Revisional Reconstruction of Anterior Cruciate Ligament using Modified One Incision Technique with Autogenous Hamstring Tendon Composite Graft / 대한정형외과학회잡지

ABSTRACT

PURPOSE: Evaluation of anterior cruciate ligament (ACL) reconstruction using autogenous hamstring tendon composite grafts and the modified one incision technique for the revisional ACL reconstruction. MATERIALS AND METHODS: Eight cases that had undertaken revisional ACL reconstruction were evaluated. Follow-up period was 17.5 months on the average (12-41) . All cases were evaluated using the Lysholm knee score, KT-2000 arthrometer (Medmetrics) and one leg hop test. RESULTS: Lysholm knee score increased from 67.8 to 80.6 by an average of 13 points. When comparing with normal side, the average differences of anterior translation was 2 mm and the average functional activity was 77.1% of the healthy side. All cases returned to the normal activities of daily living. CONCLUSION: New femoral and tibial tunnel can be made regardless of pre-existing tunnels with modified one incision technique and hamstring tendon composite graft. Allogeneous bone grafts were used to fill the enlarged tunnels caused by overlapping with pre-constructed tunnels.