A 7-Year Follow-up of Patellar Tendon and Hamstring Tendon Grafts for Arthroscopic Anterior Cruciate Ligament Reconstruction

Roe, Justin; Pinczewski, Leo A.; Russell, Vivianne J.; Salmon, Lucy J.; Kawamata, Toru; Chew, Melvin

doi:10.1177/0363546504274145

Cited by 190 publications

(203 citation statements)

References 23 publications

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“…That is the strength of our study. Numerous studies have been published comparing patellar and hamstring tendon autografts in arthroscopic ACL reconstruction [1,2,5,6,11,18,20]. Many of them have been prospective and randomised, but direct comparison between the grafts was not reliable because fixation techniques, surgical techniques and rehabilitation protocols differed [7,11].…”

Section: Discussionmentioning

confidence: 99%

“…There are few prospective randomised studies on ACL reconstruction directly comparing the outcome of both grafts [1,2,5,6,11,18,20]. The purpose of this prospective, randomised, 5-year follow-up study is to compare the functional results after arthroscopic single-incision ACL reconstruction with patellar tendon or four-strand hamstring tendon autografts, both fixed with interference screws by the same surgeon using the same surgical technique and post-operative rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

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RETRACTED ARTICLE: The effect of graft choice on functional outcome in anterior cruciate ligament reconstruction

Sajovic

Strahovnik²,

Komadina³

et al. 2007

International Orthopaedics (SICO

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A prospective, randomised, 5-year follow-up study was designed to compare the functional results between patellar tendon and hamstring tendon autografts after anterior cruciate ligament reconstruction. Primary reconstruction was performed in 32 patients using the central third of the patellar ligament and in 32 patients using double-looped semitendinosus and gracilis tendons. All reconstructions were performed by a single surgeon, with identical surgical technique and rehabilitation protocol. Of the total 64 patients in the study, 54 (85%) were available for the 5-year follow-up. No statistically significant differences were seen with respect to Lysholm score, International Knee Documentation Committee (IKDC) classification, clinical and KT-2000 arthrometer laxity testing, single-legged hop test and anterior knee pain. Graft rupture occurred in two patients (8%) in the patellar tendon group and in two patients (7%) in the hamstring tendon group; 23 patients (88%) in the patellar tendon group and 23 patients (82%) in the hamstring tendon group returned to their pre-injury activity level. Good subjective outcome and stability can be obtained by using either graft; no statistically significant differences were found in functional outcome between the grafts.Résumé Une étude prospective randomisée avec un suivi moyen de 5 ans a été réalisée de façon à comparer les résultats de la reconstruction du ligament croisé antérieur par tendon rotulien ou tendon de la patte d'oie. Cette reconstruction a bénéficié à 32 patients, dans chaque type de traitement. Pour les patients traités par tendons de la patte d'oie on a utilisé à l'aide d'un double renfort le semitendineux et le gracilis. Toutes ces interventions ont été réalisées par le même chirurgien avec la même technique de rééducation. Sur les 64 patients de l'étude, 54 (85%) ont pu être suivis pendant 5 ans. Il n'y a pas de différence significative entre ces deux séries, après analyse selon le score de Lysholm, la classification IKDC, la laxité clinique et la laxité évaluée par le KT-2000. De même en ce qui concerne le sautillement et les douleurs antérieures du genou. Une rupture de la greffe est survenue chez deux patients (8%) du groupe tendon rotulien et chez deux patients (7%) du groupe tendon de la patte d'oie. 23 patients (88%) du groupe tendon rotulien et 23 patients (82%) du groupe patte d'oie ont pu reprendre leurs activités à un niveau identique à celui qu'ils avaient avant l'accident. Ces techniques permettent d'obtenir une bonne stabilité sur le plan résultats subjectifs sans différence significative quelle que soit la greffe utilisée.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

RETRACTED ARTICLE: The effect of graft choice on functional outcome in anterior cruciate ligament reconstruction

Sajovic

Strahovnik²,

Komadina³

et al. 2007

International Orthopaedics (SICO

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“…The previous study, conducted a few years earlier, which included a seven year follow-up, showed significantly higher arthrosis rate in the patellar group, whilst all other parameters were the same. In their conclusion, the authors recommended the hamstrings autograft, although there was a tendency to rupture (not statistically significant) [20]. In their extensive study, Katabi et al [16] emphasise the significantly higher occurrence of femoropatellar pain in the patellar group, but in view of the fact that at the same time knee stability was significantly higher in this patient group, the patellar method is recommended as the gold standard for ACL reconstruction in athletes, especially those practicing pivoting sports.…”

