Prediction of length and diameter of hamstring tendon autografts for knee ligament surgery in Caucasians

AbstractWe aimed to determine factors that affect the quality of life of patients undergoing a standardized surgical and postoperative management protocol for knee dislocations. A total of 31 patients (33 knees) were included in this study. We contacted patients at a minimum of 12 months postoperatively (mean: 38 months; range, 12–111 months) and administered the previously validated Multiligament Quality of Life questionnaire (ML-QOL), 2000 International Knee Documentation Committee Subjective Knee Form (IKDC), and Lysholm Knee Scoring Scale. We performed independent two-sample t-tests and age-adjusted multivariable linear regression analysis to examine the difference in these scores. Patients who underwent previous knee ligament surgery had significantly worse mean ML-QOL scores relative to patients who did not undergo previous knee ligament surgery (114.3 versus 80.4; p = 0.004) (higher score indicates worse quality of life). All other differences in the ML-QOL scores were not statistically significant. IKDC and Lysholm scores did not differ significantly with regards to the studied variables. Among patients with no previous knee ligament surgery, patients undergoing surgery within 3 weeks of injury had significantly worse mean ML-QOL scores relative to patients undergoing surgery greater than 3 weeks after their injury (98.7 versus 74.7; p = 0.042) and patients with Schenck classification of III or IV had significantly worse mean ML-QOL scores relative to patient with a Schenck classification of I or II (88.7 versus 62.9; p = 0.015). We found that patients with a previous history of knee ligament surgery had a significantly worse quality of life relative to those with no history of knee ligament surgery. This is a level III, retrospective cohort study.

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Quadriceps function and training after knee ligament surgery

Medicine & Science in Sports & Exercise ◽

10.1249/00005768-198021000-00014 ◽

1980 ◽

Vol 12 (1) ◽

pp. 70???75 ◽

Cited By ~ 48

Author(s):

G. GRIMBY ◽

E. GUSTAFSSON ◽

L. PETERSON ◽

P. RENSTR??M

Keyword(s):

Knee Ligament ◽

Knee Ligament Surgery ◽

Quadriceps Function ◽

And Training

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Slow or Fast Isokinetic Training After Knee Ligament Surgery

Journal of Orthopaedic and Sports Physical Therapy ◽

10.2519/jospt.1987.8.10.475 ◽

1987 ◽

Vol 8 (10) ◽

pp. 475-479 ◽

Cited By ~ 18

Author(s):

Roland Thomeé ◽

Per Renström ◽

Gunnar Grimby ◽

Lars Peterson

Keyword(s):

Isokinetic Training ◽

Knee Ligament ◽

Knee Ligament Surgery

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Continuous epidural analgesia versus patient-controlled analgesia after knee ligament surgery

Acta Anaesthesiologica Scandinavica ◽

10.1111/j.1399-6576.2001.450121.x ◽

2001 ◽

Vol 45 (1) ◽

pp. 129-129

Author(s):

G. Ekatodramis ◽

B. Hutter ◽

A. Borgeat

Keyword(s):

Epidural Analgesia ◽

Patient Controlled Analgesia ◽

Knee Ligament ◽

Continuous Epidural Analgesia ◽

Knee Ligament Surgery

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Tourniquet-induced nerve ischemia complicating knee ligament surgery

The American Journal of Sports Medicine ◽

10.1177/036354658000800207 ◽

1980 ◽

Vol 8 (2) ◽

pp. 98-102 ◽

Cited By ~ 90

Author(s):

C.H. Rorabeck ◽

J.C. Kennedy

Keyword(s):

Knee Ligament ◽

Knee Ligament Surgery

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Quadriceps tendon autograft for arthroscopic knee ligament reconstruction: use it now, use it often

British Journal of Sports Medicine ◽

10.1136/bjsports-2017-098769 ◽

2018 ◽

Vol 52 (11) ◽

pp. 698-701 ◽

Cited By ~ 20

Author(s):

Andrew J Sheean ◽

Volker Musahl ◽

Harris S Slone ◽

John W Xerogeanes ◽

Danko Milinkovic ◽

...

Keyword(s):

Patellar Tendon ◽

Ligament Reconstruction ◽

Donor Site ◽

Quadriceps Tendon ◽

Hamstring Tendon ◽

Knee Ligament ◽

Knee Ligament Reconstruction ◽

Arthroscopic Knee ◽

Tendon Autograft ◽

Bone Patellar Tendon

Traditional bone-patellar tendon-bone and hamstring tendon ACL grafts are not without limitations. A growing body of anatomic, biomechanical and clinical data has demonstrated the utility of quadriceps tendon autograft in arthroscopic knee ligament reconstruction. The quadriceps tendon autograft provides a robust volume of tissue that can be reliably harvested, mitigating the likelihood of variably sized grafts and obviating the necessity of allograft augmentation. Modern, minimally invasive harvest techniques offer the advantages of low rates of donor site morbidity and residual extensor mechanism strength deficits. New data suggest that quadriceps tendon autograft may possess superior biomechanical characteristics when compared with bone-patella tendon-bone (BPTB) autograft. However, there have been very few direct, prospective comparisons between the clinical outcomes associated with quadriceps tendon autograft and other autograft options (eg, hamstring tendon and bone-patellar tendon-bone). Nevertheless, quadriceps tendon autograft should be one of the primary options in any knee surgeon’s armamentarium.

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