No Keywords

How to Cite

Jankovic, S., Nozadze, T., Kasradze, P., Pirpilashvili, D., & Gudushauri, P. (2021). ARTHROSCOPIC RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT OF KNEE JOINT USING AUTOGRAFTS OF M. SEMITENDINOSUS AND ENDONS OF M. GRACILIS – RESULTS OF 30 CASES. Collection of Scientific Works of Tbilisi State Medical University, 50, 61–63. Retrieved from


Anterior cruciate ligament of knee joint is often dam- aged  in sportsmen  and  people,  engaged  in  an active  life. Among orthopedic operations the reconstruction of anterior cruciate ligament of knee joint appears to be one of the most frequent procedures. The post surgery results depend on the type of the operation, autograft, used during the surgery, fix- ation material, the state of menisci and cartilage, the patient’s age and weight, the mechanism of injury and, certainly, the factor of the surgeon. In recent years the operations have been conducted using the arthroscopic methods. During the period from January 24, 2013 to May 25, 2016 total of 30 operations were carried out on 29 patients at the Clinic “Aversi” – the reconstruction of anterior cruciate ligament of knee joint using autografts of m. semitendinosus and tendons of m. gracilis. Out of 29 patients were 5 womenand 24 men. The youngest age was 14 and the eldest – 43.  On one patient the operations were carried out on both knee joints with an interval of 6 months. Absolutely all of the pa- tients returned to the mode of life, which they had before the trauma. Proceeding from the data obtained, the ideal time for surgery was 3-6 weeks after the injury, when the knee was completely extended and edema was not observed. The status of the thigh muscles is very significant. For timely return to sport (in our case after 6-7 months) a full function- ally controlled rehabilitation-recovery has a particular im- portance. Also, a timely surgical treatment appears to be the best prevention for further injuries of menisci and cartilage. In our research the methods of treatment used in the surgical treatment and rehabilitation of sportsmen in Croatia were applied, particularly, for surgical treatment of football play- ers, as well as for postoperative rehabilitation.



Katz JW, Fingeroth RJ: The diagnostic accuracy of ruptures of the anterior cruciate ligament comparing the Lach- man test, the anterior drawer sign, and the pivot shift test in acute and chronic knee injuries. Am J Sports Med 14:88-91.1986

Wiertsema SH, van Hooff HJ, Migchelsen LA, et al Reliability of the KT1000 arthrometer and the Lachman test in patients with an ACL rupture. Knee 15:107-110, 2008

Benjaminse A, Gokeler A, van der Schans CP: Clinikal diagnosis of an anterior cruciate ligament rupture:Ametal-

analysis. J Orthop Sports Phys Ther 36:267-288, 2006

Liu SH, Osti L, Henry M, et al: The diagnosis of acute complete tears of the anterior cruciate ligament. Compari-son of MRI, arthrometry and clinical examination. J BoneJoint Surg Br 77:586-588, 1995.

Ostrowski JA: Accuracy of 3 diagnostic tests for anterior cruciate ligament tears. J Athl Train 41:120-121, 2006

Baugher WH, Warren RF, Marshall JL, et al: Quadri- ceps atrophy in the anterior cruciate insufficient knee. Am J

Sports Med 12:192-195, 19847. Williams GN, Buchanan TS, Barrance PJ, et al: Quad- riceps weakness, atrophy, and activation failure in predicted

noncopers after anterior cruciate ligament injury.Am J SportsMed 33:402-407, 2005

Lorentzon R, Elmqvist LG, Sjostrom M, et al: Thighmusculature in relation to chronic anterior cruciate ligament tear: Muscle size, morphology, and mechanical output bere reconstruction. Am J Sports Med 17:423-429, 1989

