دورية أكاديمية
أعرض في EDS

Harvest of All-Soft Tissue Quadriceps Tendon Autograft for Anterior Cruciate Ligament Reconstruction With or Without Closure of Resulting Defect Has No Effect on Patellar Height.

التفاصيل البيبلوغرافية
العنوان: Harvest of All-Soft Tissue Quadriceps Tendon Autograft for Anterior Cruciate Ligament Reconstruction With or Without Closure of Resulting Defect Has No Effect on Patellar Height.
المؤلفون: Parker MC; Department of Orthopaedic Surgery, Baylor Scott and White Memorial Center, Temple, Texas., Lang SD; Mammoth Orthopedic Institute, Mammoth Lakes, California, U.S.A., Lakehomer H; Taos Orthopaedic Institute, Taos, New Mexico, U.S.A., O'Neil S; Taos Orthopaedic Institute, Taos, New Mexico, U.S.A., Crall TS; Mammoth Orthopedic Institute, Mammoth Lakes, California, U.S.A., Gilmer BB; Mammoth Orthopedic Institute, Mammoth Lakes, California, U.S.A.
المصدر: Arthroscopy, sports medicine, and rehabilitation [Arthrosc Sports Med Rehabil] 2023 Jan 07; Vol. 5 (1), pp. e143-e150. Date of Electronic Publication: 2023 Jan 07 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Inc Country of Publication: United States NLM ID: 101765256 Publication Model: eCollection Cited Medium: Internet ISSN: 2666-061X (Electronic) Linking ISSN: 2666061X NLM ISO Abbreviation: Arthrosc Sports Med Rehabil Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [New York] : Elsevier Inc., [2019]-
مستخلص: Purpose: To evaluate the radiographic effect of quadriceps tendon harvest on patellar height and to determine whether closure of a quadriceps graft harvest defect resulted in a significant change in patellar height compared to nonclosure.
Methods: We conducted a retrospective review of prospectively enrolled patients. The institutional database was queried and all patients who underwent quadriceps autograft anterior cruciate ligament reconstruction between 2015 and March 2020 were included. Graft harvest length in millimeters and final graft diameter after preparation for implantation were obtained from the operative record and demographic data were obtained from the medical record. Radiographic analysis was performed of eligible patients using standard ratios of patellar height: Insall-Salvati (IS), Blackburn-Peele (BP), and Caton-Deschamps (CD). Measurements were performed using digital calipers on a digital imaging system by 2 postgraduate fellow surgeons. Preoperative and postoperative radiographs were performed at 0° according to a standard protocol. Postoperative radiographs were performed 6 weeks postoperatively in all cases. Preoperative patellar height ratios were compared with postoperative patellar height ratios for all patients using t -tests. Subanalysis was then performed to compare the effect of closure of with nonclosure on patellar height ratios using repeated-measures analysis of variance. Interrater reliability between the 2 reviewers was assessed using an intraclass correlation coefficient calculation.
Results: In total, 70 patients met final inclusion criteria. There were no statistically significant changes from pre- to postoperative values for either reviewer for IS (reviewer 1, P  = .47; reviewer 2, P  = .353), BP (reviewer 1, P  = .98; reviewer 2, P  = .907), or CD (reviewer 1, P  = .107; reviewer, 2 P  = .188). The closure and nonclosure groups were adequately powered and no statistically significant demographic differences between the closure and nonclosure groups was identified for sex ( P  = .066), age ( P  = .343), weight ( P  = .881), height ( P  = .42), laterality ( P  = 1), meniscal repair ( P  = .332), graft diameter ( P  = .068), or graft length ( P  = .183). According to the repeated measures analysis of variance, closure of the quadriceps defect had no significant impact on any of the knee ratios. However, reviewer identity had a significant influence on the CD ratio. Intraclass correlation coefficient analysis revealed excellent agreement between reviewers for the IS (0.982) and BP (0.954) ratios, but only moderate-to-good agreement for the CD (0.751) ratio.
Conclusions: Harvest of quadriceps tendon graft does not result in radiographic changes in patellar height. Furthermore, closure of the quadriceps defect does not appear to result in radiographic changes in patellar height.
Level of Evidence: III, retrospective comparative trial.
(© 2022 The Authors.)
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تواريخ الأحداث: Date Created: 20230303 Latest Revision: 20230304
رمز التحديث: 20230304
مُعرف محوري في PubMed: PMC9971865
DOI: 10.1016/j.asmr.2022.11.005
PMID: 36866295
قاعدة البيانات: MEDLINE
الوصف
تدمد:2666-061X
DOI:10.1016/j.asmr.2022.11.005