AJSM
HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Sign In to gain access to subscriptions and/or personal tools.
First published on December 19, 2005, doi:10.1177/0363546505281812
This version was published on April 1, 2006
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
34/4/553    most recent
0363546505281812v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (3)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Noyes, F. R.
Right arrow Articles by Barber-Westin, S. D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Noyes, F. R.
Right arrow Articles by Barber-Westin, S. D.
Related Collections
Right arrow Reconstruction
Right arrow Knee
Right arrow Graft fixation
The American Journal of Sports Medicine 34:553-564 (2006)
© 2006 American Orthopaedic Society for Sports Medicine

Anterior Cruciate Ligament Revision Reconstruction

Results Using a Quadriceps Tendon–Patellar Bone Autograft

Frank R. Noyes, MD and Sue D. Barber-Westin*

From the Cincinnati Sportmedicine Research and Education Foundation, Cincinnati, Ohio

* Address correspondence to Sue D. Barber-Westin, Cincinnati Sportsmedicine Research and Education Foundation, 10663 Montgomery Road, Cincinnati, OH 45242 (e-mail: sbwestin{at}csmref.org).

Background: The quadriceps tendon is a viable graft source for revision anterior cruciate ligament reconstruction.

Purpose: To determine the functional results and graft failure rates in knees in which the patellar tendon had been previously harvested or was unavailable, expanded tunnels precluded the use of a semitendinosus-gracilis graft, or patients requested autogenous tissues instead of allografts for revision reconstruction.

Study Design: Case series; Level of evidence, 4.

Methods: The authors observed 21 patients for a mean of 49 months postoperatively after revision anterior cruciate ligament reconstruction with a quadriceps tendon graft. The results were determined by KT-2000 arthrometer testing, the Cincinnati Knee Rating System, and the International Knee Documentation Committee Rating System. Fifteen knees required a concurrent procedure, including reconstruction of posterolateral structures in 5 knees, meniscal repairs in 5 knees, and high tibial osteotomy in 2 knees.

Results: Significant improvements occurred in symptoms (P < .0001), daily activities (P < .05), sports activities (P < .01), and the overall rating scores (P < .0001). Eighteen patients rated their knee condition as improved. Total mean anterior-posterior displacements decreased from 8.4 +mn; 3.1 mm preoperatively to 2.0 +mn; 2.3 mm at follow-up (P < .001). On the International Knee Documentation Committee knee ligament rating, 17 knees were graded as normal or nearly normal, 3 were graded as abnormal, and 1 was graded as severely abnormal.

Conclusion: The revision operation provided reasonable results in this group of complex knees. However, the functional and overall results were inferior to those reported for primary anterior cruciate ligament reconstruction. Many knees (90%) had compounding problems of articular cartilage damage, meniscectomy, varus malalignment, or additional ligamentous injury that most likely affected the results.

Key Words: revision anterior cruciate ligament reconstruction • quadriceps tendon autograft




This article has been cited by other articles:


Home page
 Am J Sports MedHome page
M. Denti, D. L. Vetere, C. Bait, H. Schonhuber, G. Melegati, and P. Volpi
Revision Anterior Cruciate Ligament Reconstruction: Causes of Failure, Surgical Technique, and Clinical Results
Am. J. Sports Med., October 1, 2008; 36(10): 1896 - 1902.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
R. F. LaPrade, L. Engebretsen, S. Johansen, F. A. Wentorf, and C. Kurtenbach
The Effect of a Proximal Tibial Medial Opening Wedge Osteotomy on Posterolateral Knee Instability: A Biomechanical Study
Am. J. Sports Med., May 1, 2008; 36(5): 956 - 960.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
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]

Home page
 Am J Sports MedHome page
A. Arthur, R. F. LaPrade, and J. Agel
Proximal Tibial Opening Wedge Osteotomy as the Initial Treatment for Chronic Posterolateral Corner Deficiency in the Varus Knee: A Prospective Clinical Study
Am. J. Sports Med., November 1, 2007; 35(11): 1844 - 1850.
[Abstract] [Full Text] [PDF]

Home page
 J Bone Joint Surg BrHome page
N. E. Ohly, I. R. Murray, and J. F. Keating
Revision anterior cruciate ligament reconstruction: TIMING OF SURGERY AND THE INCIDENCE OF MENISCAL TEARS AND DEGENERATIVE CHANGE
J Bone Joint Surg Br, August 1, 2007; 89-B(8): 1051 - 1054.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
F. R. Noyes and S. D. Barber-Westin
Posterolateral Knee Reconstruction With an Anatomical Bone-Patellar Tendon-Bone Reconstruction of the Fibular Collateral Ligament
Am. J. Sports Med., February 1, 2007; 35(2): 259 - 273.
[Abstract] [Full Text] [PDF]


HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2006 by the American Orthopaedic Society for Sports Medicine.