PURPOSE: Hamstring tendon grafts are a popular choice for anterior cruciate ligament (ACL) reconstruction. Typical morbidity reported after hamstring tendon harvest is muscle weakness in flexion, and whilst still a matter for debate, this morbidity may be greater if the gracilis tendon is harvested in addition to the semitendinosus. This study sought to comprehensively compare the outcome of ACL reconstructions in which the semitendinosus was harvested alone (ST group) or with the gracilis (ST/G group). METHODS: Twenty patients (ten ST, ten ST/G) were assessed with a variety of measures that included subjective scores, function, strength and tibial rotation as measured by gait analysis during a pivoting task. RESULTS: Results showed that the graft diameter was significantly larger in the ST group, but there were no other differences between the groups for any other outcome measure. CONCLUSION: Harvesting the gracilis in addition to semitendinosus does not appear to affect either the outcome or graft-related morbidity after hamstring ACL reconstruction.
PURPOSE: Hamstring tendon grafts are a popular choice for anterior cruciate ligament (ACL) reconstruction. Typical morbidity reported after hamstring tendon harvest is muscle weakness in flexion, and whilst still a matter for debate, this morbidity may be greater if the gracilis tendon is harvested in addition to the semitendinosus. This study sought to comprehensively compare the outcome of ACL reconstructions in which the semitendinosus was harvested alone (ST group) or with the gracilis (ST/G group). METHODS: Twenty patients (ten ST, ten ST/G) were assessed with a variety of measures that included subjective scores, function, strength and tibial rotation as measured by gait analysis during a pivoting task. RESULTS: Results showed that the graft diameter was significantly larger in the ST group, but there were no other differences between the groups for any other outcome measure. CONCLUSION: Harvesting the gracilis in addition to semitendinosus does not appear to affect either the outcome or graft-related morbidity after hamstring ACL reconstruction.
Authors: Stavros Ristanis; Nicholas Stergiou; Kostas Patras; Elias Tsepis; Constantina Moraiti; Anastasios D Georgoulis Journal: Clin J Sport Med Date: 2006-03 Impact factor: 3.638
Authors: David John Saxby; Adam L Bryant; Ans Van Ginckel; Yuanyuan Wang; Xinyang Wang; Luca Modenese; Pauline Gerus; Jason M Konrath; Karine Fortin; Tim V Wrigley; Kim L Bennell; Flavia M Cicuttini; Christopher Vertullo; Julian A Feller; Tim Whitehead; Price Gallie; David G Lloyd Journal: Knee Surg Sports Traumatol Arthrosc Date: 2018-06-07 Impact factor: 4.342