Abstract
Background: Considering the high prevalence of anterior cruciate ligament (ACL) injuries, several attempts have been made to repair the ligament to bring it closer to the natural anatomy. Using autografts such as the semi tandinousus and gracilis tendons (double-strand method) is the common surgical method to reconstruct ACL. However, to reconstruct ACL, using an autograft of quadrupled semitendinosus grafts (single-strand method) may have the same results and fewer complications than the first technique. Yet, there is not enough evidence in this regard. In this study, the results of using the two autografts to reconstruct ACL were compared.
Methods: Patients with ACL tear were enrolled in the study and divided into two groups (undergoing double-strand or single-strand graft surgery). After operation, all patients were assessed by using clinical examinations and Iysholm questionnaire. The results were compared between two groups.
Results: Twenty nine patients under 30 years were enrolled in the study; 19 patients in the single- strand (n = 19) and 20 patients in the double strand groups (n = 20). There was no significant difference between two groups in terms of height, weight, body mass index (BMI), complications, and scores of Iysholm and pivot shift tests.
Conclusion: There were not significant difference between the two groups in terms of height, weight, BMI, complications and activity. Therefore, depending on the patient's condition and the length and diameter of the graft, one or both of the methods can be selected to reconstruct ACL.
Keywords: Anterior cruciate ligament; Autologous Transplantation; Autograftings