PURPOSE: To determine the suitability of the quadriceps autograft in primary anterior cruciate ligament (ACL) reconstruction. METHODS: A systematic review was undertaken to identify all clinical studies reporting on the use of the quadriceps tendon autograft in ACL reconstructions. Studies that reported on clinical and functional outcomes, morbidity and complications were selected. RESULTS: Seventeen articles met our inclusion criteria with a total of 1,580 reconstructions studied. This included four comparative studies which compared the quadriceps tendon to either hamstring or patella tendon autografts. The quadriceps tendon autograft had clinical (Lachman, Pivot-shift testing) and functional outcomes (Lysholm and IKDC scores) similar to those reported for the patella tendon and hamstring grafts in the literature. Comparative studies also reported no significant difference between the grafts for any outcome measure. CONCLUSIONS: The quadriceps tendon autograft is a promising alternative for primary ACL reconstructions with good outcomes and minimal donor site morbidity. Further studies are required, however, to determine whether the quadriceps graft is as good as or better than other autografts. LEVEL OF EVIDENCE: IV.
PURPOSE: To determine the suitability of the quadriceps autograft in primary anterior cruciate ligament (ACL) reconstruction. METHODS: A systematic review was undertaken to identify all clinical studies reporting on the use of the quadriceps tendon autograft in ACL reconstructions. Studies that reported on clinical and functional outcomes, morbidity and complications were selected. RESULTS: Seventeen articles met our inclusion criteria with a total of 1,580 reconstructions studied. This included four comparative studies which compared the quadriceps tendon to either hamstring or patella tendon autografts. The quadriceps tendon autograft had clinical (Lachman, Pivot-shift testing) and functional outcomes (Lysholm and IKDC scores) similar to those reported for the patella tendon and hamstring grafts in the literature. Comparative studies also reported no significant difference between the grafts for any outcome measure. CONCLUSIONS: The quadriceps tendon autograft is a promising alternative for primary ACL reconstructions with good outcomes and minimal donor site morbidity. Further studies are required, however, to determine whether the quadriceps graft is as good as or better than other autografts. LEVEL OF EVIDENCE: IV.
Authors: Sahnghoon Lee; Sang Cheol Seong; Chris Hyunchul Jo; Hyuk Soo Han; Joon Hwan An; Myung Chul Lee Journal: J Bone Joint Surg Am Date: 2007-10 Impact factor: 5.284
Authors: Johannes Leitgeb; Julia Köttstorfer; Julia Koettsdorfer; Rupert Schuster; Florian M Kovar; Patrick Platzer; Silke Aldrian Journal: Wien Klin Wochenschr Date: 2014-05-14 Impact factor: 1.704
Authors: Gerald A Ferrer; R Matthew Miller; Christopher D Murawski; Scott Tashman; James J Irrgang; Volker Musahl; Freddie H Fu; Richard E Debski Journal: Knee Surg Sports Traumatol Arthrosc Date: 2015-03-07 Impact factor: 4.342
Authors: Matthias J Feucht; Matthias Cotic; Tim Saier; Philipp Minzlaff; Johannes E Plath; Andreas B Imhoff; Stefan Hinterwimmer Journal: Knee Surg Sports Traumatol Arthrosc Date: 2014-10-02 Impact factor: 4.342
Authors: R Matthew Miller; Amir Ata Rahnemai-Azar; Levent Sürer; Fabio V Arilla; Freddie H Fu; Richard E Debski; Volker Musahl Journal: Knee Surg Sports Traumatol Arthrosc Date: 2016-02-11 Impact factor: 4.342