{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T19:27:22Z","timestamp":1783970842912,"version":"3.55.0"},"reference-count":48,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2004,10,16]],"date-time":"2004-10-16T00:00:00Z","timestamp":1097884800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2005,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Forty\u2010three patients who had undergone an anterior cruciate ligament (ACL) reconstruction using a doubled semitendinosus and gracilis graft were prospectively reviewed at 5\u2010year follow\u2010up. All had suffered subacute or chronic tears of the ligament. At surgery, the femoral tunnel was drilled first through the antero\u2010medial portal. The correct position of the femoral and tibial guide wire was checked fluoroscopically. A cortical fixation to the bone was achieved in the femur with a Mitek anchor, directly passing the two tendons in the slot of the anchor, and in the tibia with an RCI screw, supplemented with a spiked washer and bicortical screw. Rehabilitation was aggressive, controlled and without braces. The International Knee Documentation Committee (IKDC) form, KT\u20101000 arthrometer, and Cybex dynamometer were employed for clinical evaluation. A radiographic study was also performed. At the 5\u2010year follow\u2010up all the patients had recovered full range of motion and 2% of them complained of pain during light sports activities. Four patients (9.5%) reported giving\u2010way symptoms. The KT\u20101000 side\u2010to\u2010side difference was on average 2.1\u00a0mm at 30\u00a0lb, and 68% of the knees were within 2\u00a0mm. The final IKDC score showed 90% satisfactory results. There was no difference between the 2\u2010year and 5\u2010year evaluations in terms of stability. Extensor and flexor muscle strength recovery was almost complete (maximum deficit 5%). Radiographic study showed a tunnel widening in 32% of the femurs and 40% of the tibias. A correlation was found between the incidence of tibial tunnel widening and the distance of the RCI screw from the joint (the closer the screw to the joint, the lower the incidence of widening). In conclusion, we can state that, using a four\u2010strand hamstring graft and a cortical fixation at both ends, we were able to achieve satisfactory 5\u2010year results in 90% of the patients.<\/jats:p>","DOI":"10.1007\/s00167-004-0553-1","type":"journal-article","created":{"date-parts":[[2004,10,15]],"date-time":"2004-10-15T11:37:04Z","timestamp":1097840224000},"page":"81-91","source":"Crossref","is-referenced-by-count":52,"title":["Anterior cruciate ligament reconstruction with double\u2010looped semitendinosus and gracilis tendon graft directly fixed to cortical bone: 5\u2010year results"],"prefix":"10.1002","volume":"13","author":[{"given":"Francesco","family":"Giron","sequence":"first","affiliation":[{"name":"First Orthopaedic Clinic of the University of Florence Largo Pietro Palagi, 1 50139 Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Aglietti","sequence":"additional","affiliation":[{"name":"First Orthopaedic Clinic of the University of Florence Largo Pietro Palagi, 1 50139 Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierluigi","family":"Cuomo","sequence":"additional","affiliation":[{"name":"First Orthopaedic Clinic of the University of Florence Largo Pietro Palagi, 1 50139 Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Mondanelli","sequence":"additional","affiliation":[{"name":"First Orthopaedic Clinic of the University of Florence Largo Pietro Palagi, 1 50139 Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Ciardullo","sequence":"additional","affiliation":[{"name":"First Orthopaedic Clinic of the University of Florence Largo Pietro Palagi, 1 50139 Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,10,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001670050041"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659602400605"},{"key":"e_1_2_7_4_1","first-page":"57","article-title":"A comparison between patellar tendon and doubled semitendinosus\/gracilis tendon for anterior cruciate ligament reconstruction. 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