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

Published: 2 April 2013
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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), 2013. Published by Science Publishing Group

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Keywords

ACL Rupture; One-Stage Bilateral ACL Reconstruction; Rehabilitation

References
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  • 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

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    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

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    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

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  • @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}
    }
    

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    T1  - Simultaneous Bilateral Anterior Cruciate Ligament (ACL) Reconstruction with use of Hamstring Tendon Autografts: a Case Report
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    JF  - Journal of Surgery
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    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
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Author Information
  • Department for Orthopedics and Sports Trauma Surgery, General Teaching Hospital, Celje, Slovenia

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