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Anterior cruciate ligament reconstruction : quadriceps versus patellar autograft

Cited 73 time in Web of Science Cited 87 time in Scopus
Authors
Han, Hyuk Soo; Seong, Sang Cheol; Lee, Sahnghoon; Lee, Myung Chul
Issue Date
2008-01-16
Publisher
Lippincott, Williams & Wilkins
Citation
Clin Orthop Relat Res. 2008;466(1):198-204
Keywords
AdolescentAdultAnterior Cruciate Ligament/injuries/*surgery*Bone-Patellar Tendon-Bone GraftFemaleHumansKnee Joint/physiopathology/surgeryMaleMiddle AgedQuadriceps Muscle/*surgeryRange of Motion, Articular*Reconstructive Surgical ProceduresRetrospective StudiesTendons/*transplantationTreatment Outcome
Abstract
The bone-patellar tendon-bone has been widely used and considered a good graft source. The quadriceps tendon was introduced as a substitute graft source for bone-patellar tendon-bone. We compared the clinical outcomes of anterior cruciate ligament reconstructions using central quadriceps tendon-patellar bone and bone-patellar tendon-bone autografts. We selected 72 patients who underwent unilateral anterior cruciate ligament reconstruction using bone-patellar tendon-bone between 1994 and 2001 and matched for age and gender with 72 patients who underwent anterior cruciate ligament reconstruction using quadriceps tendon-patellar bone. All patients were followed up for more than 2 years. We assessed anterior laxity, knee function using the Lysholm and International Knee Documentation Committee scores, and quadriceps strength, the means of which were similar in the two groups. More patients (28 or 39%) in the bone-patellar tendon-bone group reported anterior knee pain than in the quadriceps tendon-patellar bone group (six patients or 8.3%). Anterior cruciate ligament reconstruction using the central quadriceps tendon-patellar bone graft showed clinical outcomes comparable to those of anterior cruciate ligament reconstruction using the patellar tendon graft, with anterior knee pain being less frequent in the former. Our data suggest the quadriceps tendon can be a good alternative graft choice. LEVEL OF EVIDENCE: Level III Therapeutic study.
ISSN
0009-921X (Print)
Language
English
URI
http://www.springerlink.com/content/kl1614222248g647/fulltext.pdf

https://hdl.handle.net/10371/67491
DOI
https://doi.org/10.1007/s11999-007-0015-4
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College of Medicine/School of Medicine (의과대학/대학원)Orthopedic Surgery (정형외과학전공)Journal Papers (저널논문_정형외과학전공)
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