J 2021

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

KOMZÁK, Martin, Radek HART, David NÁHLÍK a Robert VYSOKÝ

Základní údaje

Originální název

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

Autoři

KOMZÁK, Martin (203 Česká republika, garant, domácí), Radek HART (203 Česká republika, domácí), David NÁHLÍK (203 Česká republika, domácí) a Robert VYSOKÝ (203 Česká republika, domácí)

Vydání

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, UNITED STATES, 2021, 0936-8051

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30306 Sport and fitness sciences

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 2.928

Kód RIV

RIV/00216224:14510/21:00129814

Organizační jednotka

Fakulta sportovních studií

UT WoS

000702973100001

Klíčová slova anglicky

ACL; Quadriceps tendon graft; Rotational stability

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 14. 8. 2023 12:53, doc. MUDr. Martin Komzák, Ph.D.

Anotace

V originále

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.