| Peer-Reviewed

Simultaneous Bilateral Anterior Cruciate Ligament (ACL) Reconstruction with use of Hamstring Tendon Autografts: a Case Report

Received: 20 April 2013    Accepted:     Published: 2 April 2013
Views:       Downloads:
Abstract

Among patients presenting with ACL deficient knees, the incidence of bilaterality is reported to be between 2% and 4%. (1) We have presented an unusual problem of a patient with chronic bilateral ACL-deficient knees and constitutionally very thin patellar tendons. Author decided to perform one-stage bilateral ACL reconstructions using hamstring tendon autografts so as not to weaken his quadriceps muscles by compromising his extensor mechanism. At 7 years follow-up, the patient’s opinion was that both ACL reconstructed knees had normal function and he was still on his preinjury level of activity. Two-stage bilateral ACL reconstruction is much more time consuming for the patient and expensive for health insurance, so in such cases, we recommend performing one-stage, bilateral ACL reconstructions using hamstring tendon autografts as a method that is effective and reproducible for a timely return of motion, strength, and function.

Published in Journal of Surgery (Volume 1, Issue 1)
DOI 10.11648/j.js.20130101.11
Page(s) 1-5
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Previous article
Keywords

ACL Rupture; One-Stage Bilateral ACL Reconstruction; Rehabilitation

References
[1] Anderson AF, Lipscomb AB, Liudah KJ, et al. Analysis of the intercondylar notch by computed tomography. Am J Sports Med 1987; 15: 547-552.
[2] Anderson AF, Snyder RB, Lipscomb AB Sr. Anterior cru-ciate ligament reconstruction using the semitendinosus and gracilis tendons augmented by the Losee iliotibial band te-nodesis: A long-term study. Am J Sports Med 1994; 22: 620-626.
[3] Asselmeier MA, Caspari RB, Bottenfield S. A review of allograft processing and sterilization techniques and their role in transmission of the human immunodeficiency virus. Am J Sports Med 1993; 21: 170-175.
[4] Bonamo JJ, Krinick RM, Sporn AA. Rupture of the patellar ligament after use of its central third for anterior cruciate re-construction. A report of two cases. J Bone Joint Surg 1984;66A:1294-1297.
[5] Buck BE, Resnick L, Shah SM, et al. Human immunodefi-ciency virus cultured from bone: Implications for transplan-tation. Clin Orthop 1990; 251: 249-253.
[6] Coombs R, Cochrane T. Knee flexor strength following anterior cruciate ligament reconstruction with the semiten-dinosus and gracilis tendons. Int J Sports Med 2001; 22: 618-622.
[7] Flynn RK, Pedersen CL, Birmingham TB, et al. The familial predisposition toward tearing the anterior cruciate ligament. A case control study. Am J Sports Med 2005; 33:23-28.
[8] Harmon KG, Ireland ML. Gender differences in noncontact anterior cruciate ligament injuries. Clin Sports Med. 2000; 19: 287- 302.
[9] Harner CD, Olson E, Irrgang JJ, et al. Allograft versus autograft anterior cruciate ligament reconstruction. 3- to 5-year outcome. Clin Orthop 1996; 324: 134-144.
[10] Jackson DW, Grood ES, Goldstein JD, et al. A comparison of patellar tendon autograft and allograft used for anterior cruciate ligament reconstruction in the goat model. Am J Sports Med 1993; 21: 176-185.
[11] Jari S, Shelbourne KD. Simultaneous bilateral anterior cruciate ligament reconstruction. Am J Sports Med 2002; 30: 891-895.
[12] Jones KG. Reconstruction of the anterior cruciate ligament. A technique using the central one-third of the patellar ligament. J Bone Joint Surg 1963; 45A: 925-932.
[13] Karlson JA, Steiner ME, Brown CH, et al. Anterior cruciate ligament reconstruction using gracilis and semitendinosus tendons. Comparison of through-the-condyle and over-the-top graft placements. Am J Sports Med 1994; 22: 659-666.
