{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T23:31:07Z","timestamp":1793230267412,"version":"4.5.0"},"reference-count":34,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,3,19]],"date-time":"2019-03-19T00:00:00Z","timestamp":1552953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,3,19]],"date-time":"2019-03-19T00:00:00Z","timestamp":1552953600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To compare the \u201call\u2010inside technique\u201d for anterior cruciate ligament (ACL) reconstruction using a short, quadrupled semitendinosus tendon (ST4) autograft and suspensory cortical fixation on both the femoral and tibial side vs the \u201cconventional technique\u201d using a semitendinosus\/gracilis (ST\/G) autograft fixed with a suspensory device on the femoral side and with an interference screw on the tibial side, in terms of clinical and functional outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 90 patients were enrolled, randomised into two groups, and prospectively followed. Group A comprised 45 patients treated with the all\u2010inside technique and Group B included 45 patients treated with the conventional ACL technique (55\u00a0males, 35 females; mean age 28.7\u2009\u00b1\u200911.3 years). Patients completed the Lysholm knee score, the International Knee Documentation Committee (IKDC) score, the Knee Injury and Osteoarthritis Score (KOOS), and the Knee Society Score (KSS) preoperatively and at 2 years postoperatively. Anterior tibial translation measurement (KT\u20101000 arthrometer) and isokinetic testing of the operative vs non\u2010operative limb were also conducted and the limb symmetry index (LSI) was determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At 24\u00a0months, the Lysholm, IKDC, KOOS, and KSS scores between the two groups were similar (n.s.). Anterior tibial translation between the operative and non\u2010operative knee was also similar among the two groups (n.s.). Patients of Group A had significantly higher mean LSIs in terms of flexor peak torque (1.0\u2009\u00b1\u20090.1 vs 0.9\u2009\u00b1\u20090.1; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), time\u2010to\u2010peak (0.9\u2009\u00b1\u20090.1 vs 0.8\u2009\u00b1\u20090.1; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and total work (0.9\u2009\u00b1\u20090.1 vs 0.8\u2009\u00b1\u20090.1; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) at 180\u00b0\/s, and significantly better mean LSI for isometric flexor\/extensor ratio at 90\u00b0 (1.1\u2009\u00b1\u20090.3 vs 0.8\u2009\u00b1\u20090.2; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The all\u2010inside ACL reconstruction with an ST4 autograft and cortical button fixation on both ends is a viable alternative to the conventional technique. It affords preservation of knee flexor strength, which is of advantage, especially when treating athletes with ACL injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>I.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-019-05456-9","type":"journal-article","created":{"date-parts":[[2019,3,19]],"date-time":"2019-03-19T06:09:06Z","timestamp":1552975746000},"page":"3592-3598","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["Superior knee flexor strength at 2 years with all\u2010inside short\u2010graft anterior cruciate ligament reconstruction vs a conventional hamstring technique"],"prefix":"10.1002","volume":"27","author":[{"given":"Panagiotis","family":"Kouloumentas","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Orthopaedics and Sports Orthopaedics Clinic Metropolitan Hospital Ethnarchou Makariou 9 &amp; El. Venizelou 1, N. Faliro 18547 Piraeus Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efstratios","family":"Kavroudakis","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Orthopaedics and Sports Orthopaedics Clinic Metropolitan Hospital Ethnarchou Makariou 9 &amp; El. Venizelou 1, N. Faliro 18547 Piraeus Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efstathios","family":"Charalampidis","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Orthopaedics and Sports Orthopaedics Clinic Metropolitan Hospital Ethnarchou Makariou 9 &amp; El. Venizelou 1, N. Faliro 18547 Piraeus Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitris","family":"Kavroudakis","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Geography University of the Aegean Mytilene Lesvos Island Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios K.","family":"Triantafyllopoulos","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Orthopaedics and Sports Orthopaedics Clinic Metropolitan Hospital Ethnarchou Makariou 9 &amp; El. Venizelou 1, N. 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