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 and Robert VYSOKÝ

Basic information

Original name

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

Authors

KOMZÁK, Martin (203 Czech Republic, guarantor, belonging to the institution), Radek HART (203 Czech Republic, belonging to the institution), David NÁHLÍK (203 Czech Republic, belonging to the institution) and Robert VYSOKÝ (203 Czech Republic, belonging to the institution)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30306 Sport and fitness sciences

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 2.928

RIV identification code

RIV/00216224:14510/21:00129814

Organization unit

Faculty of Sports Studies

DOI

UT WoS

000702973100001

Keywords in English

ACL; Quadriceps tendon graft; Rotational stability

Tags

Tags

International impact, Reviewed
Změněno: 14/8/2023 12:53, doc. MUDr. Martin Komzák, Ph.D.

Abstract

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.