Reconstruction of the anterior cruciate ligament with quadriceps tendon

Noronha, José Carlos

doi:10.1053/jars.2002.30063

Cited by 23 publications

(12 citation statements)

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“…Our results agree essentially with those of other authors [9,15,17,19,21,24], who regard this transplant as an alternative to the BPTB transplants. Furthermore a direct, comparative investigation in the clinical outcome after using BPTB-, BQT-and semitendinosus/gracilis tendon graft for reconstruction of the ACL is outstanding.…”

Section: Discussionsupporting

confidence: 93%

Clinical comparison of the Autologous Quadriceps Tendon (BQT) and the Autologous Patella Tendon (BPTB) for the reconstruction of the Anterior Cruciate Ligament

Gorschewsky

Klakow

Pütz

et al. 2007

Knee Surg Sports Traumatol Arthr

109

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The use of the BPTB-autograft is a very common method for ACL reconstruction. Nevertheless, the problem of the typical donor-site-morbidity is unresolved. Recently, a transplant of quadriceps tendon, with an attached bone block (BQT) has been increasingly relied upon. The purpose of this study was to examine the clinical results of a group of patients after arthroscopic ACL reconstruction using either BPTB or quadriceps tendon autograft after a minimum follow-up of 2 years in terms of knee joint stability and function using both subjective and objective criteria. Retrospective study. A total of 260 patients with ACL ruptures were operated between 1995 and 2000; 124 received a BQT-autograft, including 8 revisions; 136 patients received a BPTB-autograft, exclusively primary interventions. The results were evaluated using the IKDC-, Noyes- and Lysholm-Scores. It was possible to re-evaluate 194 patients after a minimum follow-up period of 2 years, 64 of 260 patients (25%) were lost to follow-up. Ninety-seven percent of the operated knee joints in the BPTB-group were judged as normal or almost normal with the IKDC evaluation, as were 83% in the BQT-group (P < or = 0.001). The BQT-group showed a significantly better result in the evaluation of the donor-site-morbidity. We found no significant differences in the functional outcome according to the Lysholm- and Noyes-Score. In comparison to the results after using a BQT-transplant for reconstruction of a ruptured ACL the use of the BPTB-transplant is in favour concerning patient satisfaction and IKDC evaluation. For patients with activities involving kneeling or prolonged flexion of the knee joint BQT-transplants can be a good alternative, however.

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Section: Discussionsupporting

confidence: 93%

Clinical comparison of the Autologous Quadriceps Tendon (BQT) and the Autologous Patella Tendon (BPTB) for the reconstruction of the Anterior Cruciate Ligament

Gorschewsky

Klakow

Pütz

et al. 2007

Knee Surg Sports Traumatol Arthr

109

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“…The QT has been successfully used for revision surgery for ACL reconstruction and dual-band reconstruction of the ACL 30 , 31 , 32 . Antonogiannakis et al (33) studied the QT in ACL reconstructive surgery without the patellar bone block, with good results.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of the Anterior Cruciate Ligament With the Central Third of the Quadriceps Muscle Tendon: Analysis of 10-Year Results

Guimarães

Carvalho

Terra³

2009

Revista Brasileira de Ortopedia (English Edition)

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Objective: Assess clinical results using two different protocols, 10 years after ACL reconstruction surgery with the central third of quadriceps muscle tendon (QT). Method: Between November /1997 and April/1998, 25 patients were submitted to 25 ACL reconstructions with QT by transtibial technique. The bone portion of the graft was fixated on femoral tunnel with interference screw and the tendinous portion of tibial tunnel with screw with washer. Two patients injured the new when playing soccer. Six patients were not available for follow-up (24%). Seventeen patients were evaluated, 15 men and two women, with mean age at surgery time of 28.53 ± 6.64 years. All patients were examined at six months, one year, and ten years after surgery. Clinical evaluation was made by the Lysholm scale, and the knee evaluation, with the Hospital for Special Surgery scale. Results: The patients had their injuries operated after 9.87 ± 14.42 months of the accident. According to Lysholm scale, the results at the end of the first year were 98.71 ± 2.47 and, after 10 years, 97.35 ± 3.12. Using the Hospital for Special Surgery scale, the mean score was 95.07 ± 5.23 in one year, and 94.87 ± 4.16 in 10 years. All patients returned to their professional activities with the same previous status. Fifteen (88.24%) patients were able to return to their sports activities, one by modifying the practice, while another one switched to another sport. No patient complained of pain on the donor area in the medium and long term. The sports return rate was excellent, and no changes were found on the femoropatellar joint.

