CLINICAL OUTCOMES OF ALL-INSIDE ARTHROSCOPIC ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING HAMSTRING TENDON AUTOGRAFT AT VINMEC NHA TRANG INTERNATIONAL HOSPITAL

Xuân Hùng Hoàng1, , Ngọc Minh Hồ2, Tú Nam Vũ2, Trung Dũng Trần2, Công Hoàng Nguyễn1, Thị Như Quỳnh Nguyễn3
1 Bệnh viện Đa khoa quốc tế Vinmec Nha Trang
2 Bệnh viện Đa khoa quốc tế Vinmec Times City
3 Trường Đại học Kỹ thuật Y Dược Đà Nẵng

Main Article Content

Abstract

Background: Anterior cruciate ligament injury is a common cause of knee instability and impaired functional mobility. Arthroscopic anterior cruciate ligament reconstruction using an all-inside technique with a hamstring tendon autograft has been increasingly adopted in clinical practice.


Objective: To evaluate the outcomes of arthroscopic anterior cruciate ligament reconstruction using an all-inside technique with a hamstring tendon autograft at Vinmec Nha Trang International Hospital.


Materials and Methods: A prospective descriptive study was conducted in 30 patients with anterior cruciate ligament rupture who underwent arthroscopic anterior cruciate ligament reconstruction using the all-inside technique at Vinmec Nha Trang International Hospital from September 2024 to April 2026. Outcomes were evaluated based on clinical characteristics, graft characteristics, and Lysholm scores before and after surgery.


Results: The mean age of the patients was 34.76 ± 5.24 years, with a male-to-female ratio of 1.31:1. Sports-related injuries were the most common cause of ACL injury (66.67%). The mean graft diameter was 8.98 ± 0.15mm, and the mean graft length was 59.57 ± 1.17mm. The mean postoperative Lysholm score was 96 ± 0.15, representing a statistically significant improvement compared with the preoperative score (p < 0.001). The rates of excellent and good functional outcomes were both 100%, with no poor outcomes reported.


Conclusion: Arthroscopic anterior cruciate ligament reconstruction using an all-inside technique with a hamstring tendon autograft is a safe procedure that provides good functional recovery of the knee joint.

Article Details

References

1. Dương Đình Toàn, Nguyễn Trọng Toàn. Kết quả phẫu thuật nội soi tái tạo dây chằng chéo trước bằng kỹ thuật All-inside sử dụng mảnh ghép gân hamstring tự thân. Tạp chí Y học Việt Nam 2021; 504(2).
2. Trương Trí Hữu, Lê Quang Tuấn. Đánh giá kết quả lâm sàng phẫu thuật nội soi tái tạo dây chằng chéo trước bằng kỹ thuật “tất cả bên trong”. Y học Thành phố Hồ Chí Minh 2019; (3): 49-54.
3. Phạm Văn Hưng, Dương Đình Toàn. Kết quả xa sau nội soi tái tạo dây chằng chéo trước bằng kỹ thuật tất cả bên trong sử dụng mảnh ghép gân cơ hamstring tự thân. Tạp chí Y học Việt Nam 2024; 536(3).
4. Rachel M Frank et al. Quadruple (4-Strand) Hamstring Autograft Harvest. Arthrosc Tech. 2017 Aug 14;6(4). doi: 10.1016/j.eats.2017.05.024
5. Gustavo Vinagre et al. Hamstring Graft Preparation Techniques for Anterior Cruciate Ligament Reconstruction. Arthrosc Tech. 2017 Nov 6;6(6):e2079–e2084. doi: 10.1016/j.eats.2017.08.031
6. Fabio Mancino et al. Proximal graft size predicts anterior cruciate ligament re-tear after hamstring reconstruction: A minimum 2-year follow-up in a high-volume center. J ISAKOS 2025 Dec:15:101027. doi: 10.1016/j.jisako.2025.101027. Epub 2025 Oct 30
7. Nuthan Jagadeesh et al. Does Hamstring Graft Size Affect Functional Outcome and Incidence of Revision Surgery After Primary Anterior Cruciate Ligament (ACL) Reconstruction?. Cureus2022 Jan 12;14(1):e21158. doi: 10.7759/cureus.21158. eCollection 2022 Jan
8. Takayuki Kurokawa et al. Anterior cruciate ligament reconstruction in the elderly: 5-Year follow-up study. Injury Volume 55, Supplement 3, September 2024, 111529. https://doi.org/10.1016/j.injury.2024.111529