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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Long-term Outcomes of Anterior Cruciate Ligament Reconstruction Using Quadriceps Tendon–Patellar Bone Autograft
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Long-term Outcomes of Anterior Cruciate Ligament Reconstruction Using Quadriceps Tendon–Patellar Bone Autograft

机译：使用Quadriceps肌腱 - 髌骨骨自体移植的前十字韧带重建长期结果

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Background: To date, there have been few studies on the outcomes of anterior cruciate ligament reconstruction (ACLR) using quadriceps tendon–patellar bone (QTPB) autograft. Purpose: To evaluate the long-term clinical outcomes of ACLR using QTPB autograft. Study Design: Case series; Level of evidence, 4. Methods: We retrospectively reviewed 139 patients who underwent primary ACLR with QTPB autografts and had at least 7 years of postoperative follow-up data. Instability, clinical scores, donor-site morbidity, radiographic progression of osteoarthritis, and any associated complications were assessed. Results: The proportion of knees classified as grade &1 on the anterior drawer, Lachman, and pivot-shift tests decreased significantly postsurgically (from 47.4% to 5.0%, 48.9% to 4.3%, and 53.3% to 5.0%, respectively; P & .001 for all). The mean clinical scores at the final follow-up were 89.8, 81.0, and 4.4 for the Lysholm, International Knee Documentation Committee, and Tegner Activity Scale, respectively. The results of the Cybex II dynamometer isokinetic test showed decreases in flexion and extension strength at both 60° and 180° per second, which persisted until the final follow-up visit. About one-fifth (19.4%) of the patients had osteoarthritis (Kellgren-Lawrence grade ≥1) before surgery, which increased to 33.8% at the final follow-up. The overall complication rate was 23.2%, and about one-third of the patients who experienced complications underwent revision surgery as a result of graft rupture and residual instability. Conclusion: In the current study, ACLR using QTPB autograft provided satisfactory long-term clinical results, with acceptable rates of complication and donor-site morbidity.
机译：背景：迄今为止，迄今为止，使用Quadriceps肌腱 - 髌骨骨（QTPB）自体移植物的前令曲脂重建（ACLR）的结果几乎没有研究。目的：使用QTPB自体移植评估ACLR的长期临床结果。研究设计：案例系列;证据级别，4.方法：我们回顾性地审查了139名接受QTPB自体移植的主要ACLR的患者，并且术后至少有7年的术后随访数据。不稳定，临床评分，供体现场的发病率，骨关节炎的放射线进展以及任何相关的并发症都得到了评估。结果：膝盖的比例分类为等级＆amp; 1在前抽屉，拉赫曼和枢轴转变试验上，后期显着降低（从47.4％到5.0％，48.9％至4.3％，53.3％至5.0％，分别; P＆amp; .001为所有）。最终随访的平均临床评分分别为Lysholm，国际膝关节文件和TEGNER活动规模的89.8,81.0和4.4。 Cybex II测力计等管内试验的结果表明，每秒60°和180°的屈曲和延伸强度的屈曲和延伸强度降低，直至最终的后续访问。大约五分之一（19.4％）的患者在手术前具有骨关节炎（Kellgren-Lawrence≥1），在最终随访中增加到33.8％。整体并发症率为23.2％，而且约有三分之一的患者经历并发症的患者因接枝破裂和残留不稳定性而受到修正手术。结论：在目前的研究中，ACLR使用QTPB自体移植术提供了令人满意的长期临床结果，具有可接受的并发症和供体现象的发病率。

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