Anterior Cruciate Ligament Reconstruction with Use of Autologous Quadriceps Tendon Graft

Lee, Sahnghoon; Seong, Sang Cheol; Jo, Chris Hyunchul; Han, Hyuck; An, Joon Hwan; Lee, Myung Chul

doi:10.2106/jbjs.g.00632

Cited by 70 publications

(95 citation statements)

References 45 publications

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“…Another study showed that following ACL reconstruction with a central quadriceps tendon autograft, 68% of 240 patients had less than 3 mm anteroposterior laxity. [18] Shaieb et al [14] performed a prospective randomized study of patellar tendon versus hamstring autografts for ACL reconstruction. They found no significant differences between the groups for Lysholm score, return to sports, reduction in activity, KT-1000 arthrometer findings, or patient assessed outcomes.…”

Section: Discussionmentioning

confidence: 99%

Artroskopik ön çapraz bağ onarımı için hamstring tendon otogreftine kıyasla kuadriseps tendon kullanımı: Klinik sonuçların karşılaştırmalı analizi

Sofu

Şahin

Gürsü

et al. 2013

Eklem Hastalik Cerrahisi

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Knee ligament injuries are among the most frequently encountered injuries. [1,2] Although different types of surgical techniques with excellent clinical results have been reported for the reconstruction of a ruptured anterior cruciate ligament (ACL), graft selection is still a controversial issue. Every particular graft type Amaç: Bu çalışmada, iki otojen greft türünün kullanımına ilişkin orta dönem klinik sonuçlar değerlendirildi. Hastalar ve yöntemler: Haziran 2005 -Kasım 2010 tarihleri arasında ameliyat edilen 44 hastanın klinik verileri retrospektif olarak incelendi. Onarım cerrahisi için 23 hastada (QT-PB grubu) kuadriseps tendon-patella kemiği otogrefti, 21 hastada (HT grubu) ise dört katlı hamstring tendon otogrefti kullanıldı. Veri toplamada Tegner aktivite skalası, Lysholm skorlama sistemi, tek bacak sıçrama testi ve KT-2000 artrometrik ölçümleri kullanıldı. Bulgular: Ortalama takip süresi 37.6 aydı. Ortalama Lysholm skoru her iki grupta da artmasına rağmen, HT grubunda elde edilen mükemmel sonuçlar QT-PB grubundakinin iki katı kadardı. Ortalama laksite miktarı QT-PB grubunda 5.65 mm (3.5-8.0 mm) iken HT grubunda 3.67 mm (3.0-5.5 mm) olarak ölçüldü. KT-2000 artrometre kullanıla-rak yapılan bire bir analizde QT-PB grubunda 12 hastada (%52.1) ve HT grubunda iki hastada (%9.6) 3 mm'den fazla ön laksite farkı saptandı. Sonuç: Artroskopik ön çapraz bağ onarım cerrahisinde dört katlı hamstring tendon otogrefti, santral kuadriseps tendonpatella kemiği otogreftinden üstündür.Anahtar sözcükler: Ön çapraz bağ onarımı; ön çapraz bağ; artroskopi; kuadriseps kası; tendon.Objectives: This study aims to evaluate midterm clinical results of the use of two autogenous graft types. Patients and methods: Between June 2005 and November 2010, clinical data of 44 patients who were operated were retrospectively analyzed. Quadriceps tendon-patellar bone autograft was used for reconstruction surgery in 23 patients (QT-PB group), while quadrupled hamstring tendon autograft was used in 21 patients (HT group). The Tegner's activity scale, Lysholm scoring system, single-leg-hop test and KT-2000 arthrometric measurements were used for data collection. Results: The mean length of follow-up was 37.6 months. Although the mean Lysholm score increased in both groups, excellent results in HT group were two-fold higher compared to QT-PB group. The mean laxity for the operated knee joint was 5.65 mm (3.5 to 8.0 mm) in QT-PB group and 3.67 mm (3.0 to 5.5 mm) in HT group. Head-to-head analysis using KT-2000 arthrometer demonstrated that 12 patients (52.1%) in QT-PB group and two patients (9.6%) in HT group had more than 3 mm of anterior laxity difference. Conclusion: Quadrupled hamstring tendon autograft is superior to central quadriceps tendon-patellar bone in arthroscopic anterior cruciate ligament reconstruction surgery.

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Section: Discussionmentioning

confidence: 99%

Artroskopik ön çapraz bağ onarımı için hamstring tendon otogreftine kıyasla kuadriseps tendon kullanımı: Klinik sonuçların karşılaştırmalı analizi

Sofu

Şahin

Gürsü

et al. 2013

Eklem Hastalik Cerrahisi

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“…• Four relevant [3][4][5][6] studies met the inclusion criteria and were included (based on levels on levels of evidence, Centre for Evidence Based Medicine, 2009).…”

Section: Results Of Searchmentioning

confidence: 99%

“…Three Injured knee: of the four studies 3,4,6 reported improvements in outcomes following ACLR using the QTBP graft; one study 5 reported comparable postoperative scores but did not include preoperative values to make direct comparisons.…”

Section: Results Of Searchmentioning

confidence: 99%

“…The recommendation of Level B was given because consistent Level 2 evidence or higher was found in all four studies [3][4][5][6] included in this critically appraised topic (CAT). 8 …”

Section: Strength Of Recommendationmentioning

confidence: 99%

“…12 When the Lysholm knee score was used to measure subjective symptoms, it was found that the majority of patients rated their condition as either "good" or "excellent" or noted improvements in postoperative scores at the follow-up sessions. [4][5][6] However, it must be pointed out that the preoperative Lysholm scores for one study were not reported to appropriately interpret the postoperative scores. 5 The studies included in this CAT did not contain a comparison group, therefore we are unable to make direct comparisons of the patient-reported outcome scores compared with other autograft choices such as the BPTB or hamstring.…”

Section: Implications For Practice Education and Future Researchmentioning

confidence: 99%

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Anterior Knee Pain with Special Emphasis on the Clinical, Radiographic, Histological, Ultrastructural, and Biochemical Aspects After Anterior Cruciate Ligament Reconstruction Using Autografts

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Anterior Cruciate Ligament Reconstruction with Use of Autologous Quadriceps Tendon Graft

Cited by 70 publications

References 45 publications

Artroskopik ön çapraz bağ onarımı için hamstring tendon otogreftine kıyasla kuadriseps tendon kullanımı: Klinik sonuçların karşılaştırmalı analizi

Artroskopik ön çapraz bağ onarımı için hamstring tendon otogreftine kıyasla kuadriseps tendon kullanımı: Klinik sonuçların karşılaştırmalı analizi

Outcomes Following ACL Reconstruction Utilizing the Quadriceps Tendon Autograft: A Critically Appraised Topic

Anterior Knee Pain with Special Emphasis on the Clinical, Radiographic, Histological, Ultrastructural, and Biochemical Aspects After Anterior Cruciate Ligament Reconstruction Using Autografts

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