BACKGROUND: Various autografts or allografts have been used for posterior cruciate ligament (PCL) reconstruction. Quadriceps tendon-patellar bone autograft is considered a good graft choice. HYPOTHESIS: Quadriceps tendon-patellar bone graft for PCL reconstruction can achieve a satisfactory clinical outcome after 3 years postoperatively. STUDY DESIGN: Retrospective review of prospectively collected data. METHODS: From 1996, the graft has been used in 32 patients. Twenty-nine patients with a minimum of 3 years of follow-up were analyzed. RESULTS: Twenty-four (83%) patients achieved good or excellent results by Lysholm knee rating. Sixteen (55%) patients could return to moderate or strenuous activity. Twenty-five (86%) patients had ligament laxity of less than 5 mm. Twenty-four (83%) patients were rated as normal or nearly normal by International Knee Documentation Committee (IKDC) guidelines. Twenty-four (83%) and 26 (90%) patients could achieve recovery of extensor and flexor muscle strength to 80% or more of normal knee, respectively. A statistically significant difference exists in thigh girth difference, extensor strength, and flexor strength before and after reconstruction. CONCLUSION: Our study revealed satisfactory clinical subjective and objective results at a minimum 3 years follow-up. Quadriceps tendon autograft has the advantage of being self-available, a relatively easier arthroscopic technique, and having a suitable size, making it an acceptable graft choice for PCL reconstruction.
BACKGROUND: Various autografts or allografts have been used for posterior cruciate ligament (PCL) reconstruction. Quadriceps tendon-patellar bone autograft is considered a good graft choice. HYPOTHESIS: Quadriceps tendon-patellar bone graft for PCL reconstruction can achieve a satisfactory clinical outcome after 3 years postoperatively. STUDY DESIGN: Retrospective review of prospectively collected data. METHODS: From 1996, the graft has been used in 32 patients. Twenty-nine patients with a minimum of 3 years of follow-up were analyzed. RESULTS: Twenty-four (83%) patients achieved good or excellent results by Lysholm knee rating. Sixteen (55%) patients could return to moderate or strenuous activity. Twenty-five (86%) patients had ligament laxity of less than 5 mm. Twenty-four (83%) patients were rated as normal or nearly normal by International Knee Documentation Committee (IKDC) guidelines. Twenty-four (83%) and 26 (90%) patients could achieve recovery of extensor and flexor muscle strength to 80% or more of normal knee, respectively. A statistically significant difference exists in thigh girth difference, extensor strength, and flexor strength before and after reconstruction. CONCLUSION: Our study revealed satisfactory clinical subjective and objective results at a minimum 3 years follow-up. Quadriceps tendon autograft has the advantage of being self-available, a relatively easier arthroscopic technique, and having a suitable size, making it an acceptable graft choice for PCL reconstruction.
Authors: M Ettinger; M Petri; K T Haag; S Brand; A Dratzidis; C Hurschler; C Krettek; M Jagodzinski Journal: Knee Surg Sports Traumatol Arthrosc Date: 2013-07-03 Impact factor: 4.342
Authors: M Ettinger; T Wehrhahn; M Petri; E Liodakis; G Olender; U-V Albrecht; C Hurschler; C Krettek; M Jagodzinski Journal: Knee Surg Sports Traumatol Arthrosc Date: 2011-06-22 Impact factor: 4.342
Authors: Sunil Apsingi; Anthony M J Bull; David J Deehan; Andrew A Amis Journal: Knee Surg Sports Traumatol Arthrosc Date: 2009-03-14 Impact factor: 4.342
Authors: Anne Marie Eriksen Watsend; Toril M Ø Osestad; Rune B Jakobsen; Rune B Jacobsen; Lars Engebretsen Journal: Knee Surg Sports Traumatol Arthrosc Date: 2008-10-17 Impact factor: 4.342