Primary anterior cruciate ligament reconstruction in athletes: a 5-year follow up comparing patellar tendon versus hamstring tendon autograft
| Autor: | Johannes, Leitgeb, Julia, Köttstorfer, Julia, Koettsdorfer, Rupert, Schuster, Florian M, Kovar, Patrick, Platzer, Silke, Aldrian |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
musculoskeletal diseases
Adult Joint Instability Male medicine.medical_specialty 5 year follow up Kneeling position Anterior cruciate ligament reconstruction Adolescent medicine.medical_treatment Transplant Donor Site Tendons Arthroscopy Young Adult Postoperative Complications Medicine Humans Prospective Studies Rupture biology Anterior Cruciate Ligament Reconstruction Arthrometry Articular business.industry Athletes Anterior Cruciate Ligament Injuries General Medicine musculoskeletal system biology.organism_classification Single surgeon Patellar tendon Surgery surgical procedures operative Athletic Injuries Tissue and Organ Harvesting Hamstring tendon Female business Hamstring Follow-Up Studies |
| Zdroj: | Wiener klinische Wochenschrift. 126(13-14) |
| ISSN: | 1613-7671 |
| Popis: | ACL reconstruction with quadruple hamstring graft (HT) as well as bone-patellar tendon-bone autograft (PT) is a frequent procedure in athletes after ACL rupture. Both techniques are reported to provide for satisfying results but only few articles compare both techniques. Prospective evaluation was performed on 96 patients with isolated ACL rupture undergoing reconstruction with a HT or PT autograft by a single surgeon at our institution. Long time follow-up after five years included the IKDC and KOOS evaluation form as well as clinical assessment (ROM, Lachmann testing, KT-2000). Comparing both methods revealed no significant differences regarding IKDC and KOOS. The KT-2000 arthrometer testing showed a slightly increased mean laxity in the HT group. There were no differences regarding harvest side symptoms comparing HT and PT as well as one and two incision technique. Kneeling pain was significantly less common after HT autograft. HT as well as PT autograft achieve equally good clinical results in athletes at five year follow-up with no significant difference regarding knee stability. Although no difference concerning the harvest site was identified, HT seems to be favorable for patients who work in a kneeling position. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink