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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 4/2013

Open Access 01-04-2013 | Knee

Regeneration of hamstring tendons after anterior cruciate ligament reconstruction

Authors: Rob P. A. Janssen, Maria J. F. van der Velden, Huub L. M. Pasmans, Harm A. G. M. Sala

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 4/2013

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Abstract

Purpose

Primary aim of the study was analysis of hamstring tendon regeneration after anterior cruciate ligament reconstruction (ACLR). Secondary aim was analysis of isokinetic muscle strength in relation to hamstring regeneration. The hypothesis was that regeneration of hamstring tendons after ACLR occurs and that regenerated hamstring tendons contribute to isokinetic hamstring strength with regeneration distal to the knee joint line.

Methods

Twenty-two patients scheduled for ACLR underwent prospective MRI analysis of both legs. MRI parameters were tendon regeneration and morphology, muscle retraction and muscle cross-sectional area. A double-blind, prospective analysis of isokinetic quadriceps and hamstrings strength was performed.

Results

Regeneration of the gracilis tendon after ACLR occurred in all patients. Regeneration of the semitendinosus tendon occurred in 14 patients. At 1 year, the surface area of the semitendinosus and gracilis muscle decreased compared to both preoperatively (P < 0.01) and the contralateral leg (P < 0.01). The cross-sectional area of the semitendinosus muscle decreased in the absence of tendon regeneration (P = 0.05). The cross-sectional area of the gracilis muscle was greater in case of regeneration distal to the joint line (P = 0.01). Muscle retraction of the semitendinosus muscle was increased in case of nonregeneration (P = 0.02). There was no significant relationship between isokinetic flexion strength and tendon regeneration.

Conclusion

Hamstring tendons regenerated after harvest of both semitendinosus and gracilis tendons for ACLR. There was no relation between isokinetic flexion strength and tendon regeneration.

Level of evidence

Prognostic study, Level II.
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Metadata
Title
Regeneration of hamstring tendons after anterior cruciate ligament reconstruction
Authors
Rob P. A. Janssen
Maria J. F. van der Velden
Huub L. M. Pasmans
Harm A. G. M. Sala
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 4/2013
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-012-2125-0

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