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Anatomic double-bundle anterior cruciate ligament reconstruction using bone-patellar tendon-bone and gracilis tendon graft: a comparative study with 2-year follow-up results of semitendinosus tendon grafts alone or semitendinosus-gracilis tendon grafts.
Arthroscopy 2011; 27(9):1242-51A

Abstract

PURPOSE

The purpose of this study was to assess the clinical results of anatomic double-bundle anterior cruciate ligament (ACL) reconstruction by use of bone-patellar tendon-bone and gracilis tendon (BPTB-G) grafts and to compare them with the results of double-bundle ACL reconstruction by use of semitendinosus tendon (ST) or semitendinosus-gracilis tendon (ST-G) grafts, with particular emphasis on the postoperative incidence of anterior knee pain.

METHODS

The study comprised 144 patients who underwent unilateral anatomic double-bundle ACL reconstruction with 3 graft types, including 55 BPTB-G, 56 ST, and 33 ST-G grafts. A traumatic graft rupture occurred within 2 years postoperatively in 5 patients (1 BPTB-G, 3 ST, and 1 ST-G). Clinical results and incidence and severity of anterior knee pain were assessed and compared among the 3 different graft groups at 2 years postoperatively. Potential variables influencing postoperative anterior knee pain development were subjected to univariate analysis, followed by logistic regression analysis to identify risk factors for anterior knee pain.

RESULTS

Both subjective and objective clinical results in anatomic double-bundle ACL reconstruction with BPTB-G graft were similar to those using ST or ST-G graft at 2 years postoperatively. The incidences of anterior knee pain at 2 years' follow-up were 18.5%, 9.4%, and 9.3% in the BPTB-G, ST, and ST-G groups, respectively, indicating no statistically significant difference among the 3 groups. Multivariate logistic regression analyses showed that BPTB graft harvest and patellofemoral cartilage defect failed to be significant factors for anterior knee pain whereas quadriceps peak torque at 60°/s was the only significant factor for anterior knee pain at 2 years.

CONCLUSIONS

Clinical results including the incidence of anterior knee pain 2 years after anatomic double-bundle ACL reconstruction with BPTB-G grafts were comparable to those after ACL reconstruction with ST or ST-G grafts.

LEVEL OF EVIDENCE

Level III, therapeutic, retrospective comparative study.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Keio University, Tokyo, Japan. y.niki@lib.bekkoame.ne.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

21807476

Citation

Niki, Yasuo, et al. "Anatomic Double-bundle Anterior Cruciate Ligament Reconstruction Using Bone-patellar Tendon-bone and Gracilis Tendon Graft: a Comparative Study With 2-year Follow-up Results of Semitendinosus Tendon Grafts Alone or Semitendinosus-gracilis Tendon Grafts." Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, vol. 27, no. 9, 2011, pp. 1242-51.
Niki Y, Matsumoto H, Hakozaki A, et al. Anatomic double-bundle anterior cruciate ligament reconstruction using bone-patellar tendon-bone and gracilis tendon graft: a comparative study with 2-year follow-up results of semitendinosus tendon grafts alone or semitendinosus-gracilis tendon grafts. Arthroscopy. 2011;27(9):1242-51.
Niki, Y., Matsumoto, H., Hakozaki, A., Kanagawa, H., Toyama, Y., & Suda, Y. (2011). Anatomic double-bundle anterior cruciate ligament reconstruction using bone-patellar tendon-bone and gracilis tendon graft: a comparative study with 2-year follow-up results of semitendinosus tendon grafts alone or semitendinosus-gracilis tendon grafts. Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 27(9), pp. 1242-51. doi:10.1016/j.arthro.2011.03.086.
Niki Y, et al. Anatomic Double-bundle Anterior Cruciate Ligament Reconstruction Using Bone-patellar Tendon-bone and Gracilis Tendon Graft: a Comparative Study With 2-year Follow-up Results of Semitendinosus Tendon Grafts Alone or Semitendinosus-gracilis Tendon Grafts. Arthroscopy. 2011;27(9):1242-51. PubMed PMID: 21807476.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anatomic double-bundle anterior cruciate ligament reconstruction using bone-patellar tendon-bone and gracilis tendon graft: a comparative study with 2-year follow-up results of semitendinosus tendon grafts alone or semitendinosus-gracilis tendon grafts. AU - Niki,Yasuo, AU - Matsumoto,Hideo, AU - Hakozaki,Akihiro, AU - Kanagawa,Hiroya, AU - Toyama,Yoshiaki, AU - Suda,Yasunori, Y1 - 2011/07/31/ PY - 2010/08/04/received PY - 2011/03/25/revised PY - 2011/03/25/accepted PY - 2011/8/3/entrez PY - 2011/8/3/pubmed PY - 2012/1/21/medline SP - 1242 EP - 51 JF - Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association JO - Arthroscopy VL - 27 IS - 9 N2 - PURPOSE: The purpose of this study was to assess the clinical results of anatomic double-bundle anterior cruciate ligament (ACL) reconstruction by use of bone-patellar tendon-bone and gracilis tendon (BPTB-G) grafts and to compare them with the results of double-bundle ACL reconstruction by use of semitendinosus tendon (ST) or semitendinosus-gracilis tendon (ST-G) grafts, with particular emphasis on the postoperative incidence of anterior knee pain. METHODS: The study comprised 144 patients who underwent unilateral anatomic double-bundle ACL reconstruction with 3 graft types, including 55 BPTB-G, 56 ST, and 33 ST-G grafts. A traumatic graft rupture occurred within 2 years postoperatively in 5 patients (1 BPTB-G, 3 ST, and 1 ST-G). Clinical results and incidence and severity of anterior knee pain were assessed and compared among the 3 different graft groups at 2 years postoperatively. Potential variables influencing postoperative anterior knee pain development were subjected to univariate analysis, followed by logistic regression analysis to identify risk factors for anterior knee pain. RESULTS: Both subjective and objective clinical results in anatomic double-bundle ACL reconstruction with BPTB-G graft were similar to those using ST or ST-G graft at 2 years postoperatively. The incidences of anterior knee pain at 2 years' follow-up were 18.5%, 9.4%, and 9.3% in the BPTB-G, ST, and ST-G groups, respectively, indicating no statistically significant difference among the 3 groups. Multivariate logistic regression analyses showed that BPTB graft harvest and patellofemoral cartilage defect failed to be significant factors for anterior knee pain whereas quadriceps peak torque at 60°/s was the only significant factor for anterior knee pain at 2 years. CONCLUSIONS: Clinical results including the incidence of anterior knee pain 2 years after anatomic double-bundle ACL reconstruction with BPTB-G grafts were comparable to those after ACL reconstruction with ST or ST-G grafts. LEVEL OF EVIDENCE: Level III, therapeutic, retrospective comparative study. SN - 1526-3231 UR - https://www.unboundmedicine.com/medline/citation/21807476/Anatomic_double_bundle_anterior_cruciate_ligament_reconstruction_using_bone_patellar_tendon_bone_and_gracilis_tendon_graft:_a_comparative_study_with_2_year_follow_up_results_of_semitendinosus_tendon_grafts_alone_or_semitendinosus_gracilis_tendon_grafts_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0749-8063(11)00410-5 DB - PRIME DP - Unbound Medicine ER -