Single-bundle modified patellar tendon versus double-bundle tibialis anterior allograft ACL reconstruction: a prospective randomized study

Verfasser / Beitragende:
[Hui Kang, Xiao Wang, Chun Wu, Jian Cao, Da Yu, Zhi Zheng]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/8(2015-08-01), 2244-2249
Format:
Artikel (online)
ID: 60545938X
LEADER caa a22 4500
001 60545938X
003 CHVBK
005 20210128100233.0
007 cr unu---uuuuu
008 210128e20150801xx s 000 0 eng
024 7 0 |a 10.1007/s00167-014-3021-6  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3021-6 
245 0 0 |a Single-bundle modified patellar tendon versus double-bundle tibialis anterior allograft ACL reconstruction: a prospective randomized study  |h [Elektronische Daten]  |c [Hui Kang, Xiao Wang, Chun Wu, Jian Cao, Da Yu, Zhi Zheng] 
520 3 |a Purpose: The purpose of this study was to prospectively compare the outcomes of single-bundle (SB) anterior cruciate ligament (ACL) reconstruction with modified bone-patellar tendon-bone (BPTB) allograft and double-bundle (DB) reconstruction with tibialis anterior allograft. Methods: With 94 patients enroled in the study, 43 subjects who had SB ACL reconstruction with modified BPTB allograft (group S) and 41 subjects of DB ACL reconstruction with tibialis anterior allograft (group D) were followed up for a minimum of 2years. Clinical outcomes including Lachman and pivot-shift tests, KT-1000 arthrometer measurements, and the International Knee Documentation Committee (IKDC) classification, Lysholm and Tegner activity scores were compared between the two groups at the last follow-up. Results: The mean graft size of the group S, the anteromedial bundle and posterolateral bundle in group D were 9.9±0.2, 7.5±0.4 and 6.6±0.4mm, with statistically significant difference between the group S graft to either bundle of group D grafts (p<0.001). At the last follow-up, there was no statistical difference between the two groups for the Lachman test, pivot-shift test and side-to-side difference. Substantial improvements in the subjective knee function scores were achieved in both groups, but without significant difference between the two groups. Conclusions: After a 2-year minimum follow-up, SB ACL reconstruction based on modified BPTB allograft achieved similar clinical outcomes to DB reconstruction with tibialis anterior allograft in knee stability, both anterior-posterior and rotational, as well as knee function. The modified BPTB allograft was recommended as an ideal graft option for the SB ACL reconstruction. Level of evidence: Therapeutic, randomized controlled study, Level II. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Anterior cruciate ligament reconstruction  |2 nationallicence 
690 7 |a Single-bundle  |2 nationallicence 
690 7 |a Double-bundle  |2 nationallicence 
690 7 |a Bone-patellar tendon-bone allograft  |2 nationallicence 
690 7 |a Graft size  |2 nationallicence 
700 1 |a Kang  |D Hui  |u Department of Orthopaedic Surgery, Shijiazhuang No.1 Hospital, 050011, Shijiazhuang, Hebei, China  |4 aut 
700 1 |a Wang  |D Xiao  |u Department of Orthopaedic Surgery, Shijiazhuang No.1 Hospital, 050011, Shijiazhuang, Hebei, China  |4 aut 
700 1 |a Wu  |D Chun  |u Department of Orthopaedic Surgery, Shijiazhuang No.1 Hospital, 050011, Shijiazhuang, Hebei, China  |4 aut 
700 1 |a Cao  |D Jian  |u Department of Orthopaedic Surgery, Shijiazhuang No.1 Hospital, 050011, Shijiazhuang, Hebei, China  |4 aut 
700 1 |a Yu  |D Da  |u Department of Orthopaedic Surgery, Shijiazhuang No.1 Hospital, 050011, Shijiazhuang, Hebei, China  |4 aut 
700 1 |a Zheng  |D Zhi  |u Department of Orthopaedic Surgery, Shijiazhuang No.1 Hospital, 050011, Shijiazhuang, Hebei, China  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/8(2015-08-01), 2244-2249  |x 0942-2056  |q 23:8<2244  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3021-6  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3021-6  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kang  |D Hui  |u Department of Orthopaedic Surgery, Shijiazhuang No.1 Hospital, 050011, Shijiazhuang, Hebei, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wang  |D Xiao  |u Department of Orthopaedic Surgery, Shijiazhuang No.1 Hospital, 050011, Shijiazhuang, Hebei, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wu  |D Chun  |u Department of Orthopaedic Surgery, Shijiazhuang No.1 Hospital, 050011, Shijiazhuang, Hebei, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cao  |D Jian  |u Department of Orthopaedic Surgery, Shijiazhuang No.1 Hospital, 050011, Shijiazhuang, Hebei, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yu  |D Da  |u Department of Orthopaedic Surgery, Shijiazhuang No.1 Hospital, 050011, Shijiazhuang, Hebei, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zheng  |D Zhi  |u Department of Orthopaedic Surgery, Shijiazhuang No.1 Hospital, 050011, Shijiazhuang, Hebei, China  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/8(2015-08-01), 2244-2249  |x 0942-2056  |q 23:8<2244  |1 2015  |2 23  |o 167