Quadriceps tendon autograft for anterior cruciate ligament reconstruction is associated with high revision rates: results from the Danish Knee Ligament Registry

Autor: Martin Lind, Lars Engebretsen, Marc Jacob Strauss, Torsten Toftegaard Nielsen
Rok vydání: 2019
Předmět:
Postoperative Complications/epidemiology
Male
Anterior Cruciate Ligament Reconstruction/methods
Knee Joint
Anterior cruciate ligament reconstruction
Denmark
medicine.medical_treatment
Pivot shift
Osteoarthritis
Quadriceps Muscle
Patellar Ligament/transplantation
Cohort Studies
Tendons
Postoperative Complications
0302 clinical medicine
Clinical outcomes
Orthopedics and Sports Medicine
Registries
Autografts
030222 orthopedics
Middle Aged
musculoskeletal system
Knee/surgery
ACL reconstruction
surgical procedures
operative
medicine.anatomical_structure
Female
Adult
Joint Instability
Reoperation
musculoskeletal diseases
medicine.medical_specialty
Adolescent
Quadriceps tendon
Tendons/transplantation
Patellar tendon
Transplantation
Autologous
Young Adult
03 medical and health sciences
Patellar Ligament
medicine
Humans
Knee
Revision rate
Joint Instability/epidemiology
Aged
Anterior Cruciate Ligament Reconstruction
business.industry
Anterior Cruciate Ligament Injuries
Hamstring Tendons
030229 sport sciences
Lysholm Knee Score
Hamstring Tendons/transplantation
medicine.disease
Denmark/epidemiology
Knee Joint/surgery
Sagittal plane
Surgery
Reoperation/statistics & numerical data
Knee ligament
Hamstring tendon
Anterior Cruciate Ligament Injuries/surgery
business
Tegner Activity Scale
Zdroj: Lind, M, Strauss, M J, Nielsen, T & Engebretsen, L 2020, ' Quadriceps tendon autograft for anterior cruciate ligament reconstruction is associated with high revision rates : results from the Danish Knee Ligament Registry ', Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, vol. 28, no. 7, pp. 2163-2169 . https://doi.org/10.1007/s00167-019-05751-5
Lind, M, Strauss, M J, Nielsen, T & Engebretsen, L 2020, ' Quadriceps tendon autograft for anterior cruciate ligament reconstruction is associated with high revision rates : results from the Danish Knee Ligament Registry ', Knee Surgery, Sports Traumatology, Arthroscopy, vol. 28, no. 7, pp. 2163-2169 . https://doi.org/10.1007/s00167-019-05751-5
ISSN: 1433-7347
0942-2056
DOI: 10.1007/s00167-019-05751-5
Popis: PURPOSE: The quadriceps tendon (QT) has recently gained interest as an anterior cruciate ligament reconstruction (ACLR) autograft. There is a paucity of data from large cohort studies on failures and revision rates after ACLR using the QT graft. The purpose of the present study is to use the Danish Knee Ligament Reconstruction Registry (DKRR) to compare revision rates, objective knee stability and subjective clinical outcomes in patients who have undergone ACLR with QT, hamstring tendon (HT), and patellar tendon (PT) as a graft for ACLR. It was hypothesized that QT autografts would result in similar objective knee stability and revision rates as HT and PT autografts.METHODS: Data on primary ACLRs in the DKRR from 2005 through 2017 were analyzed. Knee injury and Osteoarthritis Outcome Scores (KOOS), Tegner activity scale scores, sagittal knee laxity, pivot-shift tests at 1-year follow-up and revision rates at 2-year follow-up were compared for the three autograft cohorts.RESULTS: A total of 531 QT, 14,213 HT and 1835 PT ACLR were registered in the DKLR between 2005 and 2017. QT autograft was associated with statistically significant increased laxity (1.8 mm) compared to HT autograft (1.5 mm) (p CONCLUSION: Quadriceps tendon autografts for ACLR was associated with higher revision rates than HT and PT grafts. QT graft was also associated with small increased objective knee laxity and more positive pivot shift than HT and PT grafts.LEVEL OF EVIDENCE: III.
Databáze: OpenAIRE
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