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Journal of Education, Health and Sport

The influence of thickness of ACL tendon graft on long-term results of treatment
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The influence of thickness of ACL tendon graft on long-term results of treatment

Authors

  • Piotr Piech Department of Orthopedics and Traumatology, Medical University of Lublin. Department of Human Anatomy, Medical University of Lublin.
  • Paweł Polak Department of Orthopedics and Traumatology, Medical University of Lublin.
  • Maciej Kozioł Department of Human Anatomy, Medical University of Lublin.
  • Paweł Obierzyński Human Anatomy Research Group, Department of Human Anatomy, Medical University of Lublin.
  • Grzegorz Staśkiewicz Department of Human Anatomy, Medical University of Lublin. 1st Department of Radiology, Medical University of Lublin.
  • Małgorzata Neścior Human Anatomy Research Group, Department of Human Anatomy, Medical University of Lublin.

Keywords

ACL, anterior cruciate ligament, reconstruction, graft

Abstract

1. INTRODUCTION: Operative treatment is the treatment of choice for the most severe, third-degree ACL sprain. Many operational techniques exist, including technique using a quadruple-folded semitendinosus tendon and the technique of double-folded semitendinosus and gracilis tendons. Depending on the technique chosen, we can obtain different thicknesses of the grafts used.

 

2. AIM OF THE STUDY: To find a relationship between the type of surgical technique used and the thickness of the graft, as well as to assess the effect of the thickness of the applied autograft on the long-term outcome of the treatment.

 

3. MATERIALS AND METHODS: A retrospective study included a group of 43 patients operated on due to ACL injury. In 21 patients, the procedure was performed using the quadruple-folded semitendinosus tendon, whereas in 22 patients the procedure was performed using double-folded semitendinosus and gracilis tendons. The patients were divided into groups based on the thickness of the transplant. A special questionnaire prepared on the basis of the KOOS scale was used to assess the subjective performance of the knee. The type and thickness of the graft was determined based on the analysis of operational protocols. The statistical analysis of the results of the study was performed. The Chi-square compatibility test or chi-square compatibility test in the Yates modification were used to assess the relationship.

 

4. RESULTS: A relationship was found between the parameters: "general quality of life" (p = 0.01), "pain" (p = 0.005), "sports activity" (p = 0.05), "everyday activities" (p = 0, 01). There is no dependence for the "other symptoms" parameter (p = 0.1). There is no relationship between the technique used and the graft thickness (p = 0.2).

 

 5. CONCLUSIONS: The choice of the surgical technique does not affect the final thickness of the autograft. Overall quality of life, pain, sports activity; everyday activities are the parameters of the KOOS scale, which are affected by the thickness of the transplant.

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Published

2018-02-16

How to Cite

1.
PIECH, Piotr, POLAK, Paweł, KOZIOŁ, Maciej, OBIERZYŃSKI, Paweł, STAŚKIEWICZ, Grzegorz and NEŚCIOR, Małgorzata. The influence of thickness of ACL tendon graft on long-term results of treatment. Journal of Education, Health and Sport. Online. 16 February 2018. Vol. 8, no. 2, pp. 214-230. [Accessed 17 May 2025].
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Issue

Vol. 8 No. 2 (2018)

Section

Research Articles

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The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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