The comparison between the results of treatment of patients after ACL reconstruction using double-folded semitendinosus and gracilis tendons and quadruple-folded semitendinosus tendon

Piotr Piech, Paweł Polak, Karolina Rasoul, Maciej Kozioł, Jacek Gągała, Tomasz Mazurkiewicz, Tytus Tulwin, Robert Łuczyk

Abstract


Introduction. Injuries of knee are considered as a significant clinical issue according to difficulties in diagnostics, therapy and rehabilitation of patients. One of the most common pathologies are injuries of anterior cruciate ligament (ACL), which represent  around 90% of all damages. There are four basic mechanisms of ACL injury, but the most common are sudden hyperextension and internal rotation of the lower leg outside the physiological range of movements. Breaking of ACL in young and active people is undisputable indication for surgery – failure to do so leads to further damages of menisci and to osteoarthritis.

Purpose of research. The aim of this study was to compare the long-term outcomes of ACL reconstruction with the use of the technique of double-folded tendons of semitendinosus and gracilis musles and quadruple-folded tendon of semitendinosus muscle.

Materials and methods. A retrospective study consisted of two stages. The results of the post-reconstructive knee rehabilitation opinion survey and postoperative records were analyzed. The study examined 46 patients aged 19-59 years, hospitalized in the Department of Orthopedics and Traumatology SPSK4 in Lublin.

Results. In order to better visualize the results, the patients were divided into four groups, depending on the KOOS score. Statistically significant, in favor of double-folded tendons of semitendinosus and gracilis muscles, were patient’s assessments of the condition in two categories: presence and severity of pain and specific symptoms. The statistically insignificant result was obtained for the parameters: the possibility of active sports, the effects on daily activities and the general quality of life.

Conclusions. The relationship between the technique used and the patient experiencing pain and specific symptoms was found. Patients undergoing surgery using double-folded semitendinosus and gracilis muscles experienced lesser symptoms.


Keywords


ACL reconstruction, tendons, muscles.

Full Text:

PDF (Polski)

References


Gray: Anatomia. Wyd. III. T. 1. Wrocław: Edra Urban & Partner, 2016. ISBN 9788365373595

Michał Reicher, Adam Bochenek: Anatomia człowieka. Wyd. 8. T. I: Anatomia ogólna. Kości, stawy i więzadła. Mięśnie. Warszawa: PZWL, 2008. ISBN 9788320038460.

Noyes FR, Grood ES, Suntay WJ: Three-dimensional motion analysis of clinical stress test for anterior knee subluxiations. Acta Orth Scan, 1989; 60(3): 308–18

Andrzej Mioduszewski: The cruciate ligaments treatment strategy, Carolina Medical Center, Warszawa

Miyasaka K.C., Daniel D.M. and Stone M.L: The incidence of knee ligament injuries in the general population. Am. J. Knee Surg. 1991 43 – 48.

Shrock KB, Jackson DW: Arthroscopic mamagement of the interior cruciate ligament-defi cient knee. Operative Arthroscopy, Second Edition ed. Lippincott-Raven Publisher, Philadelphia, 1996

Johnson R, Renstrom P: Injuries in alpine skiing, clinical practice of sports injuries prevention and care. In: Par, ed. London: Blackwell Scientifi c Publishers, 1994

Henning CE, Griffi s N, Vequist E: Sport-specifi c knee injuries in clinical practice of sports injury prevention and care. In: Renstrom P, ed. London: Blackwell Scientifi c Publications, 1994

Henning CE, Lynch MA, Glick KR: An in vivo strain gauge study of elongation of ACL. Am Sport Med, 1985; 13(1): 22–26

Miyasaka K.C., Daniel D.M. and Stone M.L: The incidence of knee ligament injuries in the general population. Am. J. Knee Surg. 1991 43 – 48.

Renstrom P et al. Br J Sports Med 2008;42:394-412

Levy AS, Meier SW. Approach to cartilage injury in the Anterior cruciate ligament-deficient knee. Orthop Clin North Am. 2003;34:149-167

Butler D.L.: Anterior cruciate ligament: its normal response and replacement. J. Orthop. Res. 1989

:910 – 921.

