Résumé
Arthroscopic anterior cruciate ligament reconstruction with quadruple hamstring grafts was performed for 26 patients with an average age of 27.5 years [range, 19 to 42]. Eighteen patients were male [69%] and eight patients [31%] were female. Fourteen left knees [54%] and twelve right knees [46%] were injured. All the patients had unilateral ACL insufficiency without other ligamentous injuries, and no patient had a history of previous knee surgery. The medial meniscus was injured in 5 knees, and the lateral meniscus in 3 knees. Average follow-up was 20 months [range; 15-30 months]. At 12 months after surgery, two patients had ruptured their graft. These two patients were excluded from further analysis and from the final results. According to Lysholm Knee Score, twenty one patients [87.5%] had good or excellent results. Overall IKDC assessment revealed that twenty two patients [91.7%] were assessed as normal or nearly normal. A grade 0 Lachman test [A] was demonstrated in 16 patients [67%]. Six patients [25%] had grade one laxity [B] and two patients [8%] had grade two laxity [C]. A grade 0 pivot shift testing [A] was demonstrated in 18 patients [75%]. The remaining 6 patients [25%] had a grade 1 pivot shift [B]. Anterior kneeling pain was present in 3 patients [12.5%] at the most recent follow-up. Hamstring pain was felt in 4 patients [16.7%]. Three patients had pain in the lower third of the hamstring muscles and one patient had pain in the middle third