KOMZÁK, Martin, Radek HART, David NÁHLÍK and 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. ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY. UNITED STATES, 2021, vol. 142, No 8, p. 1995-1999. ISSN 0936-8051. Available from: https://dx.doi.org/10.1007/s00402-021-04195-2.
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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
Original language English
Type of outcome Article in a journal
Field of Study 30306 Sport and fitness sciences
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 2.928
RIV identification code RIV/00216224:14510/21:00129814
Organization unit Faculty of Sports Studies
Doi http://dx.doi.org/10.1007/s00402-021-04195-2
UT WoS 000702973100001
Keywords in English ACL; Quadriceps tendon graft; Rotational stability
Tags 14110711, Early Access, podil
Tags International impact, Reviewed
Changed by Changed by: doc. MUDr. Martin Komzák, Ph.D., učo 101724. Changed: 14/8/2023 12:53.
Abstract
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.
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