TY - JOUR T1 - HAMSTRING A.C.L RECONSTRUCTION AND A.O SCREW AND SPIKED WASHER FIXATION TT - بازسازی رباط متقاطع قدامی زانو با استفاده از رباطهای هام استرینگ و ثابت کننده پیچ و واشر خاردار JF - RJMS JO - RJMS VL - 8 IS - 24 UR - http://rjms.iums.ac.ir/article-1-327-en.html Y1 - 2001 SP - 207 EP - 212 KW - 1) reconstruction of Anterior cruciate 2) hamstring Tendons 3) Patient satisfaction N2 -  Fifty consecutive patients with ACL deficiency and inability to do sports and daily activities underwent endoscopic ACL reconstruction with a four strands of hamstring tendon. After completion of a brace free, intensive rehabilitaion in a prospective study we analysed the results.  The graft was placed arthroscopically without impingement by the intercondylar roof and was fixed within the tibial tunnel to conserve the length of the graft for the Fixation by A.O screw and spiked washer to the supracondyle of femure. After 6 months the patients returned to unrestricted sports and daily activities. Clinical evaluation performed using the IKDC scoring system.   Forty-six patients (92%) considered their knee function normal or near normal. Thirty-one patients (62%) return to their preinjury activity level. One leg hop were more than %90 of opposite side in 24 patients (%48) and more than %76 in 16 patients (%32). In ligament examination group of IKDC, 8 patients (%16) were graded A and 38 patients (%76) graded B. In overall IKDC assassment 45 (%90) were considered normal or nearly normal. Knee function, and return to preinjury activity level had no correlation with ligamnt examination tests (X2=3.19, P>0.05) (X2=1.64, P>0.05), but had a significant correlation with IKDC score (X2=21.42, P M3 ER -