2025 ISAKOS Congress in Munich, Germany

2025 ISAKOS Biennial Congress ePoster


To co- relate between tibial intercondylar eminence distance and acl graft thickeness in arthroscopic acl reconstruction using quadrupled semitendinosus tendon graft

Maalepati Vidya Sagar, MS, Banglore, KARNATAKA INDIA
Apollo hospitals , bangalore, Banglore, Karnataka, INDIA

FDA Status Not Applicable

Summary

we can conclude that intra operative measurement of the intercondylar eminence distance and creating of a tibial tunnel 1mm less with a quadrupled semitendinous graft found to have preserving acl remnants leading to positive effect in graft healing and preservation of the native mechanoreceptors resulting in better proprioception , lower incidence of medial condyle impingement and overstuffin

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Abstract

Purpose

To co- relate between tibial intercondylar eminence distance and acl graft thickeness in arthroscopic acl reconstruction using quadrupled semitendinosus tendon graft.

Methods

This prospective study was conducted on a total of 100 patients with a mean avg of 32.7 years undergoing ACL ligament reconstruction with quadripuled hamstring autograft. Pre-operative parameters taken into consideration were sex, height, weight. Intra-operatively, tibial intercondylar eminence distance(ICED) was calculated using arthrex measuring probe during knee diagnostic scopy and quadrupuled semitendinosus graft length and diameter were taken into consideration after measurement.

Results

There was significant amount of acl footprints preserved and the graft was positioned within the remnant, providing circular synovial coverage and the quadrupled semitendinous graft was sufficient enough for acl reconstruction without any medial condyle impingement and overstuffing of the notch

Conclusion

From the study we can conclude that intra operative measurement of the intercondylar eminence distance and creating of a tibial tunnel 1mm or less with a quadrupled semitendinous graft found to have preserving acl remnants leading to positive effect in graft healing and preservation of the native mechanoreceptors resulting in better propioception , lower incindence of medial condyle impingement and overstuffing of intercondylar notch .