Three-Dimensional Computed Tomography Imaging Evidence of Regeneration of the Semitendinosus Tendon Harvested for Anterior Cruciate Ligament Reconstruction

Abstract

OBJECTIVE: The purpose of this study was to evaluate the regeneration of semitendinosus tendons harvested for anterior cruciate ligament (ACL) reconstruction using 3-dimensional (3D) computed tomography (CT) imaging and to compare the degree of regeneration with hamstring strength. METHODS: Twenty-nine patients who underwent ACL reconstruction using ipsilateral autogenous semitendinosus tendons were examined before surgery and 6 and 12 months after surgery by 3D CT imaging. The types of regenerated tendons and the proximal shift of the muscle-tendon junction were evaluated. RESULTS: The types of regenerated semitendinosus tendons varied from case to case. There was a positive correlation between the peak torque ratio of the hamstring muscle strength and the proximal shift of the muscle-tendon junction 6 months after surgery. The proximal shift did not affect the peak torque ratio 12 months after surgery, however. CONCLUSIONS: A proximal shift of the muscle-tendon junction may help to explain the individual differences in early postoperative hamstring muscle strength recovery.