Skip to main content
SpringerLink
Log in

Comparative evaluation of knee stability following reconstruction of the anterior cruciate ligament with the bone–patellar tendon–bone and the double semitendinosus–gracilis methods: 1- and 2-year prospective study

  • Sports Medicine
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

An account of a prospective study of anterior cruciate ligament reconstructions with the bone–patellar tendon–bone autograft (BPTB) and the doubled semitendinosus–gracilis autograft (ST–GR) is given in 39 patients and 22 patients, respectively. The BPTB patients were younger, and there were more women in the ST–GR group. There were no statistical differences in the clinical and instrumental evaluations of stability after 1 and 2 years (Lachman and Jerk test, KT1000) between the two groups. Slightly better results were obtained in the BPTB group: mean 0.80 and 0.96 (first and second years) versus 1.18 and 1.20. Both methods, in fact, resulted in very satisfactory anterior knee stability, even when applied in two dissimilar groups of patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Aglietti P, Buzzi R, Zaccherotti G, De Biase P (1994) Patellar tendon versus doubled semitendinousus and gracilis tendons for anterior cruciate ligament reconstruction. Am J Sports Med 22:211–218

    Article  PubMed  CAS  Google Scholar 

  2. Aglietti P, Giron F, Buzzi R, Biddau F, Sasso F (2004) Anterior cruciate ligament reconstruction: bone–patellar tendon–bone compared with double semitendinosus and gracilis tendon grafts: a prospective, randomized clinical trial. J Bone Joint Surg Am 86:2143–2155

    PubMed  Google Scholar 

  3. Aune AK, Holm I, Risberg MA, Jensen HK, Steen H (2001) Four-strand hamstring tendon autograft compared with patellar tendon–bone autograft for anterior cruciate ligament reconstruction. A randomized study with two-year follow-up. Am J Sports Med 29:722–728

    PubMed  CAS  Google Scholar 

  4. Barrett GR, Noojin FK, Hartzog CW, Nash CR (2002) Reconstruction of the anterior cruciate ligament in females: a comparison of hamstring versus patellar tendon autograft. Arthroscopy 18:46–54

    Article  PubMed  Google Scholar 

  5. Beynnon BD, Johnson RJ, Fleming BC, Kannus P, Kaplan M, Samani J, Renstrom P (2002) Anterior cruciate ligament replacement: comparison of bone–patellar tendon–bone grafts with two-strand hamstring grafts. A prospective, randomized study. J Bone Joint Surg Am 84:1503–1513

    PubMed  Google Scholar 

  6. Corry IS, Webb JM, Clingeleffer AJ, Pinczewski LA (1999) Arthroscopic reconstruction of the anterior cruciate ligament. A comparison of patellar tendon autograft and four-strand hamstring tendon autograft. Am J Sports Med 27:444–454

    PubMed  CAS  Google Scholar 

  7. Daniel DM, Malcom LL, Losse G, Stone ML, Sachs R, Burks R (1985) Instrumented measurement of anterior laxity of the knee. J Bone Joint Surg Am 67:720–726

    PubMed  CAS  Google Scholar 

  8. Eriksson K, Anderberg P, Hamberg P, Lofgren AC, Bredenberg M, Westman I, Wredmark T (2001) A comparison of quadruple semitendinosus and patellar tendon grafts in reconstruction of the anterior cruciate ligament. J Bone Joint Surg Br 83:348–354

    Article  PubMed  CAS  Google Scholar 

  9. Ejerhed L, Kartus J, Sernert N, Köhler K, Karlsson J (2003) Patellar tendon or semitendinosus tendon autografts for anterior cruciate ligament reconstruction? A prospective randomized study with a two-year follow-up. Am J Sports Med 31:19–25

    PubMed  Google Scholar 

  10. Feller JA, Webster KE (2003) A randomized comparison of patellar tendon and hamstring tendon anterior cruciate ligament reconstruction. Am J Sports Med 31:564–573

    PubMed  Google Scholar 

  11. Freedman KB, D’Amato MJ, Nedeff DD, Kaz A, Bach BR (2003) Arthroscopic anterior cruciate ligament reconstruction: a metaanalysis comparing patellar tendon and hamstring tendon autografts. Am J Sports Med 31:2–11

    PubMed  Google Scholar 

  12. Jackson DW, Schaefer RK (1990) Cyclops syndrome: loss of extension following intrarticular anterior cruciate ligament reconstruction. Arthroscopy 6:171–175

    Article  PubMed  CAS  Google Scholar 

  13. Jansson KA, Linko E, Sandelin J, Harilainen A (2003) A prospective randomized study of patellar versus hamstring tendon autografts for anterior cruciate ligament reconstruction. Am J Sports Med 31:12–18

    PubMed  Google Scholar 

  14. Noojin FK, Barrett GR, Hartzog CW, Nash CR (2000) Clinical comparison of intraarticular anterior cruciate ligament reconstruction using autogenous semitendinosus and gracilis tendons in men versus women. Am J Sports Med 28:783–789

    PubMed  CAS  Google Scholar 

  15. O’Neill DB (1996) Arthroscopically assisted reconstruction of the anterior cruciate ligament. A prospective randomized analysis of three techniques. J Bone Joint Surg Am 78:803–813

    PubMed  CAS  Google Scholar 

  16. Otero AL, Hutcheson L (1993) A comparison of the doubled semitendinosus/gracilis and central third patellar tendon autografts in arthroscopic anterior cruciate ligament reconstruction. Arthroscopy 9:143–148

    Article  PubMed  CAS  Google Scholar 

  17. Ott SM, Ireland ML, Ballantyne BT, Willson JD, McClay Davis IS (2003) Comparison of outcomes between males and females after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 11:75–80

    PubMed  Google Scholar 

  18. Rosenberg TD (1991) Endoscopic technique for anterior cruciate ligament reconstruction with PRO-TAC tibial guide. Acufex Microsurgery Technical Bulletin, Norwood

    Google Scholar 

  19. Shaieb MD, Kan DM, Chang SK, Marumoto JM, Richardson AB (2002) A prospective randomized comparison of patellar tendon versus semitendinosus and gracilis tendon autografts for anterior cruciate ligament reconstruction. Am J Sports Med 30:214–220

    PubMed  Google Scholar 

  20. Shelbourne KD, Nitz P (1990) Accelerated rehabilitation after anterior cruciate ligament reconstruction. Am J Sports Med 18:292–298

    Article  PubMed  CAS  Google Scholar 

  21. Yunes M, Richmond JC, Engels EA, Pinczewski LA (2001) Patellar versus hamstring tendons in anterior cruciate ligament reconstruction: a meta-analysis. Arthroscopy 17:248–257

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Sports Traumatology and Arthroscopic Surgery Unit, Istituto Ortopedico Galeazzi, Via Galeazzi, 4, 20161, Milan, Italy

    Matteo Denti, Dario Lo Vetere, Marco Bandi & Piero Volpi

Authors
  1. Matteo Denti
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dario Lo Vetere
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Marco Bandi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Piero Volpi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Matteo Denti.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Denti, M., Vetere, D.L., Bandi, M. et al. Comparative evaluation of knee stability following reconstruction of the anterior cruciate ligament with the bone–patellar tendon–bone and the double semitendinosus–gracilis methods: 1- and 2-year prospective study. Knee Surg Sports Traumatol Arthr 14, 637–640 (2006). https://doi.org/10.1007/s00167-005-0007-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00167-005-0007-4

Keywords

Search

Navigation