm, M. A. Risberg, H. K. Jensen, and H. Steen Four-Strand Hamstring Tendon Autograft Compared with Patellar Tendon-Bone Autograft for Anterior Cruciate Ligament Reconstruction: A Randomized Study with Two-Year Follow-Up Am. J. Sports Med., November 1, 2001; 29(6): 722 - 728. [Abstract] [Full Text] [PDF]
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J. Hoher, A. Kanamori, J. Zeminski, F. H. Fu, and S. L-Y. Woo The Position of the Tibia during Graft Fixation Affects Knee Kinematics and Graft Forces for Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., November 1, 2001; 29(6): 771 - 776. [Abstract] [Full Text] [PDF]
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J. B. Selby, D. L. Johnson, P. Hester, and D. N.M. Caborn Effect of Screw Length on Bioabsorbable Interference Screw Fixation in a Tibial Bone Tunnel Am. J. Sports Med., September 1, 2001; 29(5): 614 - 619. [Abstract] [Full Text] [PDF]
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A. F. Anderson, R. B. Snyder, and A. B. Lipscomb Jr Anterior Cruciate Ligament Reconstruction: A Prospective Randomized Study of Three Surgical Methods Am. J. Sports Med., May 1, 2001; 29(3): 272 - 279. [Abstract] [Full Text] [PDF]
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L. C. Almekinders and D. de Castro Fixed Tibial Subluxation after Successful Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., May 1, 2001; 29(3): 280 - 283. [Abstract] [Full Text] [PDF]
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T. Jarvela, T. Paakkala, P. Kannus, and M. Jarvinen The Incidence of Patellofemoral Osteoarthritis and Associated Findings 7 Years After Anterior Cruciate Ligament Reconstruction with a Bone-Patellar Tendon-Bone Autograft Am. J. Sports Med., January 1, 2001; 29(1): 18 - 24. [Abstract] [Full Text] [PDF]
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F. K. Noojin, G. R. Barrett, C. W. Hartzog, and C. R. Nash Clinical Comparison of Intraarticular Anterior Cruciate Ligament Reconstruction Using Autogenous Semitendinosus and Gracilis Tendons in Men Versus Women Am. J. Sports Med., November 1, 2000; 28(6): 783 - 789. [Abstract] [Full Text] [PDF]
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S. Nicklin, C. Waller, P. Walker, W. K. Chung, and W. R. Walsh In Vitro Structural Properties of Braided Tendon Grafts Am. J. Sports Med., November 1, 2000; 28(6): 790 - 793. [Abstract] [Full Text] [PDF]
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K. D. Shelbourne and S. E. Urch Primary Anterior Cruciate Ligament Reconstruction Using the Contralateral Autogenous Patellar Tendon Am. J. Sports Med., September 1, 2000; 28(5): 651 - 658. [Abstract] [Full Text] [PDF]
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P. Papandrea, M. C. Vulpiani, A. Ferretti, and F. Conteduca Regeneration of the Semitendinosus Tendon Harvested for Anterior Cruciate Ligament Reconstruction: Evaluation Using Ultrasonography Am. J. Sports Med., July 1, 2000; 28(4): 556 - 561. [Abstract] [Full Text] [PDF]
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F. H. Fu, C. H. Bennett, C. B. Ma, J. Menetrey, and C. Lattermann Current Trends in Anterior Cruciate Ligament Reconstruction: Part II. Operative Procedures and Clinical Correlations Am. J. Sports Med., January 1, 2000; 28(1): 124 - 130. [Abstract] [Full Text] [PDF]
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D. M. Stadelmaier, W. R. Lowe, O. A. Ilahi, P. C. Noble, and H. W. Kohl III Cyclic Pull-Out Strength of Hamstring Tendon Graft Fixation with Soft Tissue Interference Screws: Influence of Screw Length Am. J. Sports Med., November 1, 1999; 27(6): 778 - 783. [Abstract] [Full Text] [PDF]
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F. H. Fu, C. H. Bennett, C. Lattermann, and C. B. Ma Current Trends in Anterior Cruciate Ligament Reconstruction: Part 1: Biology and Biomechanics of Reconstruction Am. J. Sports Med., November 1, 1999; 27(6): 821 - 830. [Abstract] [Full Text] [PDF]
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K. M. Oates, D. P. Van Eenenaam, K. Briggs, K. Homa, and W. I. Sterett Comparative Injury Rates of Uninjured, Anterior Cruciate Ligament-Deficient, and Reconstructed Knees in a Skiing Population Am. J. Sports Med., September 1, 1999; 27(5): 606 - 610. [Abstract] [Full Text] [PDF]
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M. Giurea, P. Zorilla, A. A. Amis, and P. Aichroth Comparative Pull-Out and Cyclic-Loading Strength Tests of Anchorage of Hamstring Tendon Grafts in Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., September 1, 1999; 27(5): 621 - 625. [Abstract] [Full Text] [PDF]
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I. S. Corry, J. M. Webb, A. J. Clingeleffer, and L. A. Pinczewski Arthroscopic Reconstruction of the Anterior Cruciate Ligament: A Comparison of Patellar Tendon Autograft and Four-Strand Hamstring Tendon Autograft Am. J. Sports Med., July 1, 1999; 27(4): 444 - 454. [Abstract] [Full Text] [PDF]
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D. L. HAMNER, C. H. BROWN, M. E. STEINER, A. T. HECKER, and W. C. HAYES Hamstring Tendon Grafts for Reconstruction of the Anterior Cruciate Ligament: Biomechanical Evaluation of the Use of Multiple Strands and Tensioning Techniques J. Bone Joint Surg. Am., April 1, 1999; 81(4): 549 - 57. [Abstract] [Full Text]
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T. W. Wilson, M. P. Zafuta, and M. Zobitz A Biomechanical Analysis of Matched Bone-Patellar Tendon-Bone and Double-Looped Semitendinosus and Gracilis Tendon Grafts Am. J. Sports Med., March 1, 1999; 27(2): 202 - 207. [Abstract] [Full Text] [PDF]
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S. D. Barber-Westin, F. R. Noyes, T. P. Heckmann, and B. L. Shaffer The Effect of Exercise and Rehabilitation on Anterior-Posterior Knee Displacements After Anterior Cruciate Ligament Autograft Reconstruction Am. J. Sports Med., January 1, 1999; 27(1): 84 - 93. [Abstract] [Full Text] [PDF]
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B. R. Bach Jr, S. Tradonsky, J. Bojchuk, M. E. Levy, C. A. Bush-Joseph, and N. H. Khan Arthroscopically Assisted Anterior Cruciate Ligament Reconstruction Using Patellar Tendon Autograft: Five- to Nine-Year Follow-up Evaluation Am. J. Sports Med., January 1, 1998; 26(1): 20 - 29. [Abstract] [Full Text] [PDF]
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C. B. FRANK and D. W. JACKSON Current Concepts Review - The Science of Reconstruction of the Anterior Cruciate Ligament J. Bone Joint Surg. Am., October 1, 1997; 79(10): 1556 - 76. [Full Text]
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