دورية أكاديمية
Quadriceps tendon autograft for anterior cruciate ligament reconstruction is associated with high revision rates: results from the Danish Knee Ligament Registry.
| العنوان: | Quadriceps tendon autograft for anterior cruciate ligament reconstruction is associated with high revision rates: results from the Danish Knee Ligament Registry. |
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| المؤلفون: | Lind M; Department of Orthopaedics, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N, Denmark. martilin@rm.dk., Strauss MJ; Orthopedic Clinic, Oslo Sports Trauma Research Center, Oslo University Hospital, Norwegian School of Sport Sciences, Oslo, Norway., Nielsen T; Department of Orthopaedics, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N, Denmark., Engebretsen L; Orthopedic Clinic, Oslo Sports Trauma Research Center, Oslo University Hospital, Norwegian School of Sport Sciences, Oslo, Norway. |
| المصدر: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA [Knee Surg Sports Traumatol Arthrosc] 2020 Jul; Vol. 28 (7), pp. 2163-2169. Date of Electronic Publication: 2019 Oct 22. |
| نوع المنشور: | Comparative Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: Germany NLM ID: 9314730 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-7347 (Electronic) Linking ISSN: 09422056 NLM ISO Abbreviation: Knee Surg Sports Traumatol Arthrosc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2024- : [Hoboken] : Wiley Original Publication: [Heidelberg, Germany] : Springer International, c1993- |
| مواضيع طبية MeSH: | Registries*, Anterior Cruciate Ligament Reconstruction/*statistics & numerical data , Joint Instability/*epidemiology , Postoperative Complications/*epidemiology , Reoperation/*statistics & numerical data , Tendons/*transplantation, Adolescent ; Adult ; Aged ; Anterior Cruciate Ligament Injuries/surgery ; Anterior Cruciate Ligament Reconstruction/methods ; Autografts ; Cohort Studies ; Denmark/epidemiology ; Female ; Hamstring Tendons/transplantation ; Humans ; Joint Instability/surgery ; Knee/surgery ; Knee Joint/surgery ; Lysholm Knee Score ; Male ; Middle Aged ; Patellar Ligament/transplantation ; Quadriceps Muscle ; Transplantation, Autologous ; Young Adult |
| مستخلص: | Purpose: The quadriceps tendon (QT) has recently gained interest as an anterior cruciate ligament reconstruction (ACLR) autograft. There is a paucity of data from large cohort studies on failures and revision rates after ACLR using the QT graft. The purpose of the present study is to use the Danish Knee Ligament Reconstruction Registry (DKRR) to compare revision rates, objective knee stability and subjective clinical outcomes in patients who have undergone ACLR with QT, hamstring tendon (HT), and patellar tendon (PT) as a graft for ACLR. It was hypothesized that QT autografts would result in similar objective knee stability and revision rates as HT and PT autografts. Methods: Data on primary ACLRs in the DKRR from 2005 through 2017 were analyzed. Knee injury and Osteoarthritis Outcome Scores (KOOS), Tegner activity scale scores, sagittal knee laxity, pivot-shift tests at 1-year follow-up and revision rates at 2-year follow-up were compared for the three autograft cohorts. Results: A total of 531 QT, 14,213 HT and 1835 PT ACLR were registered in the DKLR between 2005 and 2017. QT autograft was associated with statistically significant increased laxity (1.8 mm) compared to HT autograft (1.5 mm) (p < 0.001) and more positive pivot shift. There was a significant higher revision rate for QT (4.7%), compared to PT (1.5%) and HT (2.3%) autografts at 2-year follow-up (p < 0.002). Conclusion: Quadriceps tendon autografts for ACLR was associated with higher revision rates than HT and PT grafts. QT graft was also associated with small increased objective knee laxity and more positive pivot shift than HT and PT grafts. Level of Evidence: III. |
| التعليقات: | Comment in: Knee Surg Sports Traumatol Arthrosc. 2020 Nov;28(11):3655-3656. (PMID: 32239273) |
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| فهرسة مساهمة: | Keywords: ACL reconstruction; Clinical outcomes; Hamstring tendon; Patellar tendon; Quadriceps tendon |
| تواريخ الأحداث: | Date Created: 20191024 Date Completed: 20201130 Latest Revision: 20210419 |
| رمز التحديث: | 20240513 |
| DOI: | 10.1007/s00167-019-05751-5 |
| PMID: | 31641810 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1433-7347 |
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| DOI: | 10.1007/s00167-019-05751-5 |