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Anterior Cruciate Ligament Reconstruction with Quadrupled Semitendinosus Graft or Synthetic Ligament: Knee Stability and Clinical Outcomes at Three Years Follow-Up

The incidence of anterior cruciate ligament reconstruction (ACLR) surgeries is increasing and graft choice is important for a rapid return to activity, especially in patients older than 30 years. The aim of this study is to compare in term of quality of life and knee stability of patients who underg...

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Autores principales: Moretti, Lorenzo, Cassano, Giuseppe D., Caricato, Alessandro, Caiaffa, Elio, D'Aprile, Matteo, Angiulli, Francesco, Spinarelli, Antonio, Moretti, Biagio, Solarino, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10374376/
https://www.ncbi.nlm.nih.gov/pubmed/37520887
http://dx.doi.org/10.1155/2023/4022441
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author Moretti, Lorenzo
Cassano, Giuseppe D.
Caricato, Alessandro
Caiaffa, Elio
D'Aprile, Matteo
Angiulli, Francesco
Spinarelli, Antonio
Moretti, Biagio
Solarino, Giuseppe
author_facet Moretti, Lorenzo
Cassano, Giuseppe D.
Caricato, Alessandro
Caiaffa, Elio
D'Aprile, Matteo
Angiulli, Francesco
Spinarelli, Antonio
Moretti, Biagio
Solarino, Giuseppe
author_sort Moretti, Lorenzo
collection PubMed
description The incidence of anterior cruciate ligament reconstruction (ACLR) surgeries is increasing and graft choice is important for a rapid return to activity, especially in patients older than 30 years. The aim of this study is to compare in term of quality of life and knee stability of patients who undergone ACLR using quadrupled semitendinosus (ST4) graft against patients who undergone ACLR with synthetic ligaments. Thirty-nine patients undergoing ACLR were enrolled in the study and were divided into two groups: ACLR with synthetic ligaments-LARS (group A) and ACLR with quadrupled semitendinosus graft ST4 (group B). They underwent surgery at Policlinico di Bari Orthopedic Unit between January 2017 and January 2020. Group A was composed by nineteen patients (36.16 ± 4.41 mean age-years, 22.47 ± 2.63 mean BMI-kg/m(2), 39.37 ± 10.05 mean time evaluation after surgery-months) and group B was composed by twenty patients (34.95 ± 3.59 mean age-years, 21.1 ± 2.88 mean BMI-kg/m(2), 36.75 ± 8.69 mean time evaluation after surgery-months). For each patient, the following data were recorded: age; side of injury, BMI, date of surgery, anterior knee laxity with the arthrometer, and Lysholm knee scoring scale. Mean value of anterior tibial translation (ATT) in group A was 3.09 mm ± 0.65 and in group B was 2.66 mm ± 1.61 (pvalue of 0.1139). Mann–-Whitney U test used to compare the Lysholm means values between groups showed a pvalue of 0.9307. LARS has comparable clinical and functional outcomes compared with hamstring autografts at short-term of 3 years follow-up. Level of Evidence: IV.
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spelling pubmed-103743762023-07-28 Anterior Cruciate Ligament Reconstruction with Quadrupled Semitendinosus Graft or Synthetic Ligament: Knee Stability and Clinical Outcomes at Three Years Follow-Up Moretti, Lorenzo Cassano, Giuseppe D. Caricato, Alessandro Caiaffa, Elio D'Aprile, Matteo Angiulli, Francesco Spinarelli, Antonio Moretti, Biagio Solarino, Giuseppe Adv Orthop Research Article The incidence of anterior cruciate ligament reconstruction (ACLR) surgeries is increasing and graft choice is important for a rapid return to activity, especially in patients older than 30 years. The aim of this study is to compare in term of quality of life and knee stability of patients who undergone ACLR using quadrupled semitendinosus (ST4) graft against patients who undergone ACLR with synthetic ligaments. Thirty-nine patients undergoing ACLR were enrolled in the study and were divided into two groups: ACLR with synthetic ligaments-LARS (group A) and ACLR with quadrupled semitendinosus graft ST4 (group B). They underwent surgery at Policlinico di Bari Orthopedic Unit between January 2017 and January 2020. Group A was composed by nineteen patients (36.16 ± 4.41 mean age-years, 22.47 ± 2.63 mean BMI-kg/m(2), 39.37 ± 10.05 mean time evaluation after surgery-months) and group B was composed by twenty patients (34.95 ± 3.59 mean age-years, 21.1 ± 2.88 mean BMI-kg/m(2), 36.75 ± 8.69 mean time evaluation after surgery-months). For each patient, the following data were recorded: age; side of injury, BMI, date of surgery, anterior knee laxity with the arthrometer, and Lysholm knee scoring scale. Mean value of anterior tibial translation (ATT) in group A was 3.09 mm ± 0.65 and in group B was 2.66 mm ± 1.61 (pvalue of 0.1139). Mann–-Whitney U test used to compare the Lysholm means values between groups showed a pvalue of 0.9307. LARS has comparable clinical and functional outcomes compared with hamstring autografts at short-term of 3 years follow-up. Level of Evidence: IV. Hindawi 2023-07-20 /pmc/articles/PMC10374376/ /pubmed/37520887 http://dx.doi.org/10.1155/2023/4022441 Text en Copyright © 2023 Lorenzo Moretti et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Moretti, Lorenzo
Cassano, Giuseppe D.
Caricato, Alessandro
Caiaffa, Elio
D'Aprile, Matteo
Angiulli, Francesco
Spinarelli, Antonio
Moretti, Biagio
Solarino, Giuseppe
Anterior Cruciate Ligament Reconstruction with Quadrupled Semitendinosus Graft or Synthetic Ligament: Knee Stability and Clinical Outcomes at Three Years Follow-Up
title Anterior Cruciate Ligament Reconstruction with Quadrupled Semitendinosus Graft or Synthetic Ligament: Knee Stability and Clinical Outcomes at Three Years Follow-Up
title_full Anterior Cruciate Ligament Reconstruction with Quadrupled Semitendinosus Graft or Synthetic Ligament: Knee Stability and Clinical Outcomes at Three Years Follow-Up
title_fullStr Anterior Cruciate Ligament Reconstruction with Quadrupled Semitendinosus Graft or Synthetic Ligament: Knee Stability and Clinical Outcomes at Three Years Follow-Up
title_full_unstemmed Anterior Cruciate Ligament Reconstruction with Quadrupled Semitendinosus Graft or Synthetic Ligament: Knee Stability and Clinical Outcomes at Three Years Follow-Up
title_short Anterior Cruciate Ligament Reconstruction with Quadrupled Semitendinosus Graft or Synthetic Ligament: Knee Stability and Clinical Outcomes at Three Years Follow-Up
title_sort anterior cruciate ligament reconstruction with quadrupled semitendinosus graft or synthetic ligament: knee stability and clinical outcomes at three years follow-up
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10374376/
https://www.ncbi.nlm.nih.gov/pubmed/37520887
http://dx.doi.org/10.1155/2023/4022441
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