ISSN 2564-7784 | E-ISSN 2564-7040
Original Article
Providing Greft Tension in ACL Reconstruction Preserving Hamstring Tibial Attachment Site; Technique and Clinical Results
1 Sani Konukoğlu Private Hospital, Department of Orthopedia and Travmatology, Gaziantep, Turkey  
2 Sanko University Medical Faculty, Department of Orthopedia and Travmatology, Gaziantep, Turkey  
Eur J Ther ; : -
DOI: 10.5152/EurJTher.2019.19039
Key Words: ACL reconstruction, Hamstring Tendon Preserving, Graft Tension

OBJECTIVE: Hamstring autograft is the most commonly used graft in surgical technique for anterior cruciate ligament reconstruction. Different femoral fixation materials can be used in this surgery. This study aims to share the surgical technique for anatomic single-band anterior cruciate ligament reconstruction preserving hamstring tibial attachment site and the clinical results thereof.


METHODS: 42 patients who were operated for anterior cruciate ligament rupture were consecutively included in the study. Anatomic single-band anterior cruciate ligament reconstruction was performed on the patients without disjointing the hamstring distal attachment site. Patients were evaluated in terms of age, sex, 4-arm tendon length, total tunnel length from the hamstring attachment site, femoral tunnel length, length of the graft in the femoral tunnel and the average tendon length calculated according to the tunnel length. The mean follow-up period was 17 months. The patients were evaluated clinically using Tegner activity score, Lysholm score and IKDC subjective scale. The anterior translation of the tibia was evaluated with KT 1000 device.


RESULTS: The preoperative and postoperative mean Tegner, IKDC, and Lysholm score were improved significantly.


CONCLUSION: The surgical technique for anatomic one-band anterior cruciate ligament reconstruction preserving the hamstring attachment site is an applicable technique. Additionally, this technique was found to be cost-effective and does not increase morbidity.

Key Words
AVES | Copyright © 2019 European Journal of Therapeutics | Latest Update: 18.09.2019