A 10-Year Comparison of Anterior Cruciate Ligament Reconstructions with Hamstring Tendon and Patellar Tendon Autograft

Abstract

It is possible to obtain excellent results with both HT and PT autografts. We recommend HT reconstructions to our patients because of decreased harvest-site symptoms and radiographic osteoarthritis.

Rate of Force Development as an Adjunctive Outcome Measure for Return-to-Sport Decisions After Anterior Cruciate Ligament Reconstruction

“…4,18 Moreover, among the athletes who return to their preinjury sport levels, ACL reinjury occurs in 3% to 19% of ACL-reconstructed knees, and 5% to 24% of athletes sustain a contralateral ACL injury. 21,31 The authors of a recent review reported that, although the great majority (nearly 90%) of athletes obtained what was considered normal or near-normal strength values (greater than or equal to 85% to 90% of muscle strength capacity in their injured leg compared to their noninjured leg), the rate of return to sport was low. 5 This suggests that muscle strength tests commonly used as criteria T T STUDY DESIGN: Descriptive, prospective, longitudinal single-cohort study.…”

ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION & THE HAMSTRINGS Implications for injury prevention & rehabilitation

“…The two most common autografts are from either the ipsilateral ST and gracilis or patellar tendon (Aune et al, 2001;Gobbi & Francisco, 2006;Paterno et al, 2010;Pinczewski et al, 2002;Pinczewski et al, 2007). Patellar tendon grafts have been the most popular surgical choice, though hamstring tendon grafts have recently become more common (Ejerhed et al, 2003).…”

“…ACL injuries in athletes are immediately debilitating and typically require ACL reconstruction (ACLR) surgery. This procedure usually involves one of two autogenous grafts harvested from either the ipsilateral semitendinosus (ST) and gracilis or the patellar tendon (Ardern, Webster, Taylor, & Feller, 2010;Aune, Holm, Risberg, Jensen, & Steen, 2001;Gobbi & Francisco, 2006;Paterno et al, 2010;Pinczewski, Deehan, Salmon, Russell, & Clingeleffer, 2002;Pinczewski et al, 2007). Given the reduced risk of developing anterior knee pain after hamstring grafts (Ejerhed, Kartus, Sernert, Kohler, & Karlsson, 2003), the vast majority of ACLRs in elite Australian sport involve the ST tendon (Aglietti, Buzzi, Zaccherotti, & De Biase, 1994;Ejerhed et al, 2003).…”

“…For example, in the Australian football league they cost each club an average of AUD$1.5 million per season in wages paid to side-lined players (Orchard et al, 2013). In elite sport, ACL reconstructions are almost always considered essential for restoring adequate knee joint stability (Ardern et al, 2011a;Liow, McNicholas, Keating, & Nutton, 2003), and they usually involve one of two autogenous grafts harvested from either the ipsilateral ST and gracilis or the patellar tendon (Ardern et al, 2010;Paterno et al, 2010;Pinczewski et al, 2007). Both techniques have significant long-term effects on knee muscle strength (Konrath et al, 2016;Makihara, Nishino, Fukubayashi, & Kanamori, 2006), proprioception (Katayama et al, 2004) and coordination (Yosmaoglu, Baltaci, Kaya, Ozer, & Atay, 2011) which may increase the prospects of injury recurrence and contribute to an elevated risk of HSI.…”

“…Most studies report deficits in quadriceps and hamstring strength after ACLR, and in many cases, these deficits persist well after the cessation of rehabilitation (Pinczewski et al, 2007;Yasuda, Tsujino, Ohkoshi, Tanabe, & Kaneda, 1995).…”