Ipsi- or Contralateral Patellar Tendon Graft in Anterior Cruciate Ligament Revision Surgery

Abstract

Twenty-four patients who underwent anterior cruciate ligament revision surgery were studied postoperatively (12 with reharvested ipsilateral patellar tendon grafts and 12 with contralateral patellar tendon grafts). For comparison purposes, 12 matched patients with primary anterior cruciate ligament reconstruction, who had been operated on using the same technique by the same surgeons, were chosen. The median time since the first reconstruction was 57 months (range, 15 to 132) in the ipsilateral tendon group and 54 months (range, 20 to 108) in the contralateral tendon group. Follow-up examination showed that there were no significant differences in total KT-1000 arthrometer side-to-side measurements between the groups, but the Lysholm score was higher for patients with contralateral tendon grafts than for patients with ipsilateral grafts. Only two patients with ipsilateral grafts were classified as having excellent or good results. Functional testing outcomes were similar for all groups, and magnetic resonance imaging screening showed no differences between the reharvest and primary harvest groups in terms of length, width, thickness, or donor site gap of the patellar tendon. However, there were two major complications in the group with revision surgery with the ipsilateral reharvested patellar tendon. Reharvesting the ipsilateral patellar tendon resulted in lower functional scores and a higher rate of complications than revision with the contralateral patellar tendon or primary anterior cruciate ligament reconstruction.

Revision ACL reconstruction: influence of a lateral tenodesis

“…Previous studies reported a global IKDC A ? B rate between 12 and 83% [14,15,17,22,27,30,41]. Considering the same criteria for failure previously used in the literature, the 11% failure rate reported in this study is consistent with that reported recently by Ferretti et al [13], Salmon et al [32], Denti et al [11], and Muneta et al [26].…”

Two-stage procedure in anterior cruciate ligament revision surgery: a five-year follow-up prospective study

“…When comparing the operated and contralateral sides, even though cross sectional areas are similar, some strength deficits may persist, but the actual clinical impact of this is unknown [17]. On the other hand, the contralateral patellar tendon was not used to avoid the risk of patellar bone fracture and patellar tendon rupture [18].…”

Regeneration of the hamstring tendons after harvesting for arthroscopic anterior cruciate ligament reconstruction: a histological study in 11 patients

“…In clinical outcome studies, O'Shea et al [9] reported that a reharvested patellar tendon could be used for revision ACL reconstruction. Kartus et al [7] described that reharvesting the ipsilateral patellar tendon resulted in Fig. 2 a Normal tendon: normal semitendinosus tendon shows compact, longitudinally oriented collagen fibers and thin linear fibroblast nuclei.…”