Anterior cruciate ligament reconstruction with patellar autograft tendon.
There are many techniques, graft choices, and outcome studies evaluating anterior cruciate ligament reconstruction. The current authors specifically look at reconstruction with the patellar tendon from a scientific perspective. Miniopen, endoscopic, and two-incision operative techniques in addition to hamstring versus patellar tendon autograft reconstructions are compared via randomized prospective studies. A review of all studies evaluating arthroscopically-assisted anterior cruciate ligament reconstruction with patellar tendon was conducted. The authors found arthroscopically-assisted anterior cruciate ligament reconstruction to have a high short-term stability rate, extremely high patient satisfaction level, and a low postoperative complication rate. When the endoscopic technique was compared with the two-incision technique, there were no major differences. The difference between patellar tendon and hamstring autograft reconstruction can be described best as subtle, except for the consistent finding of an increased activity level in the patellar tendon group. When the principles of anterior cruciate reconstruction are followed, one can expect consistent results with patellar tendon autograft reconstruction.
Fox
Jeff A
JA
Vanderbilt Sports Medicine Center, Vanderbilt University Medical Center, Nashville, TN 37212, USA.
Nedeff
David D
DD
Bach
Bernard R
BR
Spindler
Kurt P
KP
D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017847:Patellar Ligament / Q000637:transplantation*; D017060:Patient Satisfaction; D011446:Prospective Studies; D016032:Randomized Controlled Trials as Topic; D014182:Transplantation, Autologous / Q000379:methods; D016896:Treatment Outcome