[14] Lambert KL. Vascularized patellar tendon graft with rigid internal fixation for anterior cruciate ligament insufficiency. Clin Orthop 1983; 172: 85-89.
[15] Larson CM, Fischer DA, Smith JP, et al. Bilateral anterior cruciate ligament reconstruction as a single procedure. Evaluation of cost and early functional results. Am J Sports Med 2004; 32: 197-200.
[16] Lephart SM, Ferris CM, Fu FH. Risk factors associated with noncontact anterior cruciate ligament injuries in female ath-letes. Instr Course Lect. 2002; 51: 307-310.
[17] Lephart SM, Kocher MS, Harner CD, et al. Quadriceps strength and functional capacity after anterior cruciate liga-ment reconstruction. Patellar tendon autograft versus allograft. Am J Sports Med 1993; 21: 738-743.
[18] Lombardo S, Sethi PM, Starky C. Intercondylar notch ste-nosis is not risk factor for anterior cruciate ligament tears in professional male basketball players. An 11-year prospective study. Am J Sports Med 2005; 33: 29-34.
[19] Marumoto JM, Mitsunaga MM, Richardson AB, et al. Late patellar tendon ruptures after removal of the central third for anterior cruciate ligament reconstruction: A report of two cases. Am J Sports Med 1996; 24: 698-701.
[20] Mastrokalos DS, Springer J, Siebold R, et al. Donor site morbidity and return to the preinjury activity level after an-terior cruciate ligament reconstruction using ipsilateral and contralateral patellar tendon autograft. Am J Sports Med 2005;33: 85-93.
[21] O´Brien SJ, Warren RF, Pavlov H, et al. Reconstruction of the chronically insufficient anterior cruciate ligament with the central third of the patellar ligament. J Bone Joint Surg 1991; 73A: 278-286.
[22] Ochard J, Seward H, McGiven J, et al. Intrinsic and extrinsic risk factors for anterior cruciate ligament injury in Australian footballers. Am J Sports Med. 2001;29: 196-200.
[23] Pinczewski LA, Deehan DJ, Salmon LJ, et al. A five-year comparison of patellar tendon versus four-strand hamstring tendon autograft for arthroscopic reconstruction of the ante-rior cruciate ligament. Am J Sports Med. 2002; 30: 523-536.
[24] Roberts TS, Drez D Jr, McCarthy W, et al. Anterior cruciate ligament reconstruction using freeze-dried, ethylene oxide sterilized bone-patellar tendon-bone allografts. Two year re-sults in 36 patients. Am J Sports Med 1991; 19: 35-41.
[25] Rowden NJ, Sher D, Rogers GJ, et al. Anterior cruciate ligament graft fixation: Initial comparison of patellar tendon and semitendinosus autografts in young fresh cadavers. Am J Sports Med 1997;25: 472-478.
[26] Shelbourne KD, Gray T. Anterior cruciate ligament recon-struction with autogenous patellar tendon graft followed by accelerated rehabilitation. A two- to nine-year followup. Am J Sports Med 1997; 25: 786-795
[27] Souryal TO, Moore HA, Evans JP. Bilaterality in anterior cruciate ligament injuries: Associated intercondylar notch stenosis. Am J Sports Med 1988; 16(5): 449-454.
[28] Stringham DR, Pelmas CJ, Burks RT, et al. Comparison of anterior cruciate ligament reconstruction using patellar tendon autograft or allograft. Arthroscopy 1996; 12: 414-421.
[29] Wagner M, Kääb MJ, Schallock J, Haas NP, Weiler A. Hamstring tendon versus patellar tendon anterior cruciate ligament reconstruction using biodegradable interference fit fixation: A prospective Matched-Group Analysis. Am J Sports Med. 2005;33:1327-1336.
[30] West RV, Harner CD. Graft selection in anterior cruciate ligament reconstruction. J Am Acad Orthop Surg 2005; 13: 197-207.
[31] Zoltan DJ, Reinecke C, Indelicato PA. Sythetic and allograft anterior cruciate ligament reconstruction. Clin Sports Med 1988; 7: 773-784.
Cite This Article
  • APA Style

