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@article{1808430,
author = {Komzák, Martin and Hart, Radek and Náhlík, David and Vysoký, Robert},
article_location = {UNITED STATES},
article_number = {8},
doi = {http://dx.doi.org/10.1007/s00402-021-04195-2},
keywords = {ACL; Quadriceps tendon graft; Rotational stability},
language = {eng},
issn = {0936-8051},
journal = {ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY},
title = {In vivo knee rotational stability 2 years after the ACL reconstruction using a quadriceps tendon graft with bone block and bone-patellar tendon-bone graft},
url = {https://pubmed.ncbi.nlm.nih.gov/34601649/},
volume = {142},
year = {2021}
}
TY - JOUR
ID - 1808430
AU - Komzák, Martin - Hart, Radek - Náhlík, David - Vysoký, Robert
PY - 2021
TI - In vivo knee rotational stability 2 years after the ACL reconstruction using a quadriceps tendon graft with bone block and bone-patellar tendon-bone graft
JF - ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
VL - 142
IS - 8
SP - 1995-1999
EP - 1995-1999
SN - 09368051
KW - ACL
KW - Quadriceps tendon graft
KW - Rotational stability
UR - https://pubmed.ncbi.nlm.nih.gov/34601649/
N2 - Introduction: The aim of this prospective randomised study was to evaluate clinical results and rotational stability at least 2 years after single-bundle anatomic anterior cruciate ligament reconstruction using a quadriceps tendon graft with bone block (BT) and bone-patellar tendon-bone graft (BTB). Materials and methods: In both groups (BT and BTB), 40 patients selected prospectively at random were evaluated. The mean follow-up after the surgery was 28 months (range 24-33 months). A navigation system was used to measure rotational stability of the knee joint. Cincinnati, Lysholm, and IKDC scores and visual analog score (VAS) were used to evaluate clinical results and the non-parametric Wilcoxon test was used for the statistical analysis. Results: After the BT reconstruction, the mean internal rotation of the tibia (IR) was 9.5°. In the contralateral healthy knee joint, IR was 8.6° at average. After the BTB reconstruction, the mean IR was 9.9°. In the contralateral healthy knee joint, IR was 8.7° at average. We did not find any statistically significant difference in IR stability between BT and BTB reconstruction. In terms of clinical results, regarding the VAS, patients perceive significantly more pain after the BTB reconstruction (p < 0.05). Kneeling was reported more difficult and painful after BTB reconstruction. Conclusions: The BT reconstruction of the ACL provides similar clinical results, less pain, better flexion and the same rotational stability of the knee in comparison with the BTB reconstruction.
ER -
KOMZÁK, Martin, Radek HART, David NÁHLÍK a Robert VYSOKÝ. In vivo knee rotational stability 2 years after the ACL reconstruction using a quadriceps tendon graft with bone block and bone-patellar tendon-bone graft. \textit{ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY}. UNITED STATES, 2021, roč.~142, č.~8, s.~1995-1999. ISSN~0936-8051. Dostupné z: https://dx.doi.org/10.1007/s00402-021-04195-2.
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