Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Mar 14;7(1):13.
doi: 10.1186/s40634-020-00226-w.

All inside full thickness quadriceps tendon ACL reconstruction: Long term follow up results

Hernan Galan  1 , Mateo Escalante  1 , Franco Della Vedova  1 , Daniel Slullitel  2
Affiliations

All inside full thickness quadriceps tendon ACL reconstruction: Long term follow up results

Hernan Galan et al. J Exp Orthop. .

Abstract

Purpose: The aim of this study is to evaluate results of anterior cruciate ligament reconstruction (ACL) using an All-Inside Full Thickness Quadriceps Reconstruction technique at 5 years follow up.

Methods: This is a Retrospective cohort study of patients undergoing ACL reconstruction. Inclusion criteria for this report were isolated primary ACL reconstructions without chondral lesions (Grade III/IV Outerbridge), using autologous full-thickness quadriceps tendon (FQT) graft with bone block, with an "all-inside" technique. Functional scales of Lysholm, IKDC, Tegner and objective results of side to side difference (KT1000) were used for this evaluation. Additionally, complications and comorbidities were also analyzed.

Results: Two hundred and ninety-one ACL reconstructions were retrospectively reviewed at 5 years postoperatively; 268 (92.1%) were men and 23 (7.90%) women. Lysholm Score improved from 64 (SD = 6.09) to 91 (SD = 6.05) points average. IKDC showed 59.79%, excellent and 3.4% good results. Arthrometric analysis showed that 259 knees (89%) had a difference of less than 3 mm. Median pre-injury Tegner score was 9 (Range 4-10), while final median Tegner activity level at 5 years was 8 (Range 4-10). Among comorbidities, 5.15% of the patients presented anterior knee pain. No visualization difficulties or significant hematomas were found.

Conclusion: Use of all inside FQT for ACL reconstruction in a young, high demand sports population, present at 5 years, good to excellent results, functionally and objectively, with low rates of complications and comorbidities.

Keywords: ACL reconstruction; All inside; Quad tendon.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Horizontal Skin Incision
Fig. 2
Fig. 2
Open Suprapatelar Pouch after graft harvesting
Fig. 3
Fig. 3
Graft Preparation (Krakow Suture in the Tendon Part)
Fig. 4
Fig. 4
Graft Passage. 1- Tendon Side on Femoral Tunnel, leading suture on tibial side. 2- By pulling on the leading suture the graft slides on the tibial side. A. Leading suture; B Krakow suture; C Nitinol eyeled wire; I QT Graft
Fig. 5
Fig. 5
Graft fixation. 1- Sliding of the Retrodriver (D) on the nitinol wire (c) and femoral fixation with interference screw. 2- Tibial Fixation with Retroscrew. B. Krakow suture; C Nitinol eyeled wire; I QT Graft; D retrodriver.
Fig. 6
Fig. 6
Consort Diagram. Inclusion and exclusion criteria
See this image and copyright information in PMC

References

    1. American Academy of Orthopaedic Surgeons . Allograft for ACL reconstruction survey report. Rosemont: American Academy of Orthopaedic Surgeons, Department of Research and Scientific Affairs; 2013.
    1. Akoto R, Hoeher J. Anterior cruciate ligament (ACL) reconstruction with quadriceps tendon autograft and press-fit fixation using ananteromedial portal technique. BMC Musculoskelet Disord. 2012;13(1):161. doi: 10.1186/1471-2474-13-161. - DOI - PMC - PubMed
    1. Ardern CL, Webster KE, Taylor NF, Feller JA. Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and metaanalysis of the state of play. J Sports Med. 2011;45(7):596–606. - PubMed
    1. Belk JW, Kraeutler MJ, Marshall HA, Goodrich JA, McCarty EC. Quadriceps tendon autograft for primary anterior cruciate ligament reconstruction: a systematic review of comparative studies with minimum 2-year follow-up. Arthroscopy. 2018;34(5):1699–1707. doi: 10.1016/j.arthro.2018.01.047. - DOI - PubMed
    1. Blauth W. Die zweizügelige Ersatzplastik des vorderen Kreuzbandes aus der Quadricepssehne. Unfallheilkunde. 1984;87:45–51. - PubMed

LinkOut - more resources