دورية أكاديمية
أعرض في EDS

Comparison of hamstring and quadriceps tendon autografts in anterior cruciate ligament reconstruction with gait analysis and surface electromyography.

التفاصيل البيبلوغرافية
العنوان: Comparison of hamstring and quadriceps tendon autografts in anterior cruciate ligament reconstruction with gait analysis and surface electromyography.
المؤلفون: Schagemann J; Clinic for Orthopedics and Trauma Surgery, University Medical Center Schleswig Holstein UKSH Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany. jan.schagemann@web.de., Koebrich T; Clinic for Orthopedics and Trauma Surgery, University Medical Center Schleswig Holstein UKSH Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany., Wendlandt R; Clinic for Orthopedics and Trauma Surgery, Laboratory for Biomechanics, University Medical Center Schleswig Holstein UKSH Campus Luebeck, Ratzeburger Allee, 160, 23538, Luebeck, Germany., Schulz AP; Clinic for Orthopedics and Trauma Surgery, University Medical Center Schleswig Holstein UKSH Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany.; Clinic for Orthopedics and Trauma Surgery, Laboratory for Biomechanics, University Medical Center Schleswig Holstein UKSH Campus Luebeck, Ratzeburger Allee, 160, 23538, Luebeck, Germany.; BG Klinikum Hamburg, Bergedorfer Straße 10, 21033, Hamburg, Germany., Gille J; Clinic for Orthopedics and Trauma Surgery, University Medical Center Schleswig Holstein UKSH Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany.; BG Klinikum Hamburg, Bergedorfer Straße 10, 21033, Hamburg, Germany., Oheim R; Clinic for Orthopedics and Trauma Surgery, University Medical Center Schleswig Holstein UKSH Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany.; BG Klinikum Hamburg, Bergedorfer Straße 10, 21033, Hamburg, Germany.
المصدر: Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology [J Orthop Traumatol] 2021 May 21; Vol. 22 (1), pp. 20. Date of Electronic Publication: 2021 May 21.
نوع المنشور: Comparative Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Italia Country of Publication: Italy NLM ID: 101090931 Publication Model: Electronic Cited Medium: Internet ISSN: 1590-9999 (Electronic) Linking ISSN: 15909921 NLM ISO Abbreviation: J Orthop Traumatol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Milano, Italy : Springer-Verlag Italia,
مواضيع طبية MeSH: Anterior Cruciate Ligament Reconstruction*/methods , Gait*, Hamstring Tendons/*transplantation , Quadriceps Muscle/*surgery , Tendons/*transplantation, Adolescent ; Adult ; Anterior Cruciate Ligament Injuries/surgery ; Child ; Cohort Studies ; Electromyography ; Female ; Gait Analysis ; Humans ; Knee Joint/surgery ; Male ; Middle Aged ; Transplantation, Autologous ; Young Adult
مستخلص: Background: Anterior cruciate ligament (ACL) tear is the most frequent ligamentous injury of the knee joint. Autografts of hamstring (HS) or quadriceps tendons (QT) are used for primary ACL reconstruction. In this study, we planned to examine whether harvesting an HS graft is related to a deficit in dynamic knee stabilisation and strength revealed by dynamic valgus as compared with QT graft or the uninjured leg. Furthermore, if this deficit exists, is it compensated by higher neuromuscular activity of the quadriceps muscle?
Materials and Methods: Adult patients who had undergone ACL reconstruction with QT or HS autografts were included in this two-armed cohort study. Clinical outcome was assessed by clinical data analysis, physical examination and the Lysholm Score and Knee Injury and Osteoarthritis Score (KOOS). In addition, gait analysis and non-invasive surface electromyography were performed.
Results: A complete data set of 25 patients (QT: N = 8, HS: N = 17) was analysed. There was no significant demographic difference between the groups. Time between surgery and follow-up was significantly longer for the QT group. Significant differences regarding clinical outcome were not found between the treated and untreated leg or between the two groups, with excellent scores at the time of follow-up. Gait analysis revealed no significant differences of varus-valgus angles. Significant differences in surface electromyography were only found in the QT group with increased vastus medialis obliquus activity of the treated legs (p < 0.01).
Conclusions: Our results suggest that harvesting of HS grafts for primary ACL reconstruction will not lead to a medial collapse and consequently impaired medial stabilisation of the knee when compared with QT grafts.
Level of Evidence: IV.
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فهرسة مساهمة: Keywords: ACL reconstruction; Gait analysis; Hamstring graft; Quadriceps tendon graft; Surface electromyography
تواريخ الأحداث: Date Created: 20210522 Date Completed: 20210720 Latest Revision: 20211102
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC8140171
DOI: 10.1186/s10195-021-00581-z
PMID: 34021423
قاعدة البيانات: MEDLINE
الوصف
تدمد:1590-9999
DOI:10.1186/s10195-021-00581-z