Femoral press-fit fixation in ACL reconstruction using bone-patellar tendon-bone autograft: results at 15 years follow-up

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.

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ACL reconstruction using bone-patellar tendon-bone press-fit fixation: 10-year clinical results

Knee Surgery Sports Traumatology Arthroscopy ◽

10.1007/s00167-004-0606-5 ◽

2005 ◽

Vol 13 (4) ◽

pp. 248-255 ◽

Cited By ~ 126

Author(s):

P. Hertel ◽

H. Behrend ◽

T. Cierpinski ◽

V. Musahl ◽

G. Widjaja

Keyword(s):

Acl Reconstruction ◽

Patellar Tendon ◽

Clinical Results ◽

Press Fit ◽

Bone Patellar Tendon

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

Orthopaedic Journal of Sports Medicine ◽

10.1177/23259671211011510 ◽

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.

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

Clinical Journal of Sport Medicine ◽

10.1097/00042752-200603000-00005 ◽

2006 ◽

Vol 16 (2) ◽

pp. 111-116 ◽

Cited By ~ 55

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

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Functional outcome of anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft: a descriptive observational study from Telangana

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20211442 ◽

2021 ◽

Author(s):

K. Jaya Krishna Singh ◽

V. K. V. Prasad ◽

T. Ashita Singh ◽

Anant A. Takalkar

Keyword(s):

Anterior Cruciate Ligament ◽

Observational Study ◽

Functional Outcome ◽

Acl Reconstruction ◽

Patellar Tendon ◽

Cruciate Ligament ◽

Simple Random Sampling ◽

Anterior Cruciate ◽

Bone Autograft ◽

Bone Patellar Tendon

Background: The knee joint is the most commonly injured of all joints and the anterior cruciate ligament is the most commonly injured ligament. The bone-patellar tendon-bone (BPTB) autograft is the most commonly used autograft for reconstruction. The bone-patellar tendon-bone autograft has been widely accepted as the gold standard for ACL reconstruction with a high success rate. Objectives of the study were to study the functional outcome of ACL reconstruction using BPTB graft.Methods: The present descriptive observational study was carried out at department of orthopedics, Mediciti institute of medical sciences, Hyderabad involving 30 patients of ACL tear by simple random sampling method. Patients were then evaluated by both subjectively and objectively. They were evaluated by using Lysholm and Gilquist knee scoring scale. Data was analyzed by using SPSS 24.0 version IBM USA.Results: Majority of the patients i.e., 13 (43.3%) were from 26-35 years age group with right sided involvement in 60%. The result was found to be good in 16 i.e., 53.3%, excellent in 10 i.e., 33.3% and fair in 4 i.e., 13.3% patients. Prevalence of complications was reported as 23.3% in our study.Conclusions: Our study of ACL repair using BPTP gives good to excellent results within a span of one year.

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