دورية أكاديمية
Quadriceps augmentation of undersized hamstrings during ACL reconstruction.
| العنوان: | Quadriceps augmentation of undersized hamstrings during ACL reconstruction. |
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| المؤلفون: | Wilson WK; The University of Texas Medical Branch, Department of Orthopaedic Surgery and Rehabilitation, 301 University Blvd., Rt. 0165, Galveston, TX 77555-0165, United States of America., Morris R; The University of Texas Medical Branch, Department of Orthopaedic Surgery and Rehabilitation, 301 University Blvd., Rt. 0165, Galveston, TX 77555-0165, United States of America. Electronic address: rmorris@utmb.edu., Coskey A; The University of Texas Medical Branch, Department of Orthopaedic Surgery and Rehabilitation, 301 University Blvd., Rt. 0165, Galveston, TX 77555-0165, United States of America., Smith B; The University of Texas Medical Branch, Department of Orthopaedic Surgery and Rehabilitation, 301 University Blvd., Rt. 0165, Galveston, TX 77555-0165, United States of America., Gugala Z; The University of Texas Medical Branch, Department of Orthopaedic Surgery and Rehabilitation, 301 University Blvd., Rt. 0165, Galveston, TX 77555-0165, United States of America. |
| المصدر: | The Knee [Knee] 2019 Jan; Vol. 26 (1), pp. 73-78. Date of Electronic Publication: 2018 Dec 13. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 9430798 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5800 (Electronic) Linking ISSN: 09680160 NLM ISO Abbreviation: Knee Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: [s.l.] : Elsevier Original Publication: Oxford, UK : Butterworth-Heinemann, c1994- |
| مواضيع طبية MeSH: | Anterior Cruciate Ligament Reconstruction/*methods , Hamstring Muscles/*physiopathology , Muscle Contraction/*physiology , Quadriceps Muscle/*physiopathology, Aged ; Aged, 80 and over ; Cadaver ; Female ; Humans ; Male ; Middle Aged ; Tendons/transplantation ; Transplantation, Autologous |
| مستخلص: | Background: Double hamstring autograft for anterior cruciate ligament (ACL) reconstruction is a well-established graft option; however, a major concern with this method arises when the prepared graft is too small. Resorting to allograft can be a solution to this problem, but some surgeons prefer to use autograft in particular situations and some patients may refuse allograft. We investigate the merits of using autogenous quadriceps tendons to augment the insufficient hamstrings and compare the autograft composite graft to a standard hamstrings graft of equal size. Methods: Semitendinosus, gracilis, and quadriceps tendons were harvested from 10 matched pairs of human cadaver lower extremities. Within each pair, a routine hamstring ACL graft (control) consisting of the semitendinosus and gracilis tendons, and an quadriceps augmented hamstrings graft of equal size comprised of the semitendinosus and quadriceps tendons, were prepared. A freeze-clamp mount was used to biomechanically test each graft construct. Tensile failure load, displacement, energy absorbed, and stiffness were determined and statistically compared within each pair and mode of graft failure was established. Results: No statistically significant differences were found between the quadriceps augmented hamstrings graft versus standard control grafts. Average values for peak failure load and graft displacement at the point of first failure were nearly identical. All ACL graft constructs failed at the mid-substance. Conclusions: This study demonstrates no statistical difference in the biomechanical properties of an isolated hamstring ACL autograft versus a quadriceps augmented ACL autograft of equal size at time zero. Clinical Relevance: This is a potentially new and reliable method for quadriceps tendon autograft augmentation of hamstring autograft for ACL reconstruction. (Copyright © 2018 Elsevier B.V. All rights reserved.) |
| فهرسة مساهمة: | Keywords: ACL autograft; ACL graft; ACL reconstruction; Quadriceps tendon |
| تواريخ الأحداث: | Date Created: 20181218 Date Completed: 20190408 Latest Revision: 20190408 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.knee.2018.11.012 |
| PMID: | 30554907 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1873-5800 |
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| DOI: | 10.1016/j.knee.2018.11.012 |