Johnson R.J., Beynnon B.D., Nichols C.E. and Renstrom P.A.F.H.: Current concepts review. The treatment of injuries of the anterior cruciate ligament. J. Bone and Joint Surg. Jan. 1992 74-A: 140 – 151.

Rosenberg L.S. and Sherman M.F.: Meniscal injury in the anterior cruciate-deficient knee. A rationale for clinical decision-making. Sports Med. 1992 13:423 – 432.

Feagin J.A. Jr. [editor]: The Crucial Ligaments: Diagnosis and Treatment of Ligamentous Injuries about the Knee. New York, Churchill Livingstone, 1988.

Daniel D.M., Akeson W.H. and O’Connor J.J. [editors]: Knee Ligaments: Structure, Function, Injury, and Repair. New York, Raven Press, 1990.

http://www.koos.nu/

Piech P. et al. Comparison of treatment outcomes in isolated injuries of anterior cruciate ligament (ACL) and injuries of ACL connected with damages of menisci, conducted with use of KOOS scale. J. Educ. Health Sport 2017 vol. 7 nr 4 s. 29-37.

Gerich T, Kang R. Fu F: Gene transfer to the patellar tendon. Knee Surg Sports Trauma Artho, 1997; 5(2): 118–23

Marui T, Nyibizi C, Georgescu HI: Effect of growth factors on matrix synthesis by ligament fi broblast. J Orthop Res, 1997; 15(1): 18–23




DOI: http://dx.doi.org/10.5281/zenodo.804079

Refbacks

  • There are currently no refbacks.




Copyright (c) 2017 Piotr Piech, Paweł Polak, Karolina Rasoul, Maciej Kozioł, Jacek Gągała, Tomasz Mazurkiewicz, Tytus Tulwin, Robert Łuczyk

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014

https://pbn.nauka.gov.pl/sedno-webapp/search?search&searchCategory=WORK&filter.inJournal=36616

POL-index 2011 - 2014

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-32a319c5-a850-4f44-ba70-1418a6087655

BASE 2011 - 2014

https://www.base-search.net/Search/Results?lookfor=Journal+of+Health+Sciences+%28Radom%29&type=all&oaboost=1&ling=1&name=&thes=&refid=dcrespl&newsearch=1

http://elibrary.ru/contents.asp?titleid=37467

http://journal.rsw.edu.pl/index.php/JHS/issue/archive

Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska

US NLM = 101679844

101679844 - NLM Catalog Result - NCBI

https://www.ncbi.nlm.nih.gov/nlmcatalog/101679844

Find a library that holds this journal: http://worldcat.org/issn/23918306

Journal Language(s): English 

PBN Poland

https://pbn.nauka.gov.pl/sedno-webapp/journals/49068

POL-index

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-c39c8169-88d2-45db-9e7f-d948ce9981c4

BASE

https://www.base-search.net/Search/Results?join=AND&bool0[]=AND&lookfor0[]=2391-8306&type0[]=all&page=11&l=pl&oaboost=1&refid=dcpagepl

Redaction, Publisher and Editorial Office

Instytut Kultury Fizycznej Uniwersytet Kazimierza Wielkiego w Bydgoszczy, Institute of Physical Education Kazimierz Wielki University in Bydgoszcz, Poland 85-091 Bydgoszcz ul. Sportowa 2  www.ukw.edu.pl Copyright by Instytut Kultury Fizycznej UKW w Bydgoszczy http://ojs.ukw.edu.pl/index.php/johs  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at https://dbh.nsd.uib.no/publiseringskanaler/erihplus/periodical/info?id=485984

SIC Science citation index (calculated on the basis of TCI and Page Rank) 0

Russian Impact factor 0.16

Indexed in Index Copernicus Journals Master List.

http://journals.indexcopernicus.com/Journal+of+Education+Health+and+Sport,p24782242,3.html

ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

The InfoBase Index IBI Factor for the year 2015 is 3.56 in InfoBase Index.com.

Website: www.infobaseindex.com

Universal Impact Factor 1.78 for year 2012. (http://www.uifactor.org/AppliedJournals.aspx)

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (https://pbn.nauka.gov.pl/journals/36616)

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ) http://elibrary.ru/contents.asp?titleid=37467

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski

(http://www1.bg.us.edu.pl/bazy/czasopisma/czasop_full.asp?id=3595)