Paper 22: ACL Reconstruction with Bone-patellar Tendon-Bone Graft. A Longer Than 10-year Follow-up

2012 ◽  
Vol 28 (8) ◽  
pp. e191
Keyword(s):  
Bone Graft ◽  
Acl Reconstruction ◽  
Patellar Tendon ◽  
Bone Patellar Tendon

Follow-up Evaluation 2 Years After ACL Reconstruction With Bone???Patellar Tendon???Bone Graft Shows That Excessive Tibial Rotation Persists

2006 ◽  
Vol 16 (2) ◽  
pp. 111-116 ◽  
Author(s):  
Stavros Ristanis ◽  
Nicholas Stergiou ◽  
Kostas Patras ◽  
Elias Tsepis ◽  
Constantina Moraiti ◽  
...  
Keyword(s):  
Bone Graft ◽  
Acl Reconstruction ◽  
Patellar Tendon ◽  
Tibial Rotation ◽  
Bone Patellar Tendon

ACL reconstruction by bone-patellar tendon-bone graft: mechanical evaluation of the elastic modulus and failure modes

2003 ◽  
Vol 4 (2) ◽  
pp. 69-75
Author(s):  
M. Torre ◽  
F. Di Feo ◽  
G. De Angelis ◽  
I. Ruspantini ◽  
G. Frustagli ◽  
...  
Keyword(s):  
Elastic Modulus ◽  
Bone Graft ◽  
Acl Reconstruction ◽  
Patellar Tendon ◽  
Failure Modes ◽  
Bone Patellar Tendon

scholarly journals A study on the functional outcome of arthroscopic anterior cruciate ligament reconstruction done with bone patellar tendon bone graft using the IKDC score

2016 ◽  
Vol 2 (4) ◽  
pp. 346
Author(s):  
Vineet Thomas Abraham ◽  
Krishnagopal R. ◽  
Vamsi Kondreddi ◽  
Swagat Mahapatra
Keyword(s):  
Standard Deviation ◽  
Bone Graft ◽  
Acl Reconstruction ◽  
Patellar Tendon ◽  
Subjective Assessment ◽  
Subjective Outcome ◽  
Bptb Graft ◽  
Ikdc Score ◽  
The Mean ◽  
Bone Patellar Tendon

<p class="abstract"><strong>Background:</strong> ACL injuries result in persistent recurrent instability and increased risk of meniscal tears and intra-articular damage, leading on to degenerative changes in the knee. There are many studies about ACL reconstruction using bone patellar tendon bone graft (BPTB) and its outcome, but there is not enough literature on the subjective assessment following reconstruction. We decided to do a study of the patient’s subjective outcome as per the International knee documentation committee score (IKDC) and other clinical parameters following ACL reconstruction using the BPTB graft.</p><p class="abstract"><strong>Methods:</strong> This was a prospective study consisting of 50 patients who presented with ACL injury and underwent arthroscopic ACL reconstruction using BPTB graft in our hospital in the period from May 2008 to July 2010.  Patients were followed at regular intervals at 4 weeks, 8 weeks, 3 months &amp; 6 months and 1 year. Patients were assessed at every visit with clinical tests and IKDC subjective assessment score.<strong></strong></p><p class="abstract"><strong>Results:</strong> 50 patients with ACL insufficiency underwent ACL reconstruction. Postoperative knee flexion improved; the mean flexion was 131.70 with standard deviation of 6.534, which was significant. The mean preoperative IKDC was 56.97 and standard deviation of 9.188 and postoperative IKDC score was 92.33 and standard deviation 5.198 which showed a marked improvement and was statistically significant. The complications included; 8 patents with anterior knee pain, 1 case of patellar fracture while harvesting graft, which healed with wiring and 2 patients, had re-rupture of ACL due to road traffic accident.</p><strong>Conclusions:</strong> ACL reconstruction with BPTB graft showed a significantly good subjective outcome on assessment using IKDC score. Isolated ACL reconstruction showed a better subjective outcome compared to the patients who had associated meniscal injury.

