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Hip extension strength following hamstring tendon harvest for ACL reconstruction

Abstract Hamstring autograft harvest for ACL reconstruction may have an effect on hip extension strength and this may be important especially in sports that involve high speed running such as soccer, rugby, American football and the sprint disciplines of track and field. This aspect of hamstring ten...

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Published in:The knee 2007-10, Vol.14 (5), p.352-356
Main Authors: Geoghegan, John M, Geutjens, Guido G, Downing, Nicholas D, Colclough, Karen, King, Richard J
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Language:English
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cited_by cdi_FETCH-LOGICAL-c437t-dc2fe1dcacbc6f5b4fdea232fdb376d8eda1ef277d8a85ac26393957a46c03cd3
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container_issue 5
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container_title The knee
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creator Geoghegan, John M
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description Abstract Hamstring autograft harvest for ACL reconstruction may have an effect on hip extension strength and this may be important especially in sports that involve high speed running such as soccer, rugby, American football and the sprint disciplines of track and field. This aspect of hamstring tendon harvesting has not been looked at before. We have performed a non-randomised prospective case control study comparing isokinetic hip extension strength following four strand semitendinosus and gracilis tendons (4SHS) and bone-patellar tendon-bone (BPTB) autografts in ACL reconstruction. Isokinetic hip extension was assessed at 3 and 12 months post-operatively using a Kin-Com machine at a speed of 30° per second. Three months post-operatively there was a significant decrease ( p < 0.05) in the peak force of concentric hip extension in the 4SHS group. There was no evidence that hip extension is weaker following ACL reconstruction with 4SHS tendon autograft than ACL reconstruction with BPTB autograft at 12 months post-operatively. We find no contra-indication to the use of 4SHS tendon autografts in ACL reconstruction in patients who wish to preserve hip extension strength for their sporting activities.
doi_str_mv 10.1016/j.knee.2007.06.003
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subjects ACL reconstruction
Adult
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries
Autograft
Bone-Patellar Tendon-Bone Grafting
Case-Control Studies
Female
Hip extension
Hip Joint - physiology
Humans
Male
Middle Aged
Movement - physiology
Muscle Strength - physiology
Orthopedics
Prospective Studies
Tendons - transplantation
Transplantation, Autologous
title Hip extension strength following hamstring tendon harvest for ACL reconstruction
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