Section: Discussionmentioning

confidence: 87%

“…In the light of harvest site morbidity and postoperative stiffness associated with patellar tendon graft, many surgeons began to choose semitendinosus and gracilis graft [9,16,18]. The actual value of both methods is evaluated in various tests, mostly combining objective measurements and subjective patient opinions [2,20,[23][24][25]. The most commonly used tests are the Single Assessment Numeric Evaluation Score, Lysholm Score, International Knee Documentation Committee Score and Knee Injury and Osteoarthritis Outcome Score [12].…”

Section: Introductionmentioning

confidence: 99%

Electromyographic analysis of the knee using fixed-activation threshold after anterior cruciate ligament reconstruction

Kasović

Mejovšek

Matković

et al. 2010

International Orthopaedics (SICOT)

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The aim of this study was to establish whether there are any electromyographic (EMG) differences after two different surgical techniques in two years follow-up after anterior cruciate ligament (ACL) reconstruction. Study participants were divided into three groups. The control group included healthy athletes (C), the first study group (E1) consisted of injured athletes who were treated by ACL reconstruction using patellar tendon graft and the second study group (E2) comprised injured athletes treated by gracilis and semitendinosus tendon graft. The threshold of muscle activity was defined as 30% of maximum amplitude of EMG signal medial envelope of individual muscles in the control group. Two years after reconstruction, the E2 group achieved the maximum amplitude of biceps femoris muscle signal in the takeoff phase statistically significantly later than the E1 group (0.0166, p=0.05 and 0.015152, p=0.05/3= 0.016), whereas the rectus femoris muscle in the flight phase in the E2 group improved statistically significantly earlier than in the C group (0.0393, p=0.05 and 0.025974, p=0.05/3= 0.016). The results of this study show particularly statistically significant differences between observed surgery techniques, which led to the change of the neuromuscular pathway during simple and controlled knee movements even two years after ACL reconstructions in athletes who returned to active training. These disturbances of muscle work coordinations in the knee joint could be tied to the function and location from which the graft was taken rather than the quality of the transplant itself. This may result in an increased risk of repeated knee injury, including potential permanent health consequences in athletes. Based on the results of this research, we were unable to establish which of the presented ACL reconstruction techniques is more appropriate. This study may be useful for athletes and their coaches, who could plan, programme and adequately adjust their training process, thereby improving knee function in the best possible way, which in turn would maintain and extend athletes' respective sports careers.

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“…Roe et al [4] reported that ACL reconstruction patients with PT autograft showed higher OA incidence than those with hamstring autograft. However in our study we used a patellar tendon autograft in all cases and we have provided no information about the relationship between OA and graf t choice (PT or hamstring).…”

mentioning

confidence: 99%

What are the risk factors in the development of osteoarthritis following ACL reconstruction?

Seon

Song

Park

2006

International Orthopaedics (SICOT)

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We thank Dr. Cebesoy for his interest in our article. We evaluated the weight gain (divide 2 group: Gain more than 15 lb or not) after ACL reconstruction and analysed the correlation between weight increase and development of OA and found that there was significant correlation between weight increase and development of OA (Odds ratio: 5.690, p-value=0.025). These results were quite similar to a report by Spindler et al. [1].With regard to the relationship between instability and development of OA, there has been some debate. However, we found no correlation between instability and OA. Similar conclusions were reached by Sommerlath et al. [3] and Gillquist and Messner [2].Roe et al. [4] reported that ACL reconstruction patients with PT autograft showed higher OA incidence than those with hamstring autograft. However in our study we used a patellar tendon autograft in all cases and we have provided no information about the relationship between OA and graf t choice (PT or hamstring). The relationship between graf t material and OA remains to be proven. Recently, we have been performing a study relating to OA after ACL reconstruction with hamstring autografts.

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A 7-Year Follow-up of Patellar Tendon and Hamstring Tendon Grafts for Arthroscopic Anterior Cruciate Ligament Reconstruction

Cited by 190 publications

References 23 publications

RETRACTED ARTICLE: The effect of graft choice on functional outcome in anterior cruciate ligament reconstruction

RETRACTED ARTICLE: The effect of graft choice on functional outcome in anterior cruciate ligament reconstruction

Electromyographic analysis of the knee using fixed-activation threshold after anterior cruciate ligament reconstruction

What are the risk factors in the development of osteoarthritis following ACL reconstruction?

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