Quadriceps tendon vs. patellar tendon autograft for ACL reconstruction using a hardware-free press-fit fixation technique: comparable stability, function and return-to-sport level but less donor site morbidity in athletes after 10 years.

研究概要

Sixty athletes with primary anterior cruciate ligament (ACL) tears were randomized to receive an ACL reconstruction with the use of a quadriceps tendon patellar bone (QTB) autograft or a bone patellar tendon bone (BPTB) autograft. Outcomes of interest included the Lysholm knee score, Tegner score, International Knee Documentation Committee (IKDC) score, the KT-1000 arthrometer for knee stability, patient satisfaction on a Visual Analog Scale (VAS), and pain during kneeling and squatting. Outcomes were assessed at 1 year and 10 years post-operation. Results demonstrated similar Lysholm Knee scores, Tegner scores ,and KT-1000 anterior translation stability at both 1 and 10 years post-operation in both the QTB and BPTB groups (p>0.05 for all). Furthermore, IKDC scores and VAS patient satisfaction scores were not statistically significantly different between the two groups at 10 years post-operation (p>0.05 for both). However, pain during kneeling and squatting was significantly greater in the BPTB group compared to the QTB group at both 1 and 10 years post-operation.