Today's orthopedic surgeons are more interested in anterior cruciate ligament (ACL) injuries. There are a lot of surgery techniques and graft choises which the surgeons' uses in ACL reconstruction. Still the ideal graft is searching. Artroscopic ACL reconstruction done to 62 patients by using anterior tibial tendon allograft and 36 patients by using quadruple hamstring tendon autograft who has ACL insufficiency. Thesepatients applied to our clinic between January 2001-June 2004. We compare the results of 52 patients who have anterior tibial tendon allograft and 30 patients who have quadruple hamstring tendon autograft. The patients who had anterior tibial tendon allograft, ages ranging from 17 to 55 (mean 30,23). The following time is between 10,2 months and 43.8 months (mean 29,38 months). The patients who have quadruple hamstring tendon autograft, ages ranging from 21 to 45 (mean 29, 80). The following time is between 3,6 months and 15,2 months (means 11,08 months). The first complaint was lack of confidence and the second was pain in both of the two groups. The results of 44 patients who had anterior tibial tendon allograft were good. In one of the patient developed rerupture because of early starting hi-energie sports in spite of the warnings. During the second look arthroscopy we saw that the reconstructed ligament was completely resorbed in one of the patient. There was effusion in 6 patients' last medical examinations. There weren't any problems in the patients' last medical examinations who had quadruple hamstring tendon autograft. We compare both two groups preoperative and postoperative by using International Knee Documentation Committee (IKDC) and Lyzholm tests. According to these tests there was no difference between the groups except effusion (p>0.01). Our early results are match to literature. Immune reaction development possibility is higher in allograft ACL reconstruction than autograft ACL reconstruction. This immune response can severely range from a simple effusion to completely destroy of the graft. Key words: Anterior cruciate ligament, Anterior tibial tendon allograft, Quadruple hamstring tendon autograft.
Tez (Tıpta Uzmanlık) - Süleyman Demirel Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, 2004.
Kaynakça var.
Today's orthopedic surgeons are more interested in anterior cruciate ligament (ACL) injuries. There are a lot of surgery techniques and graft choises which the surgeons' uses in ACL reconstruction. Still the ideal graft is searching. Artroscopic ACL reconstruction done to 62 patients by using anterior tibial tendon allograft and 36 patients by using quadruple hamstring tendon autograft who has ACL insufficiency. Thesepatients applied to our clinic between January 2001-June 2004. We compare the results of 52 patients who have anterior tibial tendon allograft and 30 patients who have quadruple hamstring tendon autograft. The patients who had anterior tibial tendon allograft, ages ranging from 17 to 55 (mean 30,23). The following time is between 10,2 months and 43.8 months (mean 29,38 months). The patients who have quadruple hamstring tendon autograft, ages ranging from 21 to 45 (mean 29, 80). The following time is between 3,6 months and 15,2 months (means 11,08 months). The first complaint was lack of confidence and the second was pain in both of the two groups. The results of 44 patients who had anterior tibial tendon allograft were good. In one of the patient developed rerupture because of early starting hi-energie sports in spite of the warnings. During the second look arthroscopy we saw that the reconstructed ligament was completely resorbed in one of the patient. There was effusion in 6 patients' last medical examinations. There weren't any problems in the patients' last medical examinations who had quadruple hamstring tendon autograft. We compare both two groups preoperative and postoperative by using International Knee Documentation Committee (IKDC) and Lyzholm tests. According to these tests there was no difference between the groups except effusion (p>0.01). Our early results are match to literature. Immune reaction development possibility is higher in allograft ACL reconstruction than autograft ACL reconstruction. This immune response can severely range from a simple effusion to completely destroy of the graft. Key words: Anterior cruciate ligament, Anterior tibial tendon allograft, Quadruple hamstring tendon autograft.