scholarly journals Anatomical rectangular tunnel ACL reconstruction with a bone-patellar tendon-bone graft: its concept, indication and efficacy

2019 ◽  
Vol 4 ◽  
pp. 12-12
Author(s):  
Konsei Shino ◽  
Tatsuo Mae ◽  
Ryohei Uchida ◽  
Hiroyuki Yokoi ◽  
Tomoki Ohori ◽  
...  
Keyword(s):  
Bone Graft ◽  
Acl Reconstruction ◽  
Patellar Tendon ◽  
Rectangular Tunnel ◽  
Bone Patellar Tendon

scholarly journals Prevalence and clinical implications of nerve injury during bone patellar tendon bone harvesting for anterior cruciate ligament reconstruction

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668498 ◽  
Author(s):  
Barak Haviv ◽  
Mustafa Yassin ◽  
Ehud Rath ◽  
Shlomo Bronak
Keyword(s):  
Anterior Cruciate Ligament ◽  
Acl Reconstruction ◽  
Patellar Tendon ◽  
Cruciate Ligament ◽  
Sensory Nerve ◽  
Sensory Loss ◽  
Anterior Cruciate ◽  
Bone Patellar Tendon ◽  
Sensation Loss

Purpose: Tendon harvesting for anterior cruciate ligament (ACL) reconstruction often injure sensory branches of the saphenous nerve (SN). Our purpose was to estimate the prevalence and postoperative course of sensory nerve injuries in bone patellar tendon bone (BPTB) autograft harvesting for ACL reconstruction. Methods: Between 2012 and 2014, patients who had primary ACL with BPTB autograft were included ( n = 60) and interviewed specifically for sensory loss and its recovery. The surface area of sensory loss was documented. Evaluation also included demographic details, level of activity, and description of postoperative sensation disturbances. Results: The mean postoperative follow-up time was 24 ± 14 months. At the last follow-up, 46 (77%) patients reported on postoperative reduced sensation; however, only 35 (58%) remained with sensation loss. The most involved region of reduced sensation was of the infrapatellar branch of the SN. Three patients claimed they regret to have had the surgery specifically because of sensation loss and kneeling difficulties, while all others did not. Conclusion: Primary ACL reconstruction using the midline incision for harvesting the middle third of the patellar tendon autograft has a high prevalence of sensory nerve injury with a minor possibility for complete recovery within the first year. However, sensory loss secondary to this injury does not impair normal daily activities in these patients.

scholarly journals Return to Sport After Bone–Patellar Tendon–Bone Autograft ACL Reconstruction in High School–Aged Athletes

2021 ◽  
Vol 9 (6) ◽  
pp. 232596712110115
Author(s):  
Ryan C. Rauck ◽  
John M. Apostolakos ◽  
Benedict U. Nwachukwu ◽  
Brandon L. Schneider ◽  
Riley J. Williams ◽  
...  
Keyword(s):  
High School ◽  
Acl Reconstruction ◽  
Patellar Tendon ◽  
Cruciate Ligament ◽  
Case Series ◽  
Return To Sport ◽  
Acl Injuries ◽  
Reconstructed Knee ◽  
Bone Patellar Tendon

