Autologe Ersatzplastik bei vorderer Kreuzbandruptur mittels freier Quadrizepssehne

J. Gille*, O. J. Bisping, C. Queitsch, C. Voigt, C. Jürgens, A. P. Schulz

*Korrespondierende/r Autor/-in für diese Arbeit
1 Zitat (Scopus)

Abstract

AIM: The purpose of this study was to evaluate postoperative outcome and functional scores after single bundle anterior cruciate ligament (ACL) reconstruction with the use of quadriceps tendon autografts after a 16 (12-24) month follow-up. METHOD: 54 patients (9 women, 45 men, body mass index [BMI] 25.3 [18.1-36.3 kg/m (2)]) were included in this prospective series, treated between January 2004 and December 2005. Ligament stability was assessed with the Lachmann and pivot-shift tests and a KT 1000 arthrometer. Tegner index, Lysholm-Gilquist score and the International Knee Documentation Committee (IKDC) were employed to evaluate the functional outcomes. In addition, the single leg hop test was performed. RESULTS: Ligament arthrometry using the KT 1000 arthrometer demonstrated a mean side-to-side difference of 1.53 mm (0.2-4.1 mm). Regarding the Lachmann test, 17 patients (32%) showed 1+ laxity and no patient had an abnormal pivot-shift. The mean Tegner activity score was 4.22 (1-10), the mean Lysholm score was 80.8 (20-100) and the mean IKDC score 68.1 (29-87). Results of the single leg hop test revealed a mean decline of the treated leg to 87.7% (70-100%) of the contralateral side. The mean extension was reduced by 1.7 degrees (0-10 degrees) on the treated knee and the flexion by 2.1 degrees (0-10 degrees), compared to the contralateral knee. CONCLUSION: Single bundle anterior cruciate ligament reconstruction using quadriceps tendon demonstrates highly satisfactory results. Due to a moderate donor site morbidity and preservation of the medial stabilizing structures of the knee a wider use in primary cruciate ligament reconstruction may arise in the future. Georg Thieme Verlag KG Stuttgart, New York.

Titel in ÜbersetzungSingle bundle anterior cruciate ligament reconstruction using quadriceps tendon autografts
OriginalspracheDeutsch
ZeitschriftZeitschrift für Orthopädie und Unfallchirurgie
Jahrgang147
Ausgabenummer5
Seiten (von - bis)570-576
Seitenumfang7
ISSN1864-6697
PublikationsstatusVeröffentlicht - 01.09.2009

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