title: Arthroscopic anterior cruciate ligament reconstruction using a hamstring graft with interference screw fixation.
abstract: OBJECTIVE
  This study assessed the clinical and radiographic results 3 to 8 years after an arthroscopic ACL reconstruction using a hamstring graft with interference screw fixation on femoral and tibial sites.
  
  
  METHODS
  Seventy-six of 100 patients, who underwent an arthroscopic ACL reconstruction, could be re-examined with a mean follow-up of 5 years.
  
  
  RESULTS
  The mean Tegner activity score was 4 (scale: 0 to 10) before surgery, and 5 at the follow-up. Fifty-four patients (78%) achieved a satisfactory result in the IKDC rating. The mean Lysholm score was 85 (scale: 0 to 100), the score being better in patients without meniscal resection than those with (P = 0.04). The mean side-to-side difference in anterior-posterior knee laxity was 1.8 mm, and 62 patients (90%) had good stability. Sixty-four patients (93%) had normal range of motion of the knee. Twelve patients (46%) with meniscal resection had osteoarthritic changes, compared with only 8 of those (20%) without meniscal resection (P = 0.03).
  
  
  CONCLUSIONS
  This medium-term follow-up study showed that good stability and function and normal range of motion of the knee can be achieved in majority of the patients who have undergone an ACL reconstruction with a hamstring graft and interference screw fixation.
authors.affiliation: Medical School, University of Tampere, Finland. anna-stina.moisala@uta.fi
authors.forename: A S
authors.initials: AS
authors.lastname: Moisala
authors.forename: T
authors.initials: T
authors.lastname: Järvelä
authors.forename: S
authors.initials: S
authors.lastname: Honkonen
authors.forename: A
authors.initials: A
authors.lastname: Paakkala
authors.forename: P
authors.initials: P
authors.lastname: Kannus
authors.forename: M
authors.initials: M
authors.lastname: Järvinen
mesh_terms: D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy / Q000379:methods*; D001863:Bone Screws; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures / Q000295:instrumentation*; D012189:Retrospective Studies; D013710:Tendons / Q000637:transplantation*; D016896:Treatment Outcome