Background: Anterior cruciate ligament (ACL) injuries are occurring with increasing frequency in the adolescent population. Outcomes after ACL reconstruction (ACLR) are inconsistently reported in homogeneous patient populations. Purpose/Hypothesis: To evaluate outcomes after bone–patellar tendon–bone (BTB) autograft ACLR in competitive high school–aged athletes by examining return to sport (RTS), patient satisfaction, and reinjury rates. Our hypothesis was that RTS rates and satisfaction will be high and reinjury rates will be low. Study Design: Case series; Level of evidence, 4. Methods: An institutional ACL registry was utilized to identify competitive high school–aged athletes (14-18 years old) who underwent primary ACLR using BTB autograft with a minimum 2-year follow-up. A postoperative questionnaire was administered to determine rates and types of RTS, quality of sports performance, reinjury, and satisfaction. Uni- and multivariable analyses were used to identify demographic, sport-specific, and clinical factors related to RTS. Results: A total of 53 patients were included (mean ± SD age at the time of surgery, 16.6 ± 1.34 years). Mean follow-up was 3.78 ± 0.70 years (range, 2.60-4.94 years). The overall ipsilateral ACL retear rate was 7.5% (n = 4). There were 10 subsequent ACL tears to the contralateral knee (19%). Forty-four (83%) patients successfully returned to at least their prior level of sport at a mean 10.5 ± 8.7 months (range, 3-48 months). Overall satisfaction was high, with 91% of patients very satisfied with the outcome. Higher confidence levels regarding performance of the reconstructed knee were associated with increased probability of RTS on multivariate analysis. Conclusion: BTB autograft ACLR results in high rates of RTS and satisfaction and low rates of subsequent ipsilateral ACL injuries in competitive high school–aged athletes. Patients with higher confidence in performance of the reconstructed knee are more likely to return to at least their prior level of sport.

scholarly journals Advanced Patellar Tendinopathy Is Associated With Increased Rates of Bone–Patellar Tendon–Bone Autograft Failure at Early Follow-up After Anterior Cruciate Ligament Reconstruction

2018 ◽  
Vol 6 (11) ◽  
pp. 232596711880771 ◽  
Author(s):  
Alexander L. Lazarides ◽  
Eduard Alentorn-Geli ◽  
Emily N. Vinson ◽  
Thomas W. Hash ◽  
Kristian Samuelsson ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Acl Reconstruction ◽  
Patellar Tendon ◽  
Graft Failure ◽  
Cruciate Ligament ◽  
Patellar Tendinopathy ◽  
Anterior Cruciate ◽  
Primary Acl Reconstruction ◽  
Bone Patellar Tendon

Background: Revision anterior cruciate ligament (ACL) reconstruction can be potentially devastating for a patient. As such, it is important to identify prognostic factors that place patients at an increased risk for graft failure. There are no data on the effects of patellar tendinopathy on failure of ACL reconstruction when using a bone–patellar tendon–bone (BPTB) autograft. Purpose/Hypothesis: The purpose of this study was to investigate the association of patellar tendinopathy with the risk of graft failure in primary ACL reconstruction when using a BPTB autograft. The hypothesis was that patellar tendinopathy would result in higher rates of graft failure when using a BPTB autograft for primary ACL reconstruction. Study Design: Cohort study; Level of evidence, 3. Methods: All patients undergoing ACL reconstruction at a single institution from 2005 to 2015 were examined. A total of 168 patients undergoing primary ACL reconstruction with a BPTB autograft were identified. Patients’ magnetic resonance imaging scans were reviewed for the presence and grade of patellar tendinopathy by 2 musculoskeletal fellowship–trained radiologists; both were blinded to the aim of the study, patient demographics, surgical details, and outcomes. Patients were divided into 2 groups: failure (defined as presence of symptomatic laxity or graft insufficiency) and success of the ACL graft. Statistical analyses were run to examine the association of patellar tendinopathy with failure of ACL reconstruction using a BPTB autograft. Results: At a mean follow-up of 18 months, there were 7 (4.2%) patients with graft failure. Moderate or severe patellar tendinopathy was associated with ACL graft failure ( P = .011). Age, sex, and side of reconstruction were not associated with the risk of graft failure, although the majority of patients who failed were younger than 20 years. The use of patellar tendons with moderate to severe tendinopathy was associated with a relative risk of ruptures of 6.1 (95% CI, 1.37-27.34) as compared with autograft tendons without tendinopathy. Conclusion: Moderate or severe patellar tendinopathy significantly increases the risk of graft failure when using a BPTB autograft for primary ACL reconstruction. Patellar tendinopathy should be considered when determining the optimal graft choice for patients undergoing primary ACL reconstruction with autograft tendons.

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