Quadriceps tendon grafts does not cause patients to have inferior subjective outcome after anterior cruciate ligament (ACL) reconstruction than do hamstring grafts: a 2-year prospective randomised controlled trial.
Adult
Anterior Cruciate Ligament Injuries
/ rehabilitation
Anterior Cruciate Ligament Reconstruction
/ methods
Exercise Test
Female
Hamstring Muscles
Humans
Joint Instability
Male
Muscle Strength
Prospective Studies
Quadriceps Muscle
Reoperation
Tendons
/ transplantation
Treatment Outcome
Young Adult
ACL reconstruction
clinical outcomes
hamstring tendon
quadriceps tendon
Journal
British journal of sports medicine
ISSN: 1473-0480
Titre abrégé: Br J Sports Med
Pays: England
ID NLM: 0432520
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
accepted:
28
10
2019
pubmed:
11
11
2019
medline:
31
1
2020
entrez:
10
11
2019
Statut:
ppublish
Résumé
We performed a randomised controlled trial (RCT) in patients undergoing ACL reconstruction (ACLR) using either quadriceps tendon graft (QT) or semitendinosus/gracilis hamstring (STG) graft. We compared subjective outcome (primary outcome) and knee stability, donor site morbidity and function (secondary outcomes). From 2013 to 2015, we included 99 adults with isolated ACL injuries in the RCT. Fifty patients were randomised to QT grafts and 49 to STG grafts and followed for 2 years. Patient evaluated outcomes were performed by subjective International Knee Documentation Committee, Knee Injury and Osteoarthritis Outcome Score, Kujala and Tegner activity scores. Knee laxity was measured with a KT-1000 arthrometer. Donor site morbidity was evaluated by the 'donor site-related functional problems following ACLR score'. One-leg hop test tested limp strength symmetry. At 2-year follow-up, there was no difference between the two graft groups regarding subjective patient outcome, knee stability and reoperations. Also, at 2 years, donor site symptoms were present in 27% of patients in the QT group and 50% of patients in the STG group. The donor site morbidity score was 14 and 22 for the QT and STG, respectively. Hop test demonstrated lower limp symmetry for QT graft than STG graft of 91% and 97% respectively. QT graft for ACLR did not result in inferior subjective outcome compared with STG graft. However, QT graft was associated with lower donor site morbidity than STG grafts but resulted in more quadriceps muscle strength deficiency than hamstring grafts. Both graft types had similar knee stability outcome. NCT02173483.
Identifiants
pubmed: 31704697
pii: bjsports-2019-101000
doi: 10.1136/bjsports-2019-101000
doi:
Banques de données
ClinicalTrials.gov
['NCT02173483']
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
183-187Informations de copyright
© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: ML has performed previous research on QT graft for ACL reconstruction which might bias the presentation of data.