Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association · 2004
Outcome of anterior cruciate ligament reconstruction using quadriceps tendon autograft.
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Lee Sahnghoon, Seong Sang Cheol, Jo Hyunchul, Park Yoon Keun, Lee Myung Chul
Аннотация
PURPOSE: The purpose of this study was to determine the outcome of anterior cruciate ligament (ACL) reconstruction using a quadriceps tendon autograft.
TYPE OF STUDY: A case series of patients who had received arthroscopic ACL reconstructions using quadriceps tendon autograft was retrospectively evaluated.
METHODS: Sixty-seven ACL reconstructions were evaluated at a mean of 41 months (range, 27 to 49 months). Clinical assessment was made using a modified Lysholm score, documentation of International Knee Documentation Committee (IKDC), the anterior knee pain questionnaire of Shelbourne and Trumper, and by KT-2000 arthrometric analysis. Isokinetic strength testing and radiographic assessments were also performed.
RESULTS: Arthrometric analysis showed that 63 knees (94%) were graded A or B with a median laxity of 2 mm postoperatively. The Lysholm score improved postoperatively from 71 to 90 ( P < or = .05). Extension peak torque of the quadriceps muscle recovered to 82% and 89% of that of the contralateral knee at 180 degrees/second at 1 year and 2 years after surgery, respectively. The patellar position in terms of congruence angle and Insall-Salvati ratio did not show any significant change. Only 4 patients complained of moderate pain on kneeling and 1 patient complained of harvest-site tenderness.
CONCLUSIONS: ACL reconstruction using a quadriceps tendon autograft showed satisfactory results with reduced donor-site morbidities. The quadriceps tendon can be a reliable source of graft, and is comparable to bone-patellar tendon-bone or hamstring tendon in ACL reconstruction.
LEVEL OF EVIDENCE: Level IV, Case Series (no, or historical, control group).
TYPE OF STUDY: A case series of patients who had received arthroscopic ACL reconstructions using quadriceps tendon autograft was retrospectively evaluated.
METHODS: Sixty-seven ACL reconstructions were evaluated at a mean of 41 months (range, 27 to 49 months). Clinical assessment was made using a modified Lysholm score, documentation of International Knee Documentation Committee (IKDC), the anterior knee pain questionnaire of Shelbourne and Trumper, and by KT-2000 arthrometric analysis. Isokinetic strength testing and radiographic assessments were also performed.
RESULTS: Arthrometric analysis showed that 63 knees (94%) were graded A or B with a median laxity of 2 mm postoperatively. The Lysholm score improved postoperatively from 71 to 90 ( P < or = .05). Extension peak torque of the quadriceps muscle recovered to 82% and 89% of that of the contralateral knee at 180 degrees/second at 1 year and 2 years after surgery, respectively. The patellar position in terms of congruence angle and Insall-Salvati ratio did not show any significant change. Only 4 patients complained of moderate pain on kneeling and 1 patient complained of harvest-site tenderness.
CONCLUSIONS: ACL reconstruction using a quadriceps tendon autograft showed satisfactory results with reduced donor-site morbidities. The quadriceps tendon can be a reliable source of graft, and is comparable to bone-patellar tendon-bone or hamstring tendon in ACL reconstruction.
LEVEL OF EVIDENCE: Level IV, Case Series (no, or historical, control group).
Предметные рубрики MeSH
AdolescentAdultAnterior Cruciate LigamentAnterior Cruciate Ligament InjuriesArthroscopyFemaleHumansJoint InstabilityKnee InjuriesKnee JointMaleMiddle AgedMuscle, SkeletalPatellofemoral Pain SyndromeRange of Motion, ArticularPlastic Surgery ProceduresRetrospective StudiesSurveys and QuestionnairesTendonsTransplantation, AutologousTreatment Outcome