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Australian Institute of Musculo-Skeletal Research, Crows Nest, New South Wales, Australia
Presented at the British Association of Sports Trauma and British Association for Surgery of the Knee, Harrogate, United Kingdom, March 1997; the Arthroscopy Association of North America, San Diego, California, April 1997; the 23rd annual meeting of the AOSSM, Sun Valley, Idaho, June 1997; the Australian Orthopaedic Association, Canberra, Australia, October 1998; the American Academy of Orthopaedic Surgeons, New Orleans, Louisiana, March 1998; and the Japanese Orthopaedic Association, Tokushima, Japan, April 1998.
Address correspondence and reprint requests to Leo A. Pinczewski, FRACS, North Sydney Orthopaedic and Sports Medicine Centre, 286 Pacific Highway, Crow’s Nest, Sydney, New South Wales 2065, Australia
We compared the outcome of anterior cruciate ligament reconstruction using hamstring tendon autograft with outcome using patellar tendon autograft at 2 years after surgery. Patients had an isolated anterior cruciate ligament injury and, apart from the grafts, the arthroscopic surgical technique was identical. Prospective assessment was performed on 90 patients with isolated anterior cruciate ligament injury undergoing reconstruction with a patellar tendon autograft; 82 were available for follow-up. The hamstring tendon autograft group consisted of the next 90 consecutive patients fulfilling the same criteria; 85 were available for follow-up. Clinical review included the Lysholm and International Knee Documentation Committee scores, instrumented testing, thigh atrophy, and kneeling pain. These methods revealed no difference between the groups in terms of ligament stability, range of motion, and general symptoms. Thigh atrophy was significantly less in the hamstring tendon group at 1 year after surgery, a difference that had disappeared by 2 years. The KT-1000 arthrometer testing showed a slightly increased mean laxity in the female patients in the hamstring tendon graft group. Kneeling pain after reconstruction with the hamstring tendon autograft was significantly less common than with the patellar tendon autograft, suggesting lower donor-site morbidity with hamstring tendon harvest.
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C. S. Ahmad, T. R. Gardner, M. Groh, J. Arnouk, and W. N. Levine Mechanical Properties of Soft Tissue Femoral Fixation Devices for Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., April 1, 2004; 32(3): 635 - 640. [Abstract] [Full Text] [PDF]
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S. Arneja, W. Froese, and P. MacDonald Augmentation of Femoral Fixation in Hamstring Anterior Cruciate Ligament Reconstruction With a Bioabsorbable Bead: A Prospective Single-Blind Randomized Clinical Trial Am. J. Sports Med., January 1, 2004; 32(1): 159 - 163. [Abstract] [Full Text]
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D. H. Kim, D. R. Wilson, A. T. Hecker, T. M. Jung, and C. H. Brown Jr. Twisting and Braiding Reduces the Tensile Strength and Stiffness of Human Hamstring Tendon Grafts Used for Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., November 1, 2003; 31(6): 861 - 867. [Abstract] [Full Text] [PDF]
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W. P. H. Charlton, D. A. Randolph Jr., S. Lemos, and C. L. Shields Jr. Clinical Outcome of Anterior Cruciate Ligament Reconstruction with Quadrupled Hamstring Tendon Graft and Bioabsorbable Interference Screw Fixation Am. J. Sports Med., July 1, 2003; 31(4): 518 - 521. [Abstract] [Full Text] [PDF]
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T. Tashiro, H. Kurosawa, A. Kawakami, A. Hikita, and N. Fukui Influence of Medial Hamstring Tendon Harvest on Knee Flexor Strength after Anterior Cruciate Ligament Reconstruction: A Detailed Evaluation with Comparison of Single- and Double-Tendon Harvest Am. J. Sports Med., July 1, 2003; 31(4): 522 - 529. [Abstract] [Full Text] [PDF]
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J. A. Feller and K. E. Webster A Randomized Comparison of Patellar Tendon and Hamstring Tendon Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., July 1, 2003; 31(4): 564 - 573. [Abstract] [Full Text] [PDF]
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D. W. Starch, J. W. Alexander, P. C. Noble, S. Reddy, and D. M. Lintner Multistranded Hamstring Tendon Graft Fixation with a Central Four-Quadrant or a Standard Tibial Interference Screw for Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., May 1, 2003; 31(3): 338 - 344. [Abstract] [Full Text] [PDF]
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K. B. Freedman, M. J. D'Amato, D. D. Nedeff, A. Kaz, and B. R. Bach Jr. Arthroscopic Anterior Cruciate Ligament Reconstruction: A Metaanalysis Comparing Patellar Tendon and Hamstring Tendon Autografts Am. J. Sports Med., January 1, 2003; 31(1): 2 - 11. [Abstract] [Full Text] [PDF]
