A five-year comparison of patellar tendon versus four-strand hamstring tendon autograft for Arthroscopic reconstruction of the anterior cruciate ligament

被引:200
作者
Pinczewski, LA [1 ]
Deehan, DJ [1 ]
Salmon, LJ [1 ]
Russell, VJ [1 ]
Clingeleffer, A [1 ]
机构
[1] Australian Inst Musculoskeletal Res, Crows Nest, NSW, Australia
关键词
D O I
10.1177/03635465020300041201
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: The choice of graft material for anterior cruciate ligament reconstruction is believed to play a major role in outcome, but most comparisons of graft choice have not been well controlled. Hypothesis: The choice of graft material (patellar tendon or hamstring tendon) does affect clinical outcome after anterior cruciate ligament reconstruction. Study Design: Prospective, nontrandomized clinical trial. Methods: Two groups of 90 patients each were followed for a minimum of 5 years. Results: International Knee Documentation Committee assessment revealed that more than 85% of each group had an overall score of A or B at all follow-up intervals. The median Lysholm knee score was greater than 90 for both groups at 2 and 5 years. Instrumented testing revealed no significant difference between the two groups beyond 3 years. Thirty-one percent of the patellar tendon group (25) had a fixed flexion deformity and 19% of the hamstring tendon group (14) had fixed flexion deformity at 5 years. Radiologic assessment revealed early osteoarthritic changes in 4% of the hamstring tendon group (2) and in 18% of the patellar tendon group (11) at 5 years. Conclusions: Arthroscopic reconstruction with either graft results in a similar surgical outcome, reliably restoring knee stability over a 5-year period; however, patients with patellar tendon grafts are at greater risk of developing early signs of osteoarthritis. (C) 2002 American Orthopaedic Society for Sports Medicine.
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页码:523 / 536
页数:14
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