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. 2015 Dec 8;44(4):306-12.
doi: 10.1016/S2255-4971(15)30158-0. eCollection 2009 Jan.

RECONSTRUCTION OF THE ANTERIOR CRUCIATE LIGAMENT WITH THE CENTRAL THIRD OF THE QUADRICEPS MUSCLE TENDON: ANALYSIS OF 10-YEAR RESULTS

Marcus Valladares Guimarães  1 , Lúcio Honório de Carvalho Junior  2 , Dalton Lopes Terra  3
Affiliations

RECONSTRUCTION OF THE ANTERIOR CRUCIATE LIGAMENT WITH THE CENTRAL THIRD OF THE QUADRICEPS MUSCLE TENDON: ANALYSIS OF 10-YEAR RESULTS

Marcus Valladares Guimarães et al. Rev Bras Ortop. .

Abstract

Objective: Assess clinical results using two different protocols, 10 years after ACL reconstruction surgery with the central third of quadriceps muscle tendon (QT).

Method: Between November /1997 and April/1998, 25 patients were submitted to 25 ACL reconstructions with QT by transtibial technique. The bone portion of the graft was fixated on femoral tunnel with interference screw and the tendinous portion of tibial tunnel with screw with washer. Two patients injured the new when playing soccer. Six patients were not available for follow-up (24%). Seventeen patients were evaluated, 15 men and two women, with mean age at surgery time of 28.53 ± 6.64 years. All patients were examined at six months, one year, and ten years after surgery. Clinical evaluation was made by the Lysholm scale, and the knee evaluation, with the Hospital for Special Surgery scale.

Results: The patients had their injuries operated after 9.87 ± 14.42 months of the accident. According to Lysholm scale, the results at the end of the first year were 98.71 ± 2.47 and, after 10 years, 97.35 ± 3.12. Using the Hospital for Special Surgery scale, the mean score was 95.07 ± 5.23 in one year, and 94.87 ± 4.16 in 10 years. All patients returned to their professional activities with the same previous status. Fifteen (88.24%) patients were able to return to their sports activities, one by modifying the practice, while another one switched to another sport. No patient complained of pain on the donor area in the medium and long term. The sports return rate was excellent, and no changes were found on the femoropatellar joint.

Keywords: Anterior cruciate ligament; Knee; Muscle skeletal; Quadriceps muscle.

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Figures

Figure 1
Figure 1
AP X-ray with the patient standing on one leg performed 10 years after ACL reconstruction
Figure 2
Figure 2
Axial X-ray of the patella with knee flexed 30° performed 10 years after ACL reconstruction
Figure 3
Figure 3
Lateral X-ray of the knee without weight-bearing performed 10 years after ACL reconstruction
Figure 4
Figure 4
Axial radiograph of the patella in 30° of knee flexion after ACL reconstruction in a patient who suffered a fractured patella six months after surgery and underwent internal fixation with a tension band that has already been removed
See this image and copyright information in PMC

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