Hip abductor tendinitis after ACL reconstruction with patellar tendon graft in soccer players. A new clinical complication

2017 ◽  
Vol 28 (2) ◽  
pp. 213-216
Author(s):  
George Mouzopoulos ◽  
Christos Vlachos ◽  
Anastasia Tsembeli ◽  
Leonidas Karantzalis ◽  
Konstantinos Vlachos
2019 ◽  
pp. 1-5
Author(s):  
Shivananda S. ◽  
Nikhil Das ◽  
Anudeep. N. Naik ◽  
Jai Aditya Jhamb* ◽  
Anil K Nair

INTRODUCTION: ACL reconstruction is probably the most common procedure of the knee in adults in recent times, and the choice of graft to be used for it is the most important decision to be made during the surgery.Although several methods of ACL reconstruction exist,the 2 most common procedures done are BTB reconstruction using an autograft of the middle third of the patellar tendon and reconstruction using a (HT) graft. PURPOSE: The purpose of this study was to evaluate the midterm functional outcome of ACL reconstruction using the bone-patellar tendon-bone graft and hamstring graft. MATERIALS AND METHODS: The study was conducted in the Department of Orthopaedics,Kempegowda institute of medical science and research centre.A total of 40 cases were operated out of whom 20 were operated using arthroscopic ACL reconstruction using Hamstring graft and other 20 underwent ACLR using Patellar tendon graft.Patients in our study were assessed by IKDC,Tegners and Lysholm operative scores. RESULTS- The mean age of the patients in our study was around 29 years. Around 70% of our patients were operated within 6 months from the time of injury after achieving complete flexion. Evaluation using IKDC, Lyshom and tegner scoring system showed hamstring graft having statistical significance when compared with BPTB graft, but the difference between the groups was not clinically appreciable. CONCLUSIONS: ACL reconstruction by either hamstring tendon graft or bone patellar tendon graft gives equally satisfactory results.But complications in the form of anterior knee pain were noted in BPTB group


2012 ◽  
Vol 47 (1) ◽  
pp. 43-49
Author(s):  
Mauro Batista Albano ◽  
Paulo César Borges ◽  
Mario Massatomo Namba ◽  
João Luiz Vieira da Silva ◽  
Francisco de Assis Pereira Filho ◽  
...  

2019 ◽  
Vol 48 (1) ◽  
pp. 63-69 ◽  
Author(s):  
Richard Rahardja ◽  
Mark Zhu ◽  
Hamish Love ◽  
Mark G. Clatworthy ◽  
Andrew Paul Monk ◽  
...  

Background: The patellar tendon is often considered the “gold standard” graft for reducing the risk of graft rupture after anterior cruciate ligament (ACL) reconstruction. However, its use may also be associated with an increased risk of injury to the contralateral ACL. Purpose: To clarify the association between graft choice and the risk of revision and contralateral ACL reconstruction. Study Design: Cohort study; Level of evidence, 2. Methods: Prospective data captured by the New Zealand ACL Registry between April 2014 and December 2018 were reviewed. All primary ACL reconstructions performed using either a hamstring tendon or patellar tendon autograft were included. Cox regression survival analysis adjusting for patient factors was performed to compare the risk of revision and contralateral ACL reconstruction between the hamstring tendon graft and the patellar tendon graft. Results: A total of 7155 primary ACL reconstructions were reviewed, of which 5563 (77.7%) were performed using a hamstring tendon graft and 1592 (22.3%) were performed using a patellar tendon graft. Patients with a hamstring tendon graft had a revision rate of 2.7% compared with 1.3% in patients with a patellar tendon graft (adjusted hazard ratio [HR], 2.51; 95% CI, 1.55-4.06; P < .001). The patellar tendon graft was associated with an increased risk of contralateral ACL reconstruction compared with the hamstring tendon graft (adjusted HR, 1.91; 95% CI, 1.15-3.16; P = .012). The number needed to treat (NNT) with a patellar tendon graft to prevent 1 revision was 73.6. However, the NNT with a hamstring tendon graft to prevent 1 contralateral reconstruction was 116.3. Conclusion: Use of a patellar tendon graft reduced the risk of graft rupture but was associated with an increased risk of injury to the contralateral ACL. Adequate rehabilitation and informed decision making on return to activity and injury prevention measures may be important in preventing subsequent injury to the healthy knee.


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