Quadriceps tendon autograft is an effective alternative graft for posterior cruciate ligament reconstruction in isolated or multiligament injuries: a systematic review
| Autor: | Austin McCadden, John W. Xerogeanes, Shane K. Woolf, Sophia A. Traven, Harris S. Slone, Matthew Reynolds Akelman |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Posterior Cruciate Ligament Reconstruction Tendons 03 medical and health sciences 0302 clinical medicine Humans Medicine Orthopedics and Sports Medicine Autografts Prospective cohort study 030222 orthopedics Anterior Cruciate Ligament Reconstruction business.industry Anterior Cruciate Ligament Injuries Hamstring Tendons 030229 sport sciences Evidence-based medicine musculoskeletal system Surgery medicine.anatomical_structure Posterior cruciate ligament Quadriceps tendon business Range of motion Complication Knee injuries |
| Zdroj: | Journal of ISAKOS. 6:220-225 |
| ISSN: | 2059-7754 |
| DOI: | 10.1136/jisakos-2020-000487 |
| Popis: | Importance High-grade posterior cruciate ligament (PCL) tears can be a significant cause of patient morbidity and knee instability. The graft of choice for operative repair remains controversial, although recently there has been increased interest in quadriceps tendon (QT) as an autologous graft option. Objective The purpose of this study was to perform a systematic review to assess reported clinical outcomes of PCL reconstructions using QT autografts. Evidence review A comprehensive review of clinical studies was performed evaluating PCL reconstruction with QT autograft including a systematic search of PubMed, Scopus, Cochrane and Google Scholar databases, and reference lists of relevant papers. Clinical results, stability results, functional outcomes, range-of-motion outcomes, complications and morbidity, and the conclusions of each study were evaluated. Findings Seven studies were included in the review of clinical results, including 145 subjects undergoing PCL reconstructions with QT autograft. All studies evaluated quadriceps tendon bone (QT-B) grafts. Among these seven studies, two included isolated PCL reconstruction while five included multiligamentous knee injury reconstruction. These studies suggest that QT-B autograft offers a viable graft option for primary PCL reconstruction with generally favourable patient-reported outcomes, knee stability and range of motion reported along with relatively low complication rates. Conclusions and relevance Use of the QT-B autograft may be a reasonable graft option for PCL reconstruction. However, high-quality prospective studies are required to evaluate the long-term safety, efficacy and functional outcomes. Level of evidence Level IV (Systematic review of Level IV studies). |
| Databáze: | OpenAIRE |
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