Hamstring Tendon Autograft Contamination in Anterior Cruciate Ligament Reconstruction: Comparison between two Harvesting Techniques
Abstract Objective: To evaluate the contamination rate of hamstring tendon autografts by comparing two different techniques, and to verify whether intraoperative contamination is associated with the development of clinical infection in patients submitted to reconstruction of the anterior cruciate ligament (ACL). Methods: A total of 110 hamstring tendon autograft ACL reconstructions were performed and divided into two groups: 1-hamstring tendon retraction technique; and 2 - technique maintaining the tibial insertion of the hamstring tendon. During the preparation, two graft fragments were sent for culturing; the harvesting time, the preparation time, and the total surgery time were measured. Twenty-four hours after the surgery, the C-reactive protein was assayed. The clinical outpatient follow-up was performed up to 180 days postoperatively. Results: Although there were two postoperative infections, there was no graft contamination or difference between the groups in relation to the graft preparation time and to the 24-hour postoperative C-reactive protein assessment. The classic technique presented a longer graft harvesting time (p = 0.038), and there was no statistical difference between the 2 groups regarding the degree of contamination and consequent clinical infection, although 2 patients in group 2 presented with infection, with negative perioperative cultures. Conclusion: Based on the results obtained, there was no association between graft contamination and the time or technique of its preparation. In addition, there was also no association between intraoperative contamination and the development of clinical infection, nor was there any sign of an association between the early alteration of Creactive protein and the onset of infection.
Main Authors: | Temponi,Eduardo Frois, Costa,Luís Henrique Grassi Marques da, Soares,Luiz Fernando Machado, Carvalho Júnior,Lúcio Honório de |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Sociedade Brasileira de Ortopedia e Traumatologia
2019
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000100045 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Similar Items
-
CONTRALATERAL PATELLAR TENDON AUTOGRAFT IN ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION
by: LOBO JÚNIOR,PAULO, et al.
Published: (2018) -
Anterior cruciate ligament injuries treated with quadriceps tendon autograft versus hamstring autograft: A randomized controlled trial
by: Vilchez-Cavazos,Felix, et al.
Published: (2020) -
Relationship between peri-incisional dysesthesia and the vertical and oblique incisions on the hamstrings harvest in anterior cruciate ligament reconstruction
by: Leite,Marcos Laube, et al.
Published: (2016) -
A Comparison between Oblique and Vertical Incisions on the Hamstring Tendon Harvesting in Anterior Cruciate Ligament Reconstruction and Infrapatellar Branch Injury of the Saphenous Nerve
by: Keyhani,Sohrab, et al.
Published: (2020) -
Reconstruction of anterior cruciate ligament and anterolateral ligament using interlinked hamstrings - technical note
by: Ferreira,Marcio de Castro, et al.
Published: (2016)