The gracilis tendon autograft is a safe choice for orthopedic reconstructive procedures: a consecutive case series studying the effects of tendon harvesting.
Acromioclavicular Joint
/ surgery
Adult
Autografts
/ transplantation
Female
Follow-Up Studies
Gracilis Muscle
/ physiology
Humans
Joint Dislocations
/ complications
Knee Joint
/ physiology
Ligaments, Articular
/ injuries
Male
Middle Aged
Orthopedic Procedures
/ adverse effects
Prospective Studies
Range of Motion, Articular
Plastic Surgery Procedures
/ adverse effects
Retrospective Studies
Tendons
/ transplantation
Transplant Donor Site
/ physiology
Transplantation, Autologous
/ adverse effects
Treatment Outcome
Young Adult
Acromioclavicular dislocation
Coracoclavicular reconstruction
Gracilis autograft
Hamstring graft
Ligament reconstruction
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
30 Mar 2019
30 Mar 2019
Historique:
received:
30
11
2018
accepted:
21
03
2019
entrez:
1
4
2019
pubmed:
1
4
2019
medline:
10
8
2019
Statut:
epublish
Résumé
The gracilis tendon is commonly used as an autograft to reconstruct torn tendons or ligaments in many parts of the body. Little is known about the subjective and functional outcome after gracilis tendon harvest. The aim of this study was to evaluate the outcome of the donor leg in patients undergoing such surgery. Patients with chronic acromioclavicular joint dislocations undergoing coracoclavicular ligament reconstructions using autogenous gracilis tendon grafts were eligible for this study. The graft harvesting procedure was carried out in a standard fashion using a tendon stripper. Knee injury and Osteoarthritis Outcome Score (KOOS) were collected preoperatively and after 12 months. The first 5 patients were included retrospectively and lacked preoperative data, for these patients age- and gender matched normative KOOS scores were used as baseline values. Isometric knee flexor strength in 60° and 90° degrees of flexion was measured at final follow up at a median of 26 (14-56) months postoperatively with the non-operated leg used as reference. Twenty four patients were eligible for the study and 2 were excluded. The 22 patients available for analysis had a mean age of 44 (22-62) years at the time of surgery and 4 were women. There was no statistically significant change in KOOS 12 months postoperatively compared to baseline values but the patients were weaker in knee flexion in the operated leg compared to the non-operated one. Gracilis tendon harvesting results in a weakness of knee flexion but does not impair subjective knee function and is a procedure that can be recommended when an autogenous tendon graft is needed.
Sections du résumé
BACKGROUND
BACKGROUND
The gracilis tendon is commonly used as an autograft to reconstruct torn tendons or ligaments in many parts of the body. Little is known about the subjective and functional outcome after gracilis tendon harvest. The aim of this study was to evaluate the outcome of the donor leg in patients undergoing such surgery.
METHODS
METHODS
Patients with chronic acromioclavicular joint dislocations undergoing coracoclavicular ligament reconstructions using autogenous gracilis tendon grafts were eligible for this study. The graft harvesting procedure was carried out in a standard fashion using a tendon stripper. Knee injury and Osteoarthritis Outcome Score (KOOS) were collected preoperatively and after 12 months. The first 5 patients were included retrospectively and lacked preoperative data, for these patients age- and gender matched normative KOOS scores were used as baseline values. Isometric knee flexor strength in 60° and 90° degrees of flexion was measured at final follow up at a median of 26 (14-56) months postoperatively with the non-operated leg used as reference.
RESULTS
RESULTS
Twenty four patients were eligible for the study and 2 were excluded. The 22 patients available for analysis had a mean age of 44 (22-62) years at the time of surgery and 4 were women. There was no statistically significant change in KOOS 12 months postoperatively compared to baseline values but the patients were weaker in knee flexion in the operated leg compared to the non-operated one.
CONCLUSIONS
CONCLUSIONS
Gracilis tendon harvesting results in a weakness of knee flexion but does not impair subjective knee function and is a procedure that can be recommended when an autogenous tendon graft is needed.
Identifiants
pubmed: 30927929
doi: 10.1186/s12891-019-2520-5
pii: 10.1186/s12891-019-2520-5
pmc: PMC6441161
doi:
Types de publication
Journal Article
Langues
eng
Pagination
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