title: Anterior cruciate ligament reconstruction using four-strand semitendinosus and gracilis tendon grafts and metal interference screw fixation.
abstract: OBJECTIVE
  The purpose of this study was to determine the outcome of 200 anterior cruciate ligament (ACL) reconstructions using hamstring tendons.
  
  
  METHODS
  This is a case series reporting on 200 endoscopic procedures for reconstruction of the ACL.
  
  
  METHODS
  This study included patients over 18 years old with a healthy controlateral knee, intact posterior cruciate ligament, and without any peripheral surgical procedure or cartilage injury. Patients having undergone prior ligament reconstruction were excluded from the study. The minimum follow-up was 1 year. Clinical review allowed for documentation of International Knee Documentation Committee (IKDC), KT-1000 arthrometer laxity measurement, and isokinetic dynamometric analysis.
  
  
  RESULTS
  Quadriceps and hamstring muscle strength loss was less than 17%. At review, overall IKDC evaluation found that 50% of patients graded A, 44% graded B, and 6% were C or D. The differential anterior laxity was graded A for 157 patients with a median of 1 mm. Of the 113 high-performance athletes, 98 (86%) had resumed a preinjury level of sporting activity.
  
  
  CONCLUSIONS
  Endoscopic reconstruction using 4-strand hamstring autograft may be considered safe, reliable, and reproducible. Preliminary outcome is fulfilling and this technique corresponds completely to therapeutic fields regarding ACL reconstructions.
authors.affiliation: Centre de Chirurgie Orthopédique et Sportive, Bordeaux-Mérignac, Mérignac, France. pcolombet@planete-ortho.com
authors.forename: Philippe
authors.initials: P
authors.lastname: Colombet
authors.forename: Michel
authors.initials: M
authors.lastname: Allard
authors.forename: Vincent
authors.initials: V
authors.lastname: Bousquet
authors.forename: Christophe
authors.initials: C
authors.lastname: de Lavigne
authors.forename: Pierre-Henri
authors.initials: PH
authors.lastname: Flurin
authors.forename: Christophe
authors.initials: C
authors.lastname: Lachaud
mesh_terms: D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy; D001863:Bone Screws; D005080:Exercise Test; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016268:Internal Fixators; D007718:Knee Injuries / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008670:Metals / Q000627:therapeutic use; D019651:Plastic Surgery Procedures / Q000379:methods*; D013177:Sports; D013710:Tendons / Q000637:transplantation*; D016896:Treatment Outcome
chemical_list: D008670:Metals