| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Sign In to gain access to subscriptions and/or personal tools.
|
|
|
|||||||
Sign In to gain access to subscriptions and/or personal tools. |
|||||||||
From the Methodist Sports Medicine Center, Indianapolis, Indiana
Presented at the 25th annual meeting of the AOSSM, Traverse City, Michigan, June 1999.
Address correspondence and reprint requests to K. Donald Shelbourne, MD, 1815 North Capitol Avenue, Suite 530, Indianapolis, IN 46202
We studied patients who underwent primary anterior cruciate ligament reconstruction using either the contralateral (N = 434) or ipsilateral (N = 228) autogenous patellar tendon graft to determine the difference between groups for the return of range of motion, quadriceps muscle strength, and return to sports. The contralateral group had statistically significantly more flexion than the ipsilateral group at 1 week and 2 weeks postoperatively. The contralateral group had statistically significantly greater quadriceps muscle strength in the reconstructed knee at 1, 2, and 4 months postoperatively and in the donor knee at 1 and 2 months postoperatively. Mean KT-1000 arthrometer results were 1.9 ± 1.3 mm for the contralateral group and 2.2 ± 1.1 mm for the ipsilateral group. The mean time to return to sports at full capability in a competitive subgroup was 4.1 months for contralateral patients and 5.5 months for ipsilateral patients. Overall, 49% of patients in the contralateral group and 12% of patients in the ipsilateral group returned to their preinjury levels of activity by 4 months postoperatively. Our results indicate that the contralateral patellar tendon can be used to restore range of motion and strength sooner than an ipsilateral patellar tendon graft. Patients can also have a faster return to full capability in sports without compromising ultimate stability.
This article has been cited by other articles:
|
|
 |
|
  A W Nichols Sports medicine clinical trial research publications in academic medical journals between 1996 and 2005: an audit of the PubMed MEDLINE database Br. J. Sports Med., November 1, 2008; 42(11): 609 - 612. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. C. Prodromos, F. H. Fu, S. M. Howell, D. H. Johnson, and K. Lawhorn Controversies in Soft-tissue Anterior Cruciate Ligament Reconstruction: Grafts, Bundles, Tunnels, Fixation, and Harvest J. Am. Acad. Ortho. Surg., July 1, 2008; 16(7): 376 - 384. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. V. West and C. D. Harner Graft Selection in Anterior Cruciate Ligament Reconstruction J. Am. Acad. Ortho. Surg., May 1, 2005; 13(3): 197 - 207. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. S. Mastrokalos, J. Springer, R. Siebold, and H. H. Paessler Donor Site Morbidity and Return to the Preinjury Activity Level After Anterior Cruciate Ligament Reconstruction Using Ipsilateral and Contralateral Patellar Tendon Autograft: A Retrospective, Nonrandomized Study Am. J. Sports Med., January 1, 2005; 33(1): 85 - 93. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. B. O'Neill Revision Arthroscopically Assisted Anterior Cruciate Ligament Reconstruction With Previously Unharvested Ipsilateral Autografts Am. J. Sports Med., December 1, 2004; 32(8): 1833 - 1841. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. D. Shelbourne and B. C. Johnson Effects of Patellar Tendon Width and Preoperative Quadriceps Strength on Strength Return After Anterior Cruciate Ligament Reconstruction With Ipsilateral Bone-Patellar Tendon-Bone Autograft Am. J. Sports Med., September 1, 2004; 32(6): 1474 - 1478. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Jari and K. D. Shelbourne Staged Bilateral Anterior Cruciate Ligament Reconstruction with Use of Contralateral Patellar Tendon Autograft: A Case Report Am. J. Sports Med., May 1, 2002; 30(3): 437 - 440. [Full Text] [PDF]
|
|
|
|
|
|
J. J. O'Shea and K. D. Shelbourne Anterior Cruciate Ligament Reconstruction with a Reharvested Bone-Patellar Tendon-Bone Graft Am. J. Sports Med., March 1, 2002; 30(2): 208 - 213. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
