A prospective randomized comparison of patellar tendon versus semitendinosus and gracilis tendon autografts for anterior cruciate ligament reconstruction.
نویسندگان
چکیده
Seventy patients with patellar tendon or hamstring tendon autografts for single-incision anterior cruciate ligament reconstruction were evaluated at least 2 years after surgery. All reconstructions were performed by the same surgeon, and metal interference screws were used for fixation of all grafts. No significant differences were noted between groups for Lysholm score, reduction in activity, KT-1000 arthrometer findings, quadriceps muscle size, return to sports, or ability to jump and do hard cuts and pivots. Significantly more patients in the patellar tendon group had patellofemoral pain at 6 months after surgery than did the hamstring tendon patients (48% versus 20%), and at last follow-up the incidence of patellofemoral pain was 42% and 20%, respectively. Fourteen patients in the patellar tendon group and seven in the hamstring tendon group had loss of motion (approximately 5 degrees ). Four patients (two in each group) had treatment failures and their results were not included in the clinical examination data. At 2 years' follow-up, 97% of patients with patellar tendon grafts and 100% of patients with hamstring tendon grafts rated their results as good or excellent. We found that hamstring tendon grafts performed similarly to patellar tendon grafts, although fewer patients in the hamstring tendon group had patellofemoral pain and loss of motion.
منابع مشابه
Tendon Grafts. A Prospective, Randomized Clinical Trial Tendon-Bone Compared with Double Semitendinosus and Gracilis Anterior Cruciate Ligament Reconstruction: Bone-Patellar
متن کامل
Graft Choices for Anterior Cruciate Ligament Reconstruction
The question of which graft to use for anterior cruciate ligament (ACL) reconstruction continues to be debated at meetings around the world. The overall choice of grafts consists of autografts, allografts, and synthetic grafts. By far the two most commonly used grafts are central third bone-patellar tendon-bone and hamstring tendon, either semitendinosus alone or semitendinosus combined with gr...
متن کاملComparison between the Results Achieved in Anterior Cruciate Ligament Reconstruction with Two Kinds of Autologous Grafts: Patellar Tendon versus Semitendinous and Gracilis
OBJECTIVE this study aims to compare the arthrometric and isokinetic examination results from two types of autologous grafts: the central third of the patellar ligament and a graft formed by the tendons of the semitendinosus and gracilis muscles, within the same rehabilitation protocol, six months after the surgery. METHODS the results from examinations carried out on 63 patients were analyze...
متن کاملReconstruction of the anterior cruciate ligament:a comparison between bone-patellar tendon-bone grafts and four-strand hamstring grafts
Background :Disruption of anterior cruciate ligament (ACL) is a common ligamentous injury of the knee. The choice of graft for (ACL) reconstruction remains controversial. This prospective, randomized clinical trial aimed to compare clinical results of bone-patellar tendon-bone (BPTB) grafts and four-strand semitendinosus-gracilis (ST) grafts for ACL reconstruction over a 3-year follow-up inte...
متن کاملPhysiotherapy after reconstruction of anterior cruciate ligament
The purpose of this study was to evaluate the existence of differences in the rehabilitation of patients after ACL reconstruction using bone-patellar tendon-bone graft and the four-strand semitendinosus and gracilis tendon grafts, through a literature revision. The researched databases were MEDLINE, EMBASE, LILACS, COCHRANE and PEDro. The inclusion criteria were published studies with methodolo...
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ورودعنوان ژورنال:
- The American journal of sports medicine
دوره 30 2 شماره
صفحات -
تاریخ انتشار 2002