HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Sign In to gain access to subscriptions and/or personal tools.

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Colosimo, A. J. Articles by Carlonas, R. L. Search for Related Content PubMed PubMed Citation Articles by Colosimo, A. J. Articles by Carlonas, R. L. Related Collections Reconstruction

Revision Anterior Cruciate Ligament Reconstruction with a Reharvested Ipsilateral Patellar Tendon

Angelo J. Colosimo, MD^*,, Robert S. Heidt, Jr, MD, Jeff A. Traub, MD^*, and Richelle L. Carlonas, MS

^* Division of Sports Medicine, Department of Orthopaedic Surgery, University of Cincinnati, Cincinnati, Ohio
Wellington Orthopaedic and Sports Medicine, Cincinnati, Ohio

Address correspondence and reprint requests to Angelo J. Colosimo, MD, Division of Sports Medicine, Department of Orthopaedic Surgery, University of Cincinnati Medical Center, POB 670212, Cincinnati, OH 45267-0212

The patellar tendon remains the most popular graft choice for anterior cruciate ligament reconstruction and has been proven to be the strongest substitute. Between 1991 and 1998, we performed revision anterior cruciate ligament reconstruction using the reharvested central third of the ipsilateral patellar tendon in 15 patients. Adequate follow-up was obtained in 13 of these 15 patients. The results in these 13 patients (mean age, 27.2 years) were reviewed. At an average postoperative follow-up of 39.4 months (range, 24 to 65), 11 patients had good or excellent results and 2 patients had fair results. Clinical examination revealed an average Tegner knee score of 5.8 (range, 3 to 9) and an average Lysholm knee score of 77.6 (range, 61 to 98). Postoperative KT-1000 arthrometer results showed an average side-to-side difference of 1.92 mm (range, -2.0 to 4.0). No patient demonstrated any loss of range of motion and only one reported patellofemoral problems, which were moderate. These favorable results demonstrate that, with appropriate patient selection, the use of a reharvested central third patellar tendon is a viable option for revision of a failed anterior cruciate ligament reconstruction.

This article has been cited by other articles:

				J. H. Ahn, Y. S. Lee, and H. C. Ha Comparison of Revision Surgery With Primary Anterior Cruciate Ligament Reconstruction and Outcome of Revision Surgery Between Different Graft Materials Am. J. Sports Med., October 1, 2008; 36(10): 1889 - 1895. [Abstract] [Full Text] [PDF]

				A. P. Diamantopoulos, O. Lorbach, and H. H. Paessler Anterior Cruciate Ligament Revision Reconstruction: Results in 107 Patients Am. J. Sports Med., May 1, 2008; 36(5): 851 - 860. [Abstract] [Full Text] [PDF]

				M. Liden, T. Movin, L. Ejerhed, N. Papadogiannakis, E. Blomen, K. Hultenby, and J. Kartus A Histological and Ultrastructural Evaluation of the Patellar Tendon 10 Years After Reharvesting Its Central Third Am. J. Sports Med., April 1, 2008; 36(4): 781 - 788. [Abstract] [Full Text] [PDF]

				A. Weiler, A. Schmeling, I. Stohr, M. J. Kaab, and M. Wagner Primary Versus Single-Stage Revision Anterior Cruciate Ligament Reconstruction Using Autologous Hamstring Tendon Grafts: A Prospective Matched-Group Analysis Am. J. Sports Med., October 1, 2007; 35(10): 1643 - 1652. [Abstract] [Full Text] [PDF]

				M. Svensson, T. Movin, L. Rostgard-Christensen, E. Blomen, K. Hultenby, and J. Kartus Ultrastructural Collagen Fibril Alterations in the Patellar Tendon 6 Years After Harvesting Its Central Third Am. J. Sports Med., February 1, 2007; 35(2): 301 - 306. [Abstract] [Full Text] [PDF]

				M. S. George, W. R. Dunn, and K. P. Spindler Current Concepts Review: Revision Anterior Cruciate Ligament Reconstruction Am. J. Sports Med., December 1, 2006; 34(12): 2026 - 2037. [Abstract] [Full Text] [PDF]

				L. J. Salmon, L. A. Pinczewski, V. J. Russell, and K. Refshauge Revision Anterior Cruciate Ligament Reconstruction With Hamstring Tendon Autograft: 5- to 9-Year Follow-up Am. J. Sports Med., October 1, 2006; 34(10): 1604 - 1614. [Abstract] [Full Text] [PDF]

				N. P. Thomas, R. Kankate, F. Wandless, and H. Pandit Revision Anterior Cruciate Ligament Reconstruction Using a 2-Stage Technique With Bone Grafting of the Tibial Tunnel Am. J. Sports Med., November 1, 2005; 33(11): 1701 - 1709. [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. 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]

				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]