EVALUATION OF THE RESULTS OF ARTHROSCOPIC ACL RECONSTRUCTION WITH AUTOGENOUS FLEXOR TENDONS

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Biomedical Engineering

Background:

• Anterior cruciate ligament (ACL) injuries are common, often requiring surgical reconstruction.
• Flexor tendon autografts from the thigh are a viable option for ACL reconstruction.
• Understanding factors influencing surgical outcomes is crucial for patient management.

Purpose of the Study:

• To evaluate the efficacy of ACL reconstruction using thigh flexor tendon autografts.
• To analyze the influence of patient sex, body mass index (BMI), and history of lower limb fracture on surgical outcomes.

Main Methods:

• Retrospective evaluation of 265 patients undergoing knee arthroscopy for ACL reconstruction.
• Ipsilateral graft harvested from the flexor tendon of the thigh.
• Follow-up evaluation of 176 patients over a mean of 34.95 months.

Main Results:

• 91.4% of patients achieved good or excellent results.
• No statistically significant differences in outcomes were observed based on sex (p=0.128), BMI < 25 (p=0.848), or association with lower limb fracture (p=0.656).
• A trend towards better outcomes was noted in male patients.

Conclusions:

• ACL reconstruction with thigh flexor tendon autografts demonstrates high success rates.
• Patient sex, BMI, and history of lower limb fracture are not significant predictors of outcome in this cohort.
• This technique offers a reliable solution for ACL reconstruction.