Purpose
To determine 2-year functional outcomes using an all-inside quadrupled semitendinosus
anterior cruciate ligament (ACL) reconstruction technique in male and female patients.
Methods
A total of 100 patients who underwent quadrupled semitendinosus all-inside hamstring
ACL reconstruction by a single surgeon were enrolled. Patient-reported outcome scores
collected preoperatively and postoperatively included visual analog scale, Veterans
Rand 12-Item Health Survey (VR-12; Physical and Mental), Marx Activity Scale, Knee
Injury and Osteoarthritis Outcome Scores (KOOS), and Western Ontario and McMaster
Universities Osteoarthritis Index (WOMAC).
Results
A total of 100 ACL reconstructions comprising 62 female, and 38 male patients were
included in this study. Mean graft diameter was 9.4 mm in female and 9.8 mm in male
patients (range, 9-11). Outcome scores demonstrated improvement from preoperative
to 2-year postoperative respectively: visual analog scale pain 3.18, 1.07, VR-12 physical
36.35, 52.64, VR-12 mental 53.96, 54.65, KOOS pain 59.17, 89.03, KOOS symptoms 52.64,
80.79, KOOS Activities of Daily Living 69.38, 95.4, KOOS Sport 28.97, 81.25, KOOS
Quality of Life 27.54, 71.56, WOMAC Pain 71.56, 92.65, WOMAC Stiffness 60.55, 84.13,
and WOMAC Function 69.38, 95.4. Marx activity score decreased from baseline (10.98)
to 2 years’ postoperatively (8.75). At 2 years, patient expectations were met or exceeded
with regards to pain (94%), motion and strength (91%), normal function of daily living
(95%), and return to sport (79%).
Conclusions
Anatomic all-inside quadrupled semitendinosus ACL reconstruction improves functional
outcomes similarly to previous studies between baseline and clinical follow-up at
1-year and 2-years postoperatively and is comparable in both male and female patients.
Level of Evidence
Level III, retrospective comparative study.
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Article info
Publication history
Published online: April 19, 2021
Accepted:
March 23,
2021
Received:
September 23,
2020
See commentary on page 3149Footnotes
The authors report the following potential conflicts of interest or sources of funding: J.E.C. reports personal fees from Osteoarthritis and Cartilage, outside the submitted work. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
Identification
Copyright
© 2021 by the Arthroscopy Association of North America