    Matjaz Sajovic. (2013). Simultaneous Bilateral Anterior Cruciate Ligament (ACL) Reconstruction with use of Hamstring Tendon Autografts: a Case Report. Journal of Surgery, 1(1), 1-5. https://doi.org/10.11648/j.js.20130101.11

    Copy | Download

    ACS Style

    Matjaz Sajovic. Simultaneous Bilateral Anterior Cruciate Ligament (ACL) Reconstruction with use of Hamstring Tendon Autografts: a Case Report. J. Surg. 2013, 1(1), 1-5. doi: 10.11648/j.js.20130101.11

    Copy | Download

    AMA Style

    Matjaz Sajovic. Simultaneous Bilateral Anterior Cruciate Ligament (ACL) Reconstruction with use of Hamstring Tendon Autografts: a Case Report. J Surg. 2013;1(1):1-5. doi: 10.11648/j.js.20130101.11

    Copy | Download

  • @article{10.11648/j.js.20130101.11,
      author = {Matjaz Sajovic},
      title = {Simultaneous Bilateral Anterior Cruciate Ligament (ACL) Reconstruction with use of Hamstring Tendon Autografts: a Case Report},
      journal = {Journal of Surgery},
      volume = {1},
      number = {1},
      pages = {1-5},
      doi = {10.11648/j.js.20130101.11},
      url = {https://doi.org/10.11648/j.js.20130101.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20130101.11},
      abstract = {Among patients presenting with ACL deficient knees, the incidence of bilaterality is reported to be between 2% and 4%. (1) We have presented an unusual problem of a patient with chronic bilateral ACL-deficient knees and constitutionally very thin patellar tendons. Author decided to perform one-stage bilateral ACL reconstructions using hamstring tendon autografts so as not to weaken his quadriceps muscles by compromising his extensor mechanism. At 7 years follow-up, the patient’s opinion was that both ACL reconstructed knees had normal function and he was still on his preinjury level of activity. Two-stage bilateral ACL reconstruction is much more time consuming for the patient and expensive for health insurance, so in such cases, we recommend performing one-stage, bilateral ACL reconstructions using hamstring tendon autografts as a method that is effective and reproducible for a timely return of motion, strength, and function.},
     year = {2013}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Simultaneous Bilateral Anterior Cruciate Ligament (ACL) Reconstruction with use of Hamstring Tendon Autografts: a Case Report
    AU  - Matjaz Sajovic
    Y1  - 2013/04/02
    PY  - 2013
    N1  - https://doi.org/10.11648/j.js.20130101.11
    DO  - 10.11648/j.js.20130101.11
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 1
    EP  - 5
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20130101.11
    AB  - Among patients presenting with ACL deficient knees, the incidence of bilaterality is reported to be between 2% and 4%. (1) We have presented an unusual problem of a patient with chronic bilateral ACL-deficient knees and constitutionally very thin patellar tendons. Author decided to perform one-stage bilateral ACL reconstructions using hamstring tendon autografts so as not to weaken his quadriceps muscles by compromising his extensor mechanism. At 7 years follow-up, the patient’s opinion was that both ACL reconstructed knees had normal function and he was still on his preinjury level of activity. Two-stage bilateral ACL reconstruction is much more time consuming for the patient and expensive for health insurance, so in such cases, we recommend performing one-stage, bilateral ACL reconstructions using hamstring tendon autografts as a method that is effective and reproducible for a timely return of motion, strength, and function.
    VL  - 1
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Department for Orthopedics and Sports Trauma Surgery, General Teaching Hospital, Celje, Slovenia

  • Sections