Patellar tendon vs. doubled semitendinosus and gracilis tendon for anterior cruciate ligament reconstruction.
In a prospective study on ACL reconstruction we treated 17 patients with a "central third-bone-patellar tendon-bone" autograft (PT group) and 32 patients with a doubled semitendinosus/doubled gracilis autograft (HS group). Patients were reviewed at 6 weeks, and at 3, 6, and 12 months postoperatively and the groups compared. Up till 6 months, the KT-1000 side-to-side difference was significantly greater in the HS group (P<0.05) and at 6 and 12 months isokinetic hamstrings strength was lower (P<0.05). No significant differences were noted at any stage with respect to quadriceps strength, functional scores, range of motion, or swelling.
Witvrouw
E
E
Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine, Ghent University Hospital, Belgium. erik.witvrouw@rug.ac.be
Bellemans
J
J
Verdonk
R
R
Cambier
D
D
Coorevits
P
P
Almqvist
F
F
D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D016009:Chi-Square Distribution; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation*; D011336:Probability; D011446:Prospective Studies; D016059:Range of Motion, Articular / Q000502:physiology; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D012680:Sensitivity and Specificity; D013709:Tendon Transfer; D013710:Tendons / Q000637:transplantation*; D013997:Time Factors; D014182:Transplantation, Autologous; D016896:Treatment Outcome