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Anterior cruciate ligament (ACL) reconstruction with four\u2010strand hamstring tendon was performed with Transfix technique on 271 (198\u00a0males, 73 females; mean age 25.7; 17\u201352) patients with anterior cruciate ligament ruptures. The patients were followed up with clinical examination, Lysholm and Tegner activity scales, IKDC scoring system, KT\u20101000 test and radiological examination. The mean follow\u2010up period was 82 (48\u2013100) months; 204 (75%) patients had no subjective complaints. According to the KT\u20101000 test, only 14 (5%) patients had more than 5\u00a0mm laxity postoperatively, whereas, 161 (59%) patients had more than 5\u00a0mm laxity preoperatively. In addition to this, only 19 (7%) patients had Lysholm scores less than 80 postoperatively, whereas 154 (57%) patients scored less than 80 preoperatively. When compared with Tegner activity scale, 189 (70%) patients scored &lt;6 preoperatively and only 24 (8%) postoperatively; 78 (29%) patients scored D preoperatively and only 5 (2%) patients scored D postoperatively on the basis of the IKDC scoring system. Our functional results were found to be satisfactory in more than 90% of patients. Commonly seen problems in ACL reconstruction such as inaccurate graft placement and tunnel widening were found to be consistent with the values in relevant literature. However, we demonstrated that the functional results and the stability of the knee were not related with tunnel widening. This study concludes that the reconstruction of ACL with hamstring tendons and the Transfix technique is reasonably successful, safe and causes low morbidity. Furthermore, we believe that proper graft preparation, accurate tunnel placement, notch\u2010plasty, fixation and rehabilitation program are all as important as the choice of graft and fixation material.<\/jats:p>","DOI":"10.1007\/s00167-007-0344-6","type":"journal-article","created":{"date-parts":[[2007,5,14]],"date-time":"2007-05-14T09:29:33Z","timestamp":1179134973000},"page":"965-972","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["The mid\u2010 to long\u2010term results of the anterior cruciate ligament reconstruction with hamstring tendons using Transfix technique"],"prefix":"10.1002","volume":"15","author":[{"given":"Mehmet","family":"Asik","sequence":"first","affiliation":[{"name":"Medical Faculty of Istanbul University of Istanbul Ortopedi ve Traumatoloji Anabilimdali 34390 Topkapi\/Istanbul 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