Viskontas DG, Giuffre BM, Duggal N, et al: Bone bruis- es associated with ACL rupture: Correlation with injury

mechanism. Am J Sports Med 36:927-933, 2008

McIntosh AL, Dahm DL, Stuart MJ: Anterior cruci- ate ligament reconstruction in the skeletally immature pa-

tient. Arthroscopy 22:1325-1330, 2006

Shino K, Nakata K, Horibe S, et al: Quantitative eval- uation after arthroscopic anterior cruciate ligament recon-

struction. Allograft versus autograft. Am J Sports Med21:609-616, 1993

Barrett G, Stokes D, White M: Anterior cruciate lig- ament reconstruction in patients older than 40 years:Allograft

versus autograft patellar tendon. Am J Sports Med 33:15051512, 2005

Poehling GG, Curl WW, Lee CA, et al: Analysis of outcomes of anterior cruciate ligament repair with 5-year

follow-up: Allograft versus autograft. Arthroscopy 21:774-785, 2005

Goldblatt JP, Fitzsimmons SE, Balk E, et al: Recon-struction of the anterior cruciate ligament: Metal-analysis of patellar tendon versus hamstring tendon autograft. Arthros-

copy 21:791-803, 200515. West RV, Harner CD: Graft selection in anterior cru- ciate ligament reconstruction. J Am Acad Orthop Surg

:197-207, 200516. Freedman KB, D’Amato MJ, Nedeff DD, et al: Ar-throscopic anterior cruciate ligament reconstruction: Ametaanalysis comparing patellar tendon and hamstring ten-

don autografts. Am J Sports Med 31:2-11, 200317. Baer GS, Harner CD: Clinical outcomes of allograft versus autograft in anterior cruciate ligament reconstruction.Clin Sports Med 26: 661-681, 2007

Lawhorn KW, Howell SM: Principles for using ham- string tendons for anterior cruciate ligament reconstruction.

Clin Sports Med 26:567- 585, 200719. Sajovic M, Vengust V, Komadina R, et al: Aprospec- tive, randomized comparison of semitendinosus and gracilistendon versus patellar tendon autografts for anterior cruci- ate ligament reconstruction: Five-year follow-up.Am J Sports Med 34:1933-1940, 2006

Lebel B, Hulet C, Galaud B, et al: Arthroscopic re- construction of the anterior cruciate ligament using bone-

patellar tendon-bone autograft: A minimum 10-year follow-up. Am J Sports Med 36:1275-1282, 2008

Edgar CM, Zimmer S, Kakar S, et al: Prospective comparison of auto and allograft hamstring tendon constructs for ACL reconstruction. Clin Orthop Relat Res 466:2238-2246, 2008

Shaieb MD, Kan DM, Chang SK, et al: A prospec- tive randomized comparison of patellar tendon versus semi-

tendinosus and gracilis tendon autografts for anterior cruci-ate ligament reconstruction. Am J Sports Med 30:214-220,

Tejwani SG, Shen W, Fu FH: Soft tissue allograft andouble-bundle reconstruction. Clin Sports Med 26:639-660,

Gulotta LV, Rodeo SA: Biology of autograft and al-lograft healing in anterior cruciate ligament reconstruction. Clin Sports Med 26:509-524, 2007

Elkousy HA, Sekiya JK, Harner CD: Broadening theindications for meniscal repair. Sports Med Arthrosc Rev

:270-275, 2002

Lozano J, Ma CB, Cannon WD: All-inside meniscusrepair: Asystematic review. Clin Orthop Relat Res 455:134-

, 2007

Barber FA, McGarry JE: Meniscal repair techniques.Sports Med Arthrosc 15:199-207, 2007

Borden P, Nyland J, Caborn DN, et al: Biomechani- cal comparison of the fast-fix meniscal repair suture system with vertical mattress sutures and meniscus arrows. Am J Sports Med 31:374-378, 2003

Ferretti M, Ekdahl M, Shen W, et al: Osseous landmarks of the femoral attachment of the anterior cruciate lig- ament: An anatomic study.Arthroscopy 23:1218-1225, 2007

Elliott MJ, Kurtz CA: Peripheral versus aperture fixation for anterior cruciate ligament reconstruction. Clin

Sports Med 26:683-693, 2007


Download data is not yet available.


Metrics Loading ...