Arthroscopically Assisted Reconstruction of the Anterior Cruciate Ligament Using a Patella Tendon Bone Autograft

Jackson, Douglas W.; Jennings, L.

doi:10.1016/s0278-5919(20)30885-1

Cited by 43 publications

(3 citation statements)

References 7 publications

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“…We had no need for notchplasty because our arthroscopic technique allowed for adequate visualization, patients with osteophytes were excluded from this study, and we followed the principle of anatomic graft placement, thereby avoiding impingement. Jackson and Jennings 25 reported that perioperative removal of residual tibial cruciate stump debris minimized the risk of a cyclops lesion.…”

Section: Discussionmentioning

confidence: 99%

A Five-Year Comparison of Patellar Tendon versus Four-Strand Hamstring Tendon Autograft for Arthroscopic Reconstruction of the Anterior Cruciate Ligament

et al. 2002

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Section: Discussionmentioning

confidence: 99%

A Five-Year Comparison of Patellar Tendon versus Four-Strand Hamstring Tendon Autograft for Arthroscopic Reconstruction of the Anterior Cruciate Ligament

et al. 2002

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“…Not rare, however, are the reports about the complications of this procedure and its potentially detrimental effects on the extensor mechanism [4, 9, 13, 18-20, 23, 25]. The surgical technique is now standardized for either the arthroscopically aided technique [11,24] or for intra-articular reconstruction [2]. However, the literature does not answer the common question: does the patellar tendon (PT) donor site have to be closed or not?…”

Section: Introductionmentioning

confidence: 99%

Anterior cruciate ligament patellar tendon reconstruction: it is probably better to leave the tendon defect open!

Cerullo

Puddu

Giannì

et al. 1995

Knee Surg, Sports traumatol, Arthroscopy

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The purpose of our prospective study was to establish whether or not in anterior cruciate ligament (ACL) patellar tendon reconstruction the tendon defect has to be closed. In 50 consecutive ACL patellar tendon reconstructions, the tendon defect was randomly closed (group I) or left open (group II). The following data were recorded from all patients on the 4th and 14th days post operation: range of motion (ROM), pain at rest, pain and validity at isometric contraction, ability of bent leg raising (at 4th day) and straight leg raising (at 14th day). All the patients underwent ultrasonographic examination after 3 months and X-ray scanning at 6 months post operation. Forty patients underwent a CT-scan examination at 6 months. Thirty patients underwent isokinetic testing between 10 and 12 months post operation. Evaluating the immediate post operation data, no statistically significant differences emerged between the two groups. Ultrasonography showed in 68% of the knees of group I (defect closed) a thickened patellar tendon (PT), while in 60% of group II it was of normal thickness. No patients of either group developed patella infera by X-ray evaluation 6 months post operation. CT scans at 6 months showed that 100% of the knees of group I had a thickened PT in toto (nearly twice as thick as normal). Scar tissue was present not only in its central third but also in more than half of the cases in the medial and lateral third. In group II 75% of the patients had a normal thickness PT and 25% presented with only a minimal thickening. Scar tissue was distinguished only at its central third.(ABSTRACT TRUNCATED AT 250 WORDS)

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“…Rotation of 180° has been theorized to improve fixation within the tibial tunnel 3,34,42 and to prevent wear of the tendon at the edges of the tibial tunnel. 19 External rotation may reproduce the natural rotation of the ACL 1,11,23,34 and may improve graft isometry. 5,12 More recently, rotation of the BPTB graft up to 540° has been used to shorten the graft to address graft length–tunnel mismatch.…”

mentioning

confidence: 99%

The Effect of Cyclic Loading on Rotated Bone-Tendon-Bone Anterior Cruciate Ligament Graft Constructs

et al. 2006

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Arthroscopically Assisted Reconstruction of the Anterior Cruciate Ligament Using a Patella Tendon Bone Autograft

Cited by 43 publications

References 7 publications

A Five-Year Comparison of Patellar Tendon versus Four-Strand Hamstring Tendon Autograft for Arthroscopic Reconstruction of the Anterior Cruciate Ligament

A Five-Year Comparison of Patellar Tendon versus Four-Strand Hamstring Tendon Autograft for Arthroscopic Reconstruction of the Anterior Cruciate Ligament

Anterior cruciate ligament patellar tendon reconstruction: it is probably better to leave the tendon defect open!

The Effect of Cyclic Loading on Rotated Bone-Tendon-Bone Anterior Cruciate Ligament Graft Constructs

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