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K. A. Jansson, E. Linko, J. Sandelin, and A. Harilainen A Prospective Randomized Study of Patellar versus Hamstring Tendon Autografts for Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., January 1, 2003; 31(1): 12 - 18. [Abstract] [Full Text] [PDF]
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L. Ejerhed, J. Kartus, N. Sernert, K. Kohler, and J. Karlsson Patellar Tendon or Semitendinosus Tendon Autografts for Anterior Cruciate Ligament Reconstruction?: A Prospective Randomized Study with a Two-Year Follow-up Am. J. Sports Med., January 1, 2003; 31(1): 19 - 25. [Abstract] [Full Text] [PDF]
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B. D. Beynnon, R. J. Johnson, B. C. Fleming, P. Kannus, M. Kaplan, J. Samani, and P. Renström Anterior Cruciate Ligament Replacement: Comparison of Bone-Patellar Tendon-Bone Grafts with Two-Strand Hamstring Grafts : A Prospective, Randomized Study J. Bone Joint Surg. Am., September 3, 2002; 84(9): 1503 - 1513. [Abstract] [Full Text] [PDF]
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M. S. Kocher, J. R. Steadman, K. Briggs, D. Zurakowski, W. I. Sterett, and R. J. Hawkins Determinants of Patient Satisfaction with Outcome After Anterior Cruciate Ligament Reconstruction J. Bone Joint Surg. Am., September 3, 2002; 84(9): 1560 - 1572. [Abstract] [Full Text] [PDF]
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L. A. Pinczewski, D. J. Deehan, L. J. Salmon, V. J. Russell, and A. Clingeleffer A Five-Year Comparison of Patellar Tendon Versus Four-Strand Hamstring Tendon Autograft for Arthroscopic Reconstruction of the Anterior Cruciate Ligament Am. J. Sports Med., July 1, 2002; 30(4): 523 - 536. [Abstract] [Full Text] [PDF]
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S. Jari and K. D. Shelbourne Staged Bilateral Anterior Cruciate Ligament Reconstruction with Use of Contralateral Patellar Tendon Autograft: A Case Report Am. J. Sports Med., May 1, 2002; 30(3): 437 - 440. [Full Text] [PDF]
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M. D. Shaieb, D. M. Kan, S. K. Chang, J. M. Marumoto, and A. B. Richardson A Prospective Randomized Comparison of Patellar Tendon Versus Semitendinosus and Gracilis Tendon Autografts for Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., March 1, 2002; 30(2): 214 - 220. [Abstract] [Full Text] [PDF]
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J. C. Richmond Commentary J. Bone Joint Surg. Am., February 1, 2002; 84(2): 323 - 323. [Full Text] [PDF]
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A. K. Aune, I. Holm, M. A. Risberg, H. K. Jensen, and H. Steen Four-Strand Hamstring Tendon Autograft Compared with Patellar Tendon-Bone Autograft for Anterior Cruciate Ligament Reconstruction: A Randomized Study with Two-Year Follow-Up Am. J. Sports Med., November 1, 2001; 29(6): 722 - 728. [Abstract] [Full Text] [PDF]
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J. B. Selby, D. L. Johnson, P. Hester, and D. N.M. Caborn Effect of Screw Length on Bioabsorbable Interference Screw Fixation in a Tibial Bone Tunnel Am. J. Sports Med., September 1, 2001; 29(5): 614 - 619. [Abstract] [Full Text] [PDF]
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F. R. Noyes and S. D. Barber-Westin Revision Anterior Cruciate Surgery with Use of Bone-Patellar Tendon-Bone Autogenous Grafts J. Bone Joint Surg. Am., August 1, 2001; 83(8): 1131 - 1143. [Abstract] [Full Text]
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E. Tsuda, Y. Okamura, Y. Ishibashi, H. Otsuka, and S. Toh Techniques for Reducing Anterior Knee Symptoms after Anterior Cruciate Ligament Reconstruction Using a Bone-Patellar Tendon-Bone Autograft Am. J. Sports Med., July 1, 2001; 29(4): 450 - 456. [Abstract] [Full Text] [PDF]
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F. K. Noojin, G. R. Barrett, C. W. Hartzog, and C. R. Nash Clinical Comparison of Intraarticular Anterior Cruciate Ligament Reconstruction Using Autogenous Semitendinosus and Gracilis Tendons in Men Versus Women Am. J. Sports Med., November 1, 2000; 28(6): 783 - 789. [Abstract] [Full Text] [PDF]
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J. Brand Jr., A. Weiler, D. N. M. Caborn, C. H. Brown Jr., and D. L. Johnson Graft Fixation in Cruciate Ligament Reconstruction Am. J. Sports Med., September 1, 2000; 28(5): 761 - 774. [Abstract] [Full Text] [PDF]
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A. Weiler, R. F.G. Hoffmann, C. J. Siepe, S. F. Kolbeck, and N. P. Sudkamp The Influence of Screw Geometry on Hamstring Tendon Interference Fit Fixation Am. J. Sports Med., May 1, 2000; 28(3): 356 - 359. [Abstract] [Full Text] [PDF]
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