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or desire for future participation in cutting or pivoting sports. There are multiple graft options for ACL reconstruction including bone-patellar tendon-bone (BPTB) autograft, quadriceps tendon autograft, hamstring tendon autograft and several
Hospital Sotero del Rio, Santiago, Chile
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Hospital Padre Hurtado, Santiago, Chile
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treatment, there is an increased risk of articular cartilage damage and graft failure and a long-term risk of joint dysfunction. 3 – 6 Hamstring autograft use has been linked to an increased risk of infection after ACL reconstruction compared to other
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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commonly used grafts for ACLR include hamstring tendon (HT), bone–patellar tendon–bone (BPTB) and quadriceps tendon (QT) autografts, allografts and synthetic grafts. However, there is no uniform consensus on the single best graft choice for ACLR, with
Clínica Alemana-Universidad del Desarrollo, Santiago, Chile
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Hospital Padre Hurtado, Santiago, Chile
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Dom Henrique Research Centre, Portugal
3Bs Research Group – Biomaterials, Biodegradables and Biomimetics, University of Minho, Braga, Portugal
ICVS/3Bs–PT Government Associate Laboratory, Braga, Portugal
Orthopaedics Department of Minho University, Braga, Portugal
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injuries. Best graft in ACL injuries Graft choice in ACL surgery is one of the most studied topics in the scientific literature. The four most common options are: (1) hamstring (HT) autograft, (2) bone-tendon-bone (BTB) autograft, (3) quadriceps
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weakness can also result from autograft harvesting for ACL reconstruction. A trend towards extensor and flexor muscle strength deficit was shown in ACL reconstructions when bone-patella-tendon-bone (BPTB) and hamstring (HST) autograft was used, respectively
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missed games per year than any other muscle injury, including hip adductor, hamstrings and gastrocnemius injuries. 2 , 3 The most commonly injured muscle of the quadriceps complex is the rectus femoris. 3 , 4 Injuries to this muscle range in
Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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Avcilar Hospital, Istanbul, Turkey
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Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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) Correction of patellar height after primary repair and augmentation with hamstring tendon grafts through bone tunnels. Ultrasound diagnosis of patellar tendon tears is relatively inexpensive and readily available but is operator-dependent. A high
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.e. hamstring contraction with the knee flexed 90°) have been proposed, 12 , 18 with no significant differences in usefulness. However, the single-leg kneeling technique is a cheap, reliable, fast and useful technique to address a posterior tibial
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shown to have a distinct higher failure rate especially in young, active patients ( 46 ). Regarding autografts, in general, bone–patellar tendon–bone (BPTB) grafts seem to have a lower failure rate; and hamstring (HT) grafts less harvest morbidity ( 47
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hamstring rehabilitation and sports-specific training is possible. Lundberg and Messner reported excellent results in 38 Grade I or II MCL injuries followed prospectively for ten years. The median Lysholm score was 100 at 4 years and 95 at ten years. 16