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“…O TQ tem sido usado com sucesso para revisão de cirurgia de reconstrução do LCA e na reconstrução do LCA por banda dupla (30)(31)(32) . Antonogiannakis et al (33) mostraram estudo com o TQ em cirurgia para reconstrução do LCA sem o bloco ósseo da patela, com bons resultados.…”

Section: Discussionunclassified

Reconstrução do ligamento cruzado anterior com o terço central do tendão do músculo quadríceps: análise de resultados após 10 anos

Guimarães¹,

Carvalho²,

Terra³

2009

Rev. bras. ortop.

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RESUMOObjetivo: Avaliar os resultados clínicos utilizando dois diferentes protocolos, 10 anos após a cirurgia de reconstrução do LCA (Ligamento Cruzado Anterior) com o terço central do tendão do múscu-lo quadríceps (TQ). Método: Entre novembro/1997 e abril/1998, 25 pacientes foram submetidos a 25 reconstruções do LCA com TQ pela técnica transtibial. A parte óssea do enxerto foi fixada no túnel femoral com parafuso de interferência e a parte tendinosa no túnel tibial, com parafuso em poste com arruela. Dois pacientes romperam o novo ligamento em entorses durante futebol. Seis não foram encontrados para reavaliação (24%). Foram avaliados 17 pacientes, sendo 15 homens e duas mulheres, com média de idade na cirurgia de 28,53 ± 6,64 anos. Todos foram examinados com seis meses, um ano e dez anos de cirurgia. A avaliação clí-nica foi realizada com a escala de Lysholm e a do o joelho, com a do Hospital for Special Surgery. Resultados: As lesões foram operadas após 9,87 ± 14,42 meses do acidente. Segundo a escala de Lysholm, os resultados ao fim do primeiro ano foram de 98,71 ± 2,47 e, ao fim de dez anos, de 97,35 ± 3,12. Usando a escala do Hospital for Special Surgery, a pontuação foi de 95,07 ± 5,23 com um ano e de 94,87 ± 4,16 após 10 anos. Todos os pacientes retornaram ao trabalho nas mesmas condições. Quinze (88,24%) retornaram ao mesmo esporte, um com modificação na prática e outro mudou de esporte. Nenhum paciente se queixou dor na área doadora do enxerto após quatro semanas da cirurgia até a última avaliação. Quatro pacientes sofreram ruptura do LCA contralateral em atividades esportivas, sendo três entorses no futebol e uma durante dança. Conclusão: O enxerto do TQ é boa opção para a reconstrução do LCA, mesmo quando decorridos 10 anos do procedimento cirúrgico. Não houve dor na área doadora do enxerto a médio e longo prazo. A taxa de retorno ao esporte foi excelente e não houve alteração da articulação femoropatelar. Descritores

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Reconstruction of the anterior cruciate ligament with quadriceps tendon

Cited by 23 publications

References 1 publication

Clinical comparison of the Autologous Quadriceps Tendon (BQT) and the Autologous Patella Tendon (BPTB) for the reconstruction of the Anterior Cruciate Ligament

Clinical comparison of the Autologous Quadriceps Tendon (BQT) and the Autologous Patella Tendon (BPTB) for the reconstruction of the Anterior Cruciate Ligament

Reconstruction of the Anterior Cruciate Ligament With the Central Third of the Quadriceps Muscle Tendon: Analysis of 10-Year Results

Reconstrução do ligamento cruzado anterior com o terço central do tendão do músculo quadríceps: análise de resultados após 10 anos

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