Hamstring vs. All-Soft-Tissue Quadriceps Tendon Autograft for Anterior Cruciate Ligament Reconstruction in Adolescent Athletes: Early Follow-Up Results of a Prospective Study

被引:1
作者
Rakauskas, Ritauras [1 ]
Siupsinskas, Laimonas [2 ]
Streckis, Vytautas [3 ,4 ]
Baleviciute, Juste [2 ]
Galinskas, Laurynas [5 ]
Malcius, Dalius [1 ]
Cekanauskas, Emilis [1 ]
机构
[1] Lithuanian Univ Hlth Sci, Dept Paediat Surg, LT-44307 Kaunas, Lithuania
[2] Lithuanian Univ Hlth Sci, Dept Sports Med, LT-44307 Kaunas, Lithuania
[3] Lithuanian Sports Univ, Inst Sports Sci & Innovat, LT-44221 Kaunas, Lithuania
[4] Lithuanian Sports Univ, Dept Trainings Syst, LT-44221 Kaunas, Lithuania
[5] Lithuanian Univ Hlth Sci, Dept Orthopaed & Traumatol, LT-44307 Kaunas, Lithuania
来源
APPLIED SCIENCES-BASEL | 2023年 / 13卷 / 11期
关键词
anterior cruciate ligament reconstruction; adolescent athletes; all-soft-tissue quadriceps tendon autograft; pediatric anterior cruciate ligament reconstruction; PATELLAR TENDON; BONE; GRAFT; OUTCOMES; GNRB(R); INJURY; CHOICE; SEX;
D O I
10.3390/app13116715
中图分类号
O6 [化学];
学科分类号
0703 ;
摘要
Background: The quadriceps tendon (QT) autograft has recently drawn attention for anterior cruciate ligament reconstruction (ACLR). Finding the best autograft option for adolescents after an ACL injury is essential to ensure them a high-quality active lifestyle. There are no studies comparing the all-soft-tissue QT autograft with the hamstring tendon (HT) autograft in such population. Methods: In this study, 68 patients younger than 18 years of age were assigned to the HT (38 patients) or the QT (30 patients) ACLR group. The groups were similar, allowing their comparison. The instrumented knee laxity was evaluated with a Genourob arthrometer. In total, 48 patients (27 HT and 21 QT) were tested 3 months post-op, and 45 patients (26 HT and 19 QT) were tested 6 months post-op. Results: We found that 3 months post-op, the side-to-side anterior tibial translation measurements (GNRB1) were worse in the HT than in the QT group (1.4 (0.2-5.2; 1.715) vs. 0.6 (0.1-2.1; 0.905) mm, p = 0.02). There was no difference in side-to-side anterior tibial translation at 6 months post-op (GNRB2) between the HT and the QT group (1 (0.2-5.3; 1.519) vs. 1.1 (0.3-3.4; 1.279) mm, p = 0.927). At 3 months post-op, the side-to-side anterior tibial translation (GNRB1) was worse in males than in females. irrespective of the graft choice (1.45 (0.1-5.2; 1.696) vs. 0.4 (0.1-3.4; 0.89) mm, p = 0.016). The displacement curve slopes 6 months post-op were better for females (3 (0-13.1; 3.335) vs. 5.3 (0-26.1; 7.848), p = 0.014). At 3 months post-op, the GNRB measurements showed that the side-to-side anterior tibial translation (GNRB1) was better for females when the HT autograft had been used (0.45 (0.2-3.4; 0.942) vs. 2.4 (0.3-5.2; 2.333) mm, p = 0.003). In general, both autografts provided excellent objective outcomes at early follow-up. Conclusions: The all-soft-tissue QT autograft should be considered as a reliable alternative for ACLR in adolescents. This autograft has at least the same properties as the HT autograft in the early stages after ACL reconstruction in adolescent athletes and, in some respects, seems superior to the HT autograft. Research should continue to find the best possible graft choice for the most active and willing-to-return-to-sport population.
引用
收藏
页数:13
相关论文
共 36 条
[11]   Revision anterior cruciate ligament reconstruction with quadriceps tendon-patellar bone autograft [J].
Garofalo, R ;
Djahangiri, A ;
Siegrist, O .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2006, 22 (02) :205-214
[12]   The Relationship between Lower Extremity Functional Performance and Balance after Anterior Cruciate Ligament Reconstruction: Results of Patients Treated with the Modified All-Inside Technique [J].
Guzel, Nizamettin ;
Genc, Ahmet Serhat ;
Yilmaz, Ali Kerim ;
Kehribar, Lokman .
JOURNAL OF PERSONALIZED MEDICINE, 2023, 13 (03)
[13]   Pre- and Post-Operative Hamstring Autograft ACL Reconstruction Isokinetic Knee Strength Assessments of Recreational Athletes [J].
Guzel, Nizamettin ;
Yilmaz, Ali Kerim ;
Genc, Ahmet Serhat ;
Karaduman, Emre ;
Kehribar, Lokman .
JOURNAL OF CLINICAL MEDICINE, 2023, 12 (01)
[14]   Morphologic and histologic comparison between the patella and hamstring tendons grafts: A descriptive and Anatomic study [J].
Hadjicostas, Panayiotis T. ;
Soucacos, Panayotis N. ;
Paessler, Hans H. ;
Koleganova, Nadezda ;
Berger, Irina .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2007, 23 (07) :751-756
[15]   Comparative analysis of the morphologic structure of quadriceps and patellar tendon: A descriptive laboratory study [J].
Hadjicostas, Panayiotis T. ;
Soucacos, Panayotis N. ;
Berger, Irina ;
Koleganova, Nadezda ;
Paessler, Hans H. .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2007, 23 (07) :744-750
[16]   Experimental validation of the GNRB® for measuring anterior tibial translation [J].
Jenny, J. -Y. ;
Puliero, B. ;
Schockmel, G. ;
Harnoist, S. ;
Clavert, P. .
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2017, 103 (03) :363-366
[17]   Anterior Cruciate Ligament Reconstruction: Autogenous Quadriceps Tendon-Bone Compared With Bone-Patellar Tendon-Bone Grafts at 2-Year Follow-up [J].
Kim, Sung-Jae ;
Kumar, Praveen ;
Oh, Kyung-Soo .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2009, 25 (02) :137-144
[18]   Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction [J].
Kotsifaki, Roula ;
Korakakis, Vasileios ;
King, Enda ;
Barbosa, Olivia ;
Maree, Dustin ;
Pantouveris, Michail ;
Bjerregaard, Andreas ;
Luomajoki, Julius ;
Wilhelmsen, Jan ;
Whiteley, Rodney .
BRITISH JOURNAL OF SPORTS MEDICINE, 2023, 57 (09) :500-514
[19]   Adolescents show a lower healing rate of anterolateral ligament injury and a higher rotational laxity than adults after anterior cruciate ligament reconstruction [J].
Lee, Dhong Won ;
Lee, Joon Kyu ;
Kwon, Sae Him ;
Moon, Sung Gyu ;
Cho, Seung Ik ;
Chung, Seung Hee ;
Kim, Jin Goo .
KNEE, 2021, 30 :113-124
[20]   Outcomes of Anatomic Anterior Cruciate Ligament Reconstruction: Bone-Quadriceps Tendon Graft Versus Double-Bundle Hamstring Tendon Graft [J].
Lee, Joon Kyu ;
Lee, Sahnghoon ;
Lee, Myung Chul .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2016, 44 (09) :2323-2329