The “Golden Age” of quadriceps tendon grafts for the anterior cruciate ligament: a bibliometric analysis

D'Ambrosi, Riccardo; Kambhampati, Srinivas BS.; Meena, Amit; Milinkovic, Danko Dan; Abermann, Elisabeth; Fink, Christian

doi:10.1016/j.jisako.2024.03.007

Journal of ISAKOS

2024

DOI: 10.1016/j.jisako.2024.03.007

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The “Golden Age” of quadriceps tendon grafts for the anterior cruciate ligament: a bibliometric analysis

Riccardo D'Ambrosi,

Srinivas BS. Kambhampati,

Amit Meena

et al.

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2024

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Cited by 2 publications

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No difference in clinical outcome between quadriceps tendon anterior cruciate ligament reconstruction with and without bone block: Results from the Danish Knee Ligament Registry

Lind,

Nielsen

2024

Knee surg. sports traumatol. arthrosc.

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PurposeThe quadriceps tendon (QT) has recently gained increasing interest as an anterior cruciate ligament reconstruction (ACLR) graft due to minimally invasive harvesting techniques and low donor site morbidity. QT grafts can be used both with a patella bone block and as complete soft tissue grafts. However, it is unknown whether the QT graft type affects clinical outcomes. This study used data from the Danish Knee Ligament Reconstruction Registry (DKRR) to compare revision rates, knee stability and subjective clinical outcomes in patients who underwent ACLR with QT graft with bone block (QT‐B) or soft tissue only (QT‐S).MethodsPatients who underwent primary ACL reconstruction with QT autografts documented in the DKRR were included and divided into the QT‐B (n = 925) and QT‐S (n = 659) groups. The clinical outcome was evaluated using objective‐instrumented knee stability, pivot shift test, knee injury osteoarthritis outcome score (KOOS) and Tegner activity scores for the two cohorts performed at the 1‐year follow‐up. The overall revision rates were determined as well.ResultsRevision rates at 2 years were equally low in both graft groups at 2.8%. Similarly, post‐operative knee laxity was equal at 1.5 (1.4) and 1.6 (1.4) mm side‐to‐side laxity, respectively. However, QT‐B exhibited a reduced post‐operative positive pivot shift of 22% compared with 31% for QT‐S. Although the subjective outcomes were equal for the KOOS and Tegner activity scale scores at the 1‐year follow‐up, reduced improvements in KOOS were observed for QT‐B compared to QT‐S.ConclusionACL with a QT autograft harvested either with a bone block or as a soft tissue graft exhibited comparable revision rates and sagittal knee stability. Furthermore, ACL reconstruction using a QT graft with a bone block achieved better rotational stability with less pivot shift than ACL reconstruction using complete soft tissue QT grafts.Level of EvidenceLevel III.

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No difference in clinical outcome between quadriceps tendon anterior cruciate ligament reconstruction with and without bone block: Results from the Danish Knee Ligament Registry

Lind,

Nielsen

2024

Knee surg. sports traumatol. arthrosc.

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Graft Selection in Anterior Cruciate Ligament Reconstruction: A Comprehensive Review of Current Trends

Ostojic,

Indelli,

Lovrekovic

et al. 2024

Medicina

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Anterior cruciate ligament (ACL) injuries are common in sports and often require surgical intervention, e.g., ACL reconstruction (ACLR), aimed at restoring knee stability and enabling a return to pre-injury activity levels. The choice of graft is crucial, impacting biomechanical properties, clinical outcomes, and complication rates, and is especially important in revision surgeries after graft failure. Over the past 30 years, trends in graft selection have evolved towards more individualized approaches, considering factors such as patient activity level, prior injuries, and tissue availability. In Europe, autografts like hamstring tendon (HT), bone-patellar tendon-bone (BTB), and quadriceps tendon (QT) are preferred, with the increasing use of QT grafts. This review synthesizes the current literature on graft selection and its influence on ACLR outcomes.

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The “Golden Age” of quadriceps tendon grafts for the anterior cruciate ligament: a bibliometric analysis

Cited by 2 publications

References 25 publications

No difference in clinical outcome between quadriceps tendon anterior cruciate ligament reconstruction with and without bone block: Results from the Danish Knee Ligament Registry

No difference in clinical outcome between quadriceps tendon anterior cruciate ligament reconstruction with and without bone block: Results from the Danish Knee Ligament Registry

Graft Selection in Anterior Cruciate Ligament Reconstruction: A Comprehensive Review of Current Trends

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