Donor Site Morbidity and Return to the Preinjury Activity Level after Anterior Cruciate Ligament Reconstruction Using Ipsilateral and Contralateral Patellar Tendon Autograft

Mastrokalos, Dimitrios S.; Springer, Jan; Siebold, Rainer; Paessler, Hans H.

doi:10.1177/0363546504265926

Cited by 81 publications

(79 citation statements)

References 43 publications

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“…The advantage of the patellar tendon autograft is faster and stronger bone-to-bone ingrowth, whereas the disadvantages are the possibility of patellar fracture, a potential increase in patellofemoral pain and rupture of the patellar tendon [3,13,14]. Using a hamstring tendon autograft can result in slower healing of the graft attachment site and hamstring muscle weakness [4,25].…”

Section: Introductionmentioning

confidence: 99%

RETRACTED ARTICLE: The effect of graft choice on functional outcome in anterior cruciate ligament reconstruction

Sajovic

Strahovnik²,

Komadina³

et al. 2007

International Orthopaedics (SICO

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A prospective, randomised, 5-year follow-up study was designed to compare the functional results between patellar tendon and hamstring tendon autografts after anterior cruciate ligament reconstruction. Primary reconstruction was performed in 32 patients using the central third of the patellar ligament and in 32 patients using double-looped semitendinosus and gracilis tendons. All reconstructions were performed by a single surgeon, with identical surgical technique and rehabilitation protocol. Of the total 64 patients in the study, 54 (85%) were available for the 5-year follow-up. No statistically significant differences were seen with respect to Lysholm score, International Knee Documentation Committee (IKDC) classification, clinical and KT-2000 arthrometer laxity testing, single-legged hop test and anterior knee pain. Graft rupture occurred in two patients (8%) in the patellar tendon group and in two patients (7%) in the hamstring tendon group; 23 patients (88%) in the patellar tendon group and 23 patients (82%) in the hamstring tendon group returned to their pre-injury activity level. Good subjective outcome and stability can be obtained by using either graft; no statistically significant differences were found in functional outcome between the grafts.Résumé Une étude prospective randomisée avec un suivi moyen de 5 ans a été réalisée de façon à comparer les résultats de la reconstruction du ligament croisé antérieur par tendon rotulien ou tendon de la patte d'oie. Cette reconstruction a bénéficié à 32 patients, dans chaque type de traitement. Pour les patients traités par tendons de la patte d'oie on a utilisé à l'aide d'un double renfort le semitendineux et le gracilis. Toutes ces interventions ont été réalisées par le même chirurgien avec la même technique de rééducation. Sur les 64 patients de l'étude, 54 (85%) ont pu être suivis pendant 5 ans. Il n'y a pas de différence significative entre ces deux séries, après analyse selon le score de Lysholm, la classification IKDC, la laxité clinique et la laxité évaluée par le KT-2000. De même en ce qui concerne le sautillement et les douleurs antérieures du genou. Une rupture de la greffe est survenue chez deux patients (8%) du groupe tendon rotulien et chez deux patients (7%) du groupe tendon de la patte d'oie. 23 patients (88%) du groupe tendon rotulien et 23 patients (82%) du groupe patte d'oie ont pu reprendre leurs activités à un niveau identique à celui qu'ils avaient avant l'accident. Ces techniques permettent d'obtenir une bonne stabilité sur le plan résultats subjectifs sans différence significative quelle que soit la greffe utilisée.

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Section: Introductionmentioning

confidence: 99%

RETRACTED ARTICLE: The effect of graft choice on functional outcome in anterior cruciate ligament reconstruction

Sajovic

Strahovnik²,

Komadina³

et al. 2007

International Orthopaedics (SICO

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“…In studies comparing patellar tendon and hamstring autograft used in ACL reconstruction, long-term consequences from the harvest of each are reported to have a significant prevalence (anterior knee pain and hamstring weakness, etc.) [19][20][21][22][23].…”

Section: Discussionmentioning

confidence: 99%

Anterior cruciate ligament reconstruction with the ligament augmentation and reconstruction system: a systematic review

Newman

Atkinson

Willis-Owen

2012

International Orthopaedics (SICOT)

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“…In the literature, patellar fractures, patellar tendinitis or ruptures, the patellar infra syndrome, patellar sensitivity, a difficulty in sitting on the knees, shortening of the patellar tendon, loss of the terminal extension and patella-femoral pain have been listed as the most common complaints [9][10][11][12]. Calcification of the patellar tendon can be seen in some disorders such as jumper's knee [13] and the Sinding Larsen-Johansson disease [14] or as a sequel of the Osgood Schlatter disease [15,16].…”

Section: Methodsmentioning

confidence: 99%

“…The most important cause of a heterotopic ossification following a surgical trauma is inadvertently scattered bone debris in the operative working field. Another possible pathogenesis could be an aggressive post-operative rehabilitation which could result in microtears in the tendon, which could lead to bleeding [10,12].…”

Section: Methodsmentioning

confidence: 99%

To Study the Incidence of Heterotopic Ossification After Anterior Cruciate Ligament Reconstruction

Bhandary¹

2013

JCDR

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Introduction: Previous studies have enumerated the advantages of an arthroscopic Anterior Cruciate Ligament (ACL) reconstruction with the use of a Bone Patellar Tendon Bone (BPTB) graft. Complications are extremely rare in such surgeries and one such known complication, which is an extra-articular heterotophic ossification at the femoral tunnel site, is rarely seen only in few patients. Aim:To evaluate the incidence of heterotrophic ossifications at the femoral tunnel site and the efficacy of the preventive measures which were undertaken, in patients who had undergone ACL reconstructions with the use of bone patellar tendon bone grafts.

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Donor Site Morbidity and Return to the Preinjury Activity Level after Anterior Cruciate Ligament Reconstruction Using Ipsilateral and Contralateral Patellar Tendon Autograft

Abstract: The contralateral bone-patellar tendon graft appears to present no advantage over the ipsilateral graft, as all symptoms concerning donor site morbidity are shifted from the injured into the healthy knee, and return to activity is not more rapid.

Cited by 81 publications

References 43 publications

RETRACTED ARTICLE: The effect of graft choice on functional outcome in anterior cruciate ligament reconstruction

RETRACTED ARTICLE: The effect of graft choice on functional outcome in anterior cruciate ligament reconstruction

Anterior cruciate ligament reconstruction with the ligament augmentation and reconstruction system: a systematic review

To Study the Incidence of Heterotopic Ossification After Anterior Cruciate Ligament Reconstruction

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