The incidence and outcome of patella fractures after anterior cruciate ligament reconstruction

Stein, Drew A.; Hunt, Stephen; Rosen, Jeffrey; Sherman, Orrin H.

doi:10.1053/jars.2002.30658

Cited by 101 publications

(74 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[1,2,5,7,15,17,18,21,29,30,34,36,38]. According to our data, the disadvantages of the BPTP grafts could be demonstrated in our patients: If hamstring tendons were used, donor-site morbidity was indicated by less than 8% and if BPTB grafts were used, irritation, numbness and pain were reported by five of six patients (83.3%).…”

Section: Discussionsupporting

confidence: 49%

Anterior cruciate ligament reconstruction using autografts and double biodegradable femoral cross-pin fixation: functional, radiographic and MRI outcome after 2-year minimum follow-up

Weninger

Zifko

Liska

et al. 2008

Knee Surg Sports Traumatol Arthr

View full text Add to dashboard Cite

Double biodegradable cross-pins are increasingly used for femoral fixation in arthroscopically assisted reconstruction of the anterior cruciate ligament (ACL). There are no studies combining functional outcome analysis, radiographs and magnetic resonance images (MRI) to evaluate this technique. The authors examined 45 patients after ACL reconstruction using double biodegradable femoral cross-pin fixation and biodegradable tibial interference screw fixation with a minimum follow-up of 24 months. Clinical evaluation included International Knee Documentation Committee (IKDC) and modified Lysholm score. Radiographic analysis included standard X-rays in anterior-posterior and lateral views and Telos stress device measurements. MRI was analyzed to obtain information about hardware, intra-articular graft, osseous graft-integration and cartilage. IKDC score revealed 28 (62.2%) patients with normal knee function (group A), 15 (33.3%) patients with nearly normal (group B) knee function and 2 (4.4%) patients with abnormal knee function (group C). The Lysholm score was 94.6 (+/-7.2) in the operated knee and 98.8 (+/-7.4) in the non-operated knee. Mean Telos stress device values were +4.6 (+/-2.6) in the operated and +3.9 (+/-2.4) in the non-operated knee. MRI showed an intact intra-articular graft in all but one patient. Complete femoral graft integration was seen in 88.9% and complete tibial graft integration in 86.7%. Biodegradable cross-pins were partially or fully visible in all patients. The biodegradable tibial interference screw was fully visible in 16 (35.6%) and partially visible in 20 (44.4%) patients. Thirty-one (68.9%) patients showed signs of cartilage degeneration on MRI at follow-up. The graft fixation with double biodegradable pin fixation appears to be a reliable technique for ACL reconstruction providing a stable close-to-joint graft fixation.

show abstract

Section: Discussionsupporting

confidence: 49%

Anterior cruciate ligament reconstruction using autografts and double biodegradable femoral cross-pin fixation: functional, radiographic and MRI outcome after 2-year minimum follow-up

Weninger

Zifko

Liska

et al. 2008

Knee Surg Sports Traumatol Arthr

View full text Add to dashboard Cite

show abstract

“…Incidence of patellar fracture while harvesting patellar tendon is reported to be 0.2%-2.3%. 9,10 In our study it was found to be 2.8%, (one case) which was managed by fixation with 4.5 mm cancellous screw and healed well eventually.…”

Section: A B Shinde Gm Et Al Int J Res Orthop 2018 Jan;4(1):33-37mentioning

confidence: 46%

Comparative study of complications and final outcome between bone patellar tendon bone and hamstring auotgraft in ACL reconstruction

et al. 2017

View full text Add to dashboard Cite

Background: The most common current graft choices in ACL reconstruction are the bone-patellar tendon–bone (BPTB) graft and the quadrupled Hamstring graft. Though BPTB is considered to be the gold standard; hamstring tendon (HT) grafts have increased in popularity over last decade. Our aim in this study is to assess the complications, comorbidities, difficulties and final outcome between BPTB and Hamstring grafts in ACL reconstruction.Methods: 71 male patients with isolated tear of ACL between age group of 18-45 years were included in the study. 35 patients in group A underwent ACL reconstruction using bone patellar tendon bone autograft and 35 patients in group B were managed by reconstructing ACL using quadrupled Hamstring autograft. All the patients in both the groups were followed up at 08 weeks,06 months and 01 year post surgery and evaluated by Lysholm knee scoring system.Results: The Lysholm scoring scale scores in anterior cruciate ligament reconstruction showed that BPTB group and Hamstring group have similar outcome. One case (2.8%) each of patellar fracture and graft contamination occurred in BPTB group. There were 09 cases of superficial infection of which 03 were from BPTB group and 06 were from Hamstring group. Conclusions: There is statistically no significant difference in the overall clinical outcome between bone-patellar tendon- bone and Hamstring autografts. With precise surgical techniques, meticulous attention to sterility and proper wound closure most of the complications in both the techniques can be minimized or avoided.

show abstract

“…Patellar fracture rates of up to 1.3% have been reported in conjunction with bone-patellar tendon-bone procedures. 2 Fracture also may occur within the tibia 3,8 and femur.…”

Section: Discussionmentioning

confidence: 99%

Fracture of the lateral femoral condyle through an anterior cruciate ligament graft tunnel

Bradshaw

Morris

2014

Current Orthopaedic Practice

View full text Add to dashboard Cite

The incidence and outcome of patella fractures after anterior cruciate ligament reconstruction

Cited by 101 publications

References 14 publications

Anterior cruciate ligament reconstruction using autografts and double biodegradable femoral cross-pin fixation: functional, radiographic and MRI outcome after 2-year minimum follow-up

Anterior cruciate ligament reconstruction using autografts and double biodegradable femoral cross-pin fixation: functional, radiographic and MRI outcome after 2-year minimum follow-up

Comparative study of complications and final outcome between bone patellar tendon bone and hamstring auotgraft in ACL reconstruction

Fracture of the lateral femoral condyle through an anterior cruciate ligament graft tunnel

Contact Info

Product

Resources

About