{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T22:11:57Z","timestamp":1772662317896,"version":"3.50.1"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Knee Surg"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The aim of our study is to evaluate preserving gracilis tendon in anterior cruciate ligament reconstruction (ACLR) surgery and its effect to the flexion of the knee joint and tibial internal rotation strength and the stability of the knee. Patients who underwent primary single-bundle arthroscopic ACLR using all-inside technique and using hamstring tendon autograft were evaluated retrospectively. Patients were divided into two groups as gracilis preserved (St) and gracilis harvested (StG) groups. The International Knee Documentation Committee (IKDC) score, Lysholm, Knee Injury and Osteoarthritis Outcome Score\u2014Knee-related quality of life (KOOS-QOL) score, ACL-Return to Sport after Injury scale score were used to evaluate as postoperative functional scores at last follow-up. Anterior tibial translation was evaluated using the KT-1000 device. Knee joint flexion, extension, and internal rotation strength were evaluated using isokinetic dynamometer. Dynamic balance performances were measured using the Biodex Balance System. There were 24 patients in the St group and 23 patients in the StG group. Demographic data and clinical results showed no significant difference. Anteroposterior movement of the tibia was found to be significantly higher in the StG group than in the St group in measurements at 89 and 134\u2009N, respectively (p\u2009=\u20090.01 and &lt;0.001). No statistically significant difference was found between both standard and deep flexor and extensor and internal rotator strength. No statistically significant difference was found in the amount of total, anteroposterior, and mediolateral balance deficit between the two groups. Additional gracilis harvesting does not have a negative effect on both standard and deep knee flexion, and tibial internal rotation strength compared with the St group. Although semitendinosus and StG group showed significantly more anterior tibial translation, there was no significant difference in clinical and dynamic stability measurements.<\/jats:p>","DOI":"10.1055\/s-0044-1787829","type":"journal-article","created":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T23:06:39Z","timestamp":1718838399000},"page":"843-850","source":"Crossref","is-referenced-by-count":2,"title":["The Effect of Gracilis Tendon Preservation on Postoperative Knee Joint Stability and Muscle Strength in Arthroscopic Anterior Cruciate Ligament Reconstruction Surgery"],"prefix":"10.1055","volume":"37","author":[{"given":"Mehmet","family":"Ekinci","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Haseki Education and Training Hospital, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taha Bedir","family":"Demir","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Turker","family":"Sahinkaya","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sertac","family":"Yakal","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gokhan","family":"Polat","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bulent","family":"Bayraktar","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,6,19]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1007\/s00264-012-1672-9","article-title":"Hamstring tendon anterior cruciate ligament reconstruction: does gracilis tendon harvest matter?","volume":"37","author":"B Barenius","year":"2013","journal-title":"Int Orthop"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1097\/JSA.0000000000000265","article-title":"Graft selection in anterior cruciate ligament reconstruction","volume":"28","author":"K M Lin","year":"2020","journal-title":"Sports Med Arthrosc Rev"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1177\/03635465020300021201","article-title":"A prospective randomized comparison of patellar tendon versus semitendinosus and gracilis tendon 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Med"},{"issue":"08","key":"ref12","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.1007\/s00167-011-1412-5","article-title":"Effects of additional gracilis tendon harvest on muscle torque, motor coordination, and knee laxity in ACL reconstruction","volume":"19","author":"H B Yosmaoglu","year":"2011","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"11","key":"ref13","doi-asserted-by":"crossref","first-page":"3238","DOI":"10.1007\/s00167-014-3076-4","article-title":"Comparison of results after anterior cruciate ligament reconstruction using a four-strand single semitendinosus or a semitendinosus and gracilis tendon","volume":"23","author":"H S Kyung","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"20","key":"ref14","doi-asserted-by":"crossref","first-page":"1305","DOI":"10.1136\/bjsports-2014-093962","article-title":"Isokinetic muscle strength and readiness to return to sport following anterior cruciate ligament reconstruction: is 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A systematic review and a protocol recommendation","volume":"49","author":"M B Undheim","year":"2015","journal-title":"Br J Sports Med"},{"issue":"09","key":"ref15","doi-asserted-by":"crossref","first-page":"1226","DOI":"10.1016\/j.arthro.2011.05.009","article-title":"The effects of hamstring harvesting on outcomes in anterior cruciate ligament-reconstructed patients: a comparative study between hamstring-harvested and -unharvested patients","volume":"27","author":"J G Kim","year":"2011","journal-title":"Arthroscopy"},{"issue":"02","key":"ref16","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1053\/jars.2002.29894","article-title":"Rotational muscle strength of the limb after anterior cruciate ligament reconstruction using semitendinosus and gracilis tendon","volume":"18","author":"H Segawa","year":"2002","journal-title":"Arthroscopy"},{"issue":"09","key":"ref17","doi-asserted-by":"crossref","first-page":"CR523","DOI":"10.12659\/MSM.881940","article-title":"Effect of physiotherapy on the strength of tibial internal rotator muscles in males after anterior cruciate ligament reconstruction (ACLR)","volume":"17","author":"A Czamara","year":"2011","journal-title":"Med Sci Monit"},{"issue":"07","key":"ref18","doi-asserted-by":"crossref","first-page":"1639","DOI":"10.1177\/0363546504263405","article-title":"Isokinetic evaluation of internal\/external tibial rotation strength after the use of hamstring tendons for anterior cruciate ligament reconstruction","volume":"32","author":"T Armour","year":"2004","journal-title":"Am J Sports Med"},{"issue":"03","key":"ref19","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1007\/s00167-010-1247-5","article-title":"Double-bundle ACL reconstruction demonstrated superior clinical stability to single-bundle ACL reconstruction: a matched-pairs analysis of instrumented tests of tibial anterior translation and internal rotation laxity","volume":"19","author":"T P Branch","year":"2011","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"04","key":"ref20","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1177\/03635465030310041501","article-title":"A randomized comparison of patellar tendon and hamstring tendon anterior cruciate ligament reconstruction","volume":"31","author":"J A Feller","year":"2003","journal-title":"Am J Sports Med"},{"issue":"03","key":"ref21","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.physio.2013.11.002","article-title":"The effects of ACL injury on knee proprioception: a meta-analysis","volume":"100","author":"N Relph","year":"2014","journal-title":"Physiotherapy"}],"container-title":["The Journal of Knee Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1787829.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T12:17:01Z","timestamp":1730809021000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1787829"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,19]]},"references-count":21,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,9,16]]},"published-print":{"date-parts":[[2024,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1787829","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1538-8506","1938-2480"],"issn-type":[{"value":"1538-8506","type":"print"},{"value":"1938-2480","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,19]]}}}