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 VYSOKÝZákladní 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
Štítky
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.