Revision Anterior Cruciate Ligament Reconstruction With Quadriceps Tendon-Patellar Bone Autograft

Garofalo, Raffaele; Djahangiri, Ali; Siegrist, O.

doi:10.1016/j.arthro.2005.08.045

Cited by 111 publications

(90 citation statements)

References 30 publications

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“…In studies with patients of various ages, up to 40% of patients undergoing revision ACL reconstruction are unable to return to their preinjury levels of competition [1,5,9,20,23]. It is unclear whether revision ACL reconstruction in a young, active, skeletally mature patient population would yield similar results, as there is no study in the literature reporting on ACL reconstruction for this isolated patient cohort.…”

Section: Introductionmentioning

confidence: 66%

“…However, the most common reason for revision in our young, active patients is traumatic rerupture (83%) from both contact and noncontact reinjuries. In recent series of adults, the incidence of repeat trauma as the cause for graft failure ranges from 24% to 100% [5,6,9]. The wide range likely reflects the heterogeneity of graft failure definitions across studies, and there are no prior studies on adolescents for comparison.…”

Section: Discussionmentioning

confidence: 99%

“…Although no prior series on revision ACL reconstructions in young, active, skeletally mature patients exists in the literature, revision ACL reconstructions in adults show similar results to ours. Battaglia et al [1] found less than 5 mm of anterior translation side-to-side difference in 83% of adult revisions, and Garofalo et al [9] reported negative or IA Lachman results in 100% of 28 adult patients after revision ACL reconstruction. Only two patients (10%) in our study report episodes of subjective knee instability at followup.…”

Section: Discussionmentioning

confidence: 99%

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Revision ACL Reconstruction in Skeletally Mature Athletes Younger Than 18 Years

Reinhardt

Hammoud

Bowers

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Young, active, skeletally mature patients have higher failure rates after various surgical procedures, including stabilization for shoulder instability and primary ACL reconstruction. It is unclear whether young, active, skeletally mature patients share similarly high failure rates after revision ACL reconstruction. Questions/purposes We therefore determined whether revision ACL reconstruction restores knee stability and allows young (younger than 18 years), active, skeletally mature patients to return to preinjury activity levels. Patients and MethodsWe retrospectively identified 36 patients who had an initial ACL reconstruction between the ages of 12 and 17 years (mean, 15.4 years) and subsequent revision between the ages of 13 and 18 years (mean, 16.9 years); of these, 2-year followup was available for 21 (75%). Mechanisms of primary graft failure included traumatic rerupture (23 noncontact, seven contact), persistent instability (five), and infection (one). One patient had open physes at the time of revision. All revisions were single-stage transosseous reconstructions. The minimum followup was 24 months (mean, 36 months; range, 24-63 months).

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Section: Introductionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Revision ACL Reconstruction in Skeletally Mature Athletes Younger Than 18 Years

Reinhardt

Hammoud

Bowers

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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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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“…Although many knee surgeons have been using the QT as a graft for ACL revision surgery, 7,8 it has never gained universal acceptance for primary ACL reconstruction. The main reason, in our opinion, is that QT graft harvest is technically more demanding and a scar on the thigh is cosmetically less favorable, despite excellent clinical results in the literature.…”

mentioning

confidence: 99%

Minimally Invasive Harvest of a Quadriceps Tendon Graft With or Without a Bone Block

Fink¹,

Herbort

Abermann

et al. 2014

Arthroscopy Techniques

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The quadriceps tendon (QT) as a graft source for anterior cruciate ligament (ACL) and posterior cruciate ligament reconstruction has recently achieved increased attention. Although many knee surgeons have been using the QT as a graft for ACL revision surgery, it has never gained universal acceptance for primary ACL reconstruction. The QT is a very versatile graft that can be harvested in different widths, thicknesses, and lengths. Conventionally, the QT graft is harvested by an open technique, requiring a 6 to 8 cm longitudinal incision, which often leads to unpleasant scars. We describe a new, minimally invasive, standardized approach in which the QT graft can be harvested through a 2-to 3-cm skin incision and a new option of using the graft without a bone block.

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Revision Anterior Cruciate Ligament Reconstruction With Quadriceps Tendon-Patellar Bone Autograft

Cited by 111 publications

References 30 publications

Revision ACL Reconstruction in Skeletally Mature Athletes Younger Than 18 Years

Revision ACL Reconstruction in Skeletally Mature Athletes Younger Than 18 Years

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

Minimally Invasive Harvest of a Quadriceps Tendon Graft With or Without a Bone Block

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