Anterior knee symptoms after double-bundle ACL reconstruction with hamstring tendon autografts: an ultrasonographic and power Doppler investigation
| LEADER | caa a22 4500 | ||
|---|---|---|---|
| 001 | 60546071X | ||
| 003 | CHVBK | ||
| 005 | 20210128100240.0 | ||
| 007 | cr unu---uuuuu | ||
| 008 | 210128e20151101xx s 000 0 eng | ||
| 024 | 7 | 0 | |a 10.1007/s00167-014-3142-y |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-014-3142-y | ||
| 245 | 0 | 0 | |a Anterior knee symptoms after double-bundle ACL reconstruction with hamstring tendon autografts: an ultrasonographic and power Doppler investigation |h [Elektronische Daten] |c [Takashi Kanamoto, Yoshinari Tanaka, Yasukazu Yonetani, Keisuke Kita, Hiroshi Amano, Masashi Kusano, Shinji Hirabayashi, Shuji Horibe] |
| 520 | 3 | |a Purpose: Anterior knee pain related to the donor site is a frequent complication of anterior cruciate ligament reconstruction (ACLR) with bone-patellar tendon-bone autograft tissue. Even when hamstring tendon (HT) grafts are used instead, symptoms such as mild pain and discomfort can still occur. The purpose of this study was to elucidate the pathophysiology of anterior knee symptoms after ACLR with HT autografts. Methods: Fifty-seven patients (22 men and 35 women; mean age, 24.7years) who underwent anatomic double-bundle ACLR with HT autografts were examined 6months post-operatively. The presence of anterior knee symptoms, anterior knee laxity, range of motion, and muscle strength were assessed. Changes in patellar tendon and infrapatellar fat pad (IFP) morphology and blood flow were also evaluated using ultrasound. Potential variables affecting the presence of anterior knee symptoms were subjected to univariate analysis and multivariate logistic regression analysis to identify independent risk factors. Results: Six months post-operatively, the total incidence of anterior knee symptoms was 56.1% (32/57). According to univariate analysis, age, quadriceps strength, and increased blood flow in the IFP were significantly associated with the presence of anterior knee symptoms. Multivariate logistic regression analysis revealed that increased blood flow in the IFP was an independent factor for the presence of anterior knee symptoms (odds ratio 5.0; 95% confidence interval 1.3-19.9). There were no significant findings inside the patellar tendon. Conclusions: Increased blood flow in the IFP was identified as an independent factor for the presence of anterior knee symptoms 6months after ACLR with HT autografts. The ultrasound evaluation can help to define precisely the origin of anterior knee symptoms after ACLR with HT autografts. Level of evidence: Case series with no comparison groups, Level IV. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2014 | ||
| 690 | 7 | |a Anterior knee problems/symptoms |2 nationallicence | |
| 690 | 7 | |a ACL reconstruction |2 nationallicence | |
| 690 | 7 | |a Ultrasound |2 nationallicence | |
| 690 | 7 | |a Infrapatellar fat pad |2 nationallicence | |
| 690 | 7 | |a Increased blood flow |2 nationallicence | |
| 700 | 1 | |a Kanamoto |D Takashi |u Department of Rehabilitation, Osaka Rosai Hospital, 1179-3, Nagasone-cho, Kita-ku, 597-8025, Sakai, Osaka, Japan |4 aut | |
| 700 | 1 | |a Tanaka |D Yoshinari |u Department of Orthopaedic Surgery, Osaka Rosai Hospital, Sakai, Japan |4 aut | |
| 700 | 1 | |a Yonetani |D Yasukazu |u Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka University, Osaka, Japan |4 aut | |
| 700 | 1 | |a Kita |D Keisuke |u Department of Orthopaedic Surgery, Osaka Rosai Hospital, Sakai, Japan |4 aut | |
| 700 | 1 | |a Amano |D Hiroshi |u Department of Orthopaedic Surgery, Osaka Rosai Hospital, Sakai, Japan |4 aut | |
| 700 | 1 | |a Kusano |D Masashi |u Department of Orthopaedic Surgery, Kansai Rosai Hospital, Sakai, Japan |4 aut | |
| 700 | 1 | |a Hirabayashi |D Shinji |u Department of Rehabilitation, Osaka Rosai Hospital, 1179-3, Nagasone-cho, Kita-ku, 597-8025, Sakai, Osaka, Japan |4 aut | |
| 700 | 1 | |a Horibe |D Shuji |u Faculty of Comprehensive Rehabilitation, Osaka Prefecture University, Habikino, Osaka, Japan |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/11(2015-11-01), 3324-3329 |x 0942-2056 |q 23:11<3324 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-3142-y |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/s00167-014-3142-y |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Kanamoto |D Takashi |u Department of Rehabilitation, Osaka Rosai Hospital, 1179-3, Nagasone-cho, Kita-ku, 597-8025, Sakai, Osaka, Japan |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Tanaka |D Yoshinari |u Department of Orthopaedic Surgery, Osaka Rosai Hospital, Sakai, Japan |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Yonetani |D Yasukazu |u Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka University, Osaka, Japan |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Kita |D Keisuke |u Department of Orthopaedic Surgery, Osaka Rosai Hospital, Sakai, Japan |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Amano |D Hiroshi |u Department of Orthopaedic Surgery, Osaka Rosai Hospital, Sakai, Japan |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Kusano |D Masashi |u Department of Orthopaedic Surgery, Kansai Rosai Hospital, Sakai, Japan |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Hirabayashi |D Shinji |u Department of Rehabilitation, Osaka Rosai Hospital, 1179-3, Nagasone-cho, Kita-ku, 597-8025, Sakai, Osaka, Japan |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Horibe |D Shuji |u Faculty of Comprehensive Rehabilitation, Osaka Prefecture University, Habikino, Osaka, Japan |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/11(2015-11-01), 3324-3329 |x 0942-2056 |q 23:11<3324 |1 2015 |2 23 |o 167 | ||