Arthroscopic Anterior Cruciate Ligament Reconstruction: A Metaanalysis Comparing Patellar Tendon and Hamstring Tendon Autografts

Freedman, Kevin B.; D’Amato, Michael; Nedeff, David D.; Kaz, Ari J.; Bach, Bernard R.

doi:10.1177/03635465030310011501

Cited by 699 publications

(567 citation statements)

References 48 publications

(70 reference statements)

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“…Anterior knee pain and kneeling pain have been shown to be lower in hamstring autograft patients. [10,11] In our study, eight of 44 patients (18.1%) complained of intermittent pain. Anterior knee pain originating from the patellofemoral joint was diagnosed in five patients from the QT-PB group.…”

Section: Discussionmentioning

confidence: 60%

Artroskopik ön çapraz bağ onarımı için hamstring tendon otogreftine kıyasla kuadriseps tendon kullanımı: Klinik sonuçların karşılaştırmalı analizi

Sofu

Şahin

Gürsü

et al. 2013

Eklem Hastalik Cerrahisi

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Knee ligament injuries are among the most frequently encountered injuries. [1,2] Although different types of surgical techniques with excellent clinical results have been reported for the reconstruction of a ruptured anterior cruciate ligament (ACL), graft selection is still a controversial issue. Every particular graft type Amaç: Bu çalışmada, iki otojen greft türünün kullanımına ilişkin orta dönem klinik sonuçlar değerlendirildi. Hastalar ve yöntemler: Haziran 2005 -Kasım 2010 tarihleri arasında ameliyat edilen 44 hastanın klinik verileri retrospektif olarak incelendi. Onarım cerrahisi için 23 hastada (QT-PB grubu) kuadriseps tendon-patella kemiği otogrefti, 21 hastada (HT grubu) ise dört katlı hamstring tendon otogrefti kullanıldı. Veri toplamada Tegner aktivite skalası, Lysholm skorlama sistemi, tek bacak sıçrama testi ve KT-2000 artrometrik ölçümleri kullanıldı. Bulgular: Ortalama takip süresi 37.6 aydı. Ortalama Lysholm skoru her iki grupta da artmasına rağmen, HT grubunda elde edilen mükemmel sonuçlar QT-PB grubundakinin iki katı kadardı. Ortalama laksite miktarı QT-PB grubunda 5.65 mm (3.5-8.0 mm) iken HT grubunda 3.67 mm (3.0-5.5 mm) olarak ölçüldü. KT-2000 artrometre kullanıla-rak yapılan bire bir analizde QT-PB grubunda 12 hastada (%52.1) ve HT grubunda iki hastada (%9.6) 3 mm'den fazla ön laksite farkı saptandı. Sonuç: Artroskopik ön çapraz bağ onarım cerrahisinde dört katlı hamstring tendon otogrefti, santral kuadriseps tendonpatella kemiği otogreftinden üstündür.Anahtar sözcükler: Ön çapraz bağ onarımı; ön çapraz bağ; artroskopi; kuadriseps kası; tendon.Objectives: This study aims to evaluate midterm clinical results of the use of two autogenous graft types. Patients and methods: Between June 2005 and November 2010, clinical data of 44 patients who were operated were retrospectively analyzed. Quadriceps tendon-patellar bone autograft was used for reconstruction surgery in 23 patients (QT-PB group), while quadrupled hamstring tendon autograft was used in 21 patients (HT group). The Tegner's activity scale, Lysholm scoring system, single-leg-hop test and KT-2000 arthrometric measurements were used for data collection. Results: The mean length of follow-up was 37.6 months. Although the mean Lysholm score increased in both groups, excellent results in HT group were two-fold higher compared to QT-PB group. The mean laxity for the operated knee joint was 5.65 mm (3.5 to 8.0 mm) in QT-PB group and 3.67 mm (3.0 to 5.5 mm) in HT group. Head-to-head analysis using KT-2000 arthrometer demonstrated that 12 patients (52.1%) in QT-PB group and two patients (9.6%) in HT group had more than 3 mm of anterior laxity difference. Conclusion: Quadrupled hamstring tendon autograft is superior to central quadriceps tendon-patellar bone in arthroscopic anterior cruciate ligament reconstruction surgery.

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Section: Discussionmentioning

confidence: 60%

Artroskopik ön çapraz bağ onarımı için hamstring tendon otogreftine kıyasla kuadriseps tendon kullanımı: Klinik sonuçların karşılaştırmalı analizi

Sofu

Şahin

Gürsü

et al. 2013

Eklem Hastalik Cerrahisi

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“…The choice of the site from which an autograft will be harvested depends on tissue accessibility and availability; on the physical dimensions and mechanical properties of the donor tissue; and on the extent of site morbidity that will be induced [286,287]. The use of autografts in clinical setting has been strongly supported by superior functional results [288,289].…”

Section: Tissue Grafts -The Top-down Approach For Tendon Repairmentioning

confidence: 99%

The past, present and future in scaffold-based tendon treatments

Lomas

Ryan

Sorushanova

et al. 2015

Advanced Drug Delivery Reviews

171

185

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“…However, two meta-analyses comparing the two main graft types (BPTB vs. ST) have demonstrated that a SSD superior to 3 mm was less frequent in BTPB compared to ST grafts [95,96]. Regarding the use of allografts, some authors reported similar outcomes compared to autografts [97,98], while others suggested that they may be inferior [99].…”

Section: Knee Laxity After Anterior Cruciate Ligament Reconstructionmentioning

confidence: 99%

Objective measurements of static anterior and rotational knee laxity

Mouton

Theisen

Seil

2016

Curr Rev Musculoskelet Med

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Several devices allow to measure anterior and rotational static knee laxity. To date, the use of rotational laxity measurements in the daily clinical practice however remains to be improved. These measurements may be systematically integrated to the follow-up of knee injuries. Physiologic laxity measurements may particularly be of interest for the identification of risk factors in athletes. Furthermore, knee laxity measurements help to improve the diagnosis of knee soft tissue injuries and to follow up reconstructions. Further prospective follow-ups of knee laxity in the injured/reconstructed knees are however required to conclude on the best treatment strategy for knee soft tissue injuries.

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Arthroscopic Anterior Cruciate Ligament Reconstruction: A Metaanalysis Comparing Patellar Tendon and Hamstring Tendon Autografts

Cited by 699 publications

References 48 publications

Artroskopik ön çapraz bağ onarımı için hamstring tendon otogreftine kıyasla kuadriseps tendon kullanımı: Klinik sonuçların karşılaştırmalı analizi

Artroskopik ön çapraz bağ onarımı için hamstring tendon otogreftine kıyasla kuadriseps tendon kullanımı: Klinik sonuçların karşılaştırmalı analizi

The past, present and future in scaffold-based tendon treatments

Objective measurements of static anterior and rotational knee laxity

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