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Anterior cruciate ligament reconstruction in females: a comparison of hamstring tendon and patellar tendon autografts

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

Abstract

This study compared hamstring (HS) and patellar tendon (PT) anterior cruciate ligament (ACL) reconstruction in females. Sixty-five patients (43 HS, 22 PT) were evaluated at a mean 3.8-year postoperatively. Evaluation included IKDC 2000, SF-36, Cincinnati sports activity scores, anterior knee pain (AKP), kneeling pain, range of motion and anterior knee laxity. One PT patient sustained a traumatic graft rupture. There were no differences between the two grafts in terms of anterior knee laxity or IKDC scores. The HS group had higher sports activity scores and higher scores on the Physical Functioning and General Health subscales of the SF-36. Despite no difference in AKP, there was greater kneeling pain in the PT patients, who also had greater extension deficits. Both HS and PT are satisfactory ACL grafts in females, but HS grafts were associated with less morbidity, greater return to preinjury level of activity and higher quality of life scores.

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References

  1. Aglietti P, Buzzi R, D’Andria S, Zaccherotti G (1993) Patellofemoral problems after intra-articular anterior cruciate ligament reconstruction. Clin Orthop 288:195–204

    PubMed  Google Scholar 

  2. Aglietti P, Buzzi R, Zaccherotti G, De Biase P (1994) Patellar tendon versus doubled semitendinosus and gracilis tendons for anterior cruciate ligament reconstruction. Am J Sports Med 22:211–217

    PubMed  CAS  Google Scholar 

  3. Anderson AF, Snyder RB, Lipscomb AB Jr (2001) Anterior cruciate ligament reconstruction. A prospective randomized study of three surgical methods. Am J Sports Med 29:272–279

    PubMed  CAS  Google Scholar 

  4. Aune AK, Ekeland A, Cawley PW (1998) Interference screw fixation of hamstring vs patellar tendon grafts for anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 6:99–102

    Article  PubMed  CAS  Google Scholar 

  5. 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 

  6. Barrett G, Noojin F, Hartzog C, Nash C (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 

  7. Beynnon B, Johnson R, Fleming B, 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 

  8. Ejerhed L, Kartus J, Sernert N, Kohler 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 

  9. Eriksson K, Anderberg P, Hamberg P, Lofgren A, 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 

  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. Feller JA, Webster KE, Gavin B (2001) Early post-operative morbidity following anterior cruciate ligament reconstruction: patellar tendon versus hamstring graft. Knee Surg Sports Traumatol Arthrosc 9:260–266

    Article  PubMed  CAS  Google Scholar 

  12. Gobbi A, Domzalski M, Pascual J (2004) Comparison of anterior cruciate ligament reconstruction in male and female athletes using the patellar tendon and hamstring autografts. Knee Surg Sports Traumatol Arthrosc 12:534–539

    Article  PubMed  Google Scholar 

  13. Irrgang JJ, Anderson AF, Boland AL, Harner CD, Kurosaka M, Neyret P, Richmond JC, Shelbourne KD (2001) Development and validation of the international knee documentation committee subjective knee form. Am J Sports Med 29:600–613

    PubMed  CAS  Google Scholar 

  14. Jansson K, 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 

  15. Kohn D, Sander Beuermann A (1994) Donor-site morbidity after harvest of a bone-tendon-bone patellar tendon autograft. Knee Surg Sports Traumatol Arthrosc 2:219–223

    Article  PubMed  CAS  Google Scholar 

  16. Mohtadi NGH (1993) Quality of life assessment as an outcome in anterior cruciate ligament reconstructive surgery. In: Jackson DW (ed) The anterior cruciate ligament: current and future concepts. Raven Press Ltd., New York, pp 439–444

    Google Scholar 

  17. Noyes FR, Barber SD, Mooar LA (1989) A rationale for assessing sports activity levels and limitations in knee disorders. Clin Orthop 246:238–249

    PubMed  Google Scholar 

  18. Noyes FR, Stabler CL (1989) A system for grading articular cartilage lesions at arthroscopy. Am J Sports Med 17:505–513

    PubMed  CAS  Google Scholar 

  19. 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 

  20. Rosenberg TD, Franklin JL, Baldwin GN, Nelson KA (1992) Extensor mechanism function after patellar tendon graft harvest for anterior cruciate ligament reconstruction. Am J Sports Med 20:519–525

    PubMed  CAS  Google Scholar 

  21. Rubinstein RA Jr, Shelbourne KD, VanMeter CD, McCarroll JC, Rettig AC (1994) Isolated autogenous bone-patellar tendon-bone graft site morbidity. Am J Sports Med 22:324–327

    PubMed  Google Scholar 

  22. Sachs RA, Daniel DM, Stone ML, Garfein RF (1989) Patellofemoral problems after anterior cruciate ligament reconstruction. Am J Sports Med 17:760–765

    PubMed  CAS  Google Scholar 

  23. Shaieb M, Kan D, Chang S, Marumoto J, Richardson A (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 

  24. Spindler KP Reading the literature to change your clinical practice. ISAKOS: Current Concepts: Graft choice for ACL reconstruction. http://www.isakos.com/innovations/spindler.html

  25. Ware JJ, Sherbourne C (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Musculoskeletal Research Centre, La Trobe University, Melbourne, VIC, 3086, Australia

    Rainer Siebold, Kate E. Webster, Julian A. Feller, Alasdair G. Sutherland & Johanna Elliott

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  1. Rainer Siebold
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  2. Kate E. Webster
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  3. Julian A. Feller
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  4. Alasdair G. Sutherland
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  5. Johanna Elliott
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Correspondence to Kate E. Webster.

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Siebold, R., Webster, K.E., Feller, J.A. et al. Anterior cruciate ligament reconstruction in females: a comparison of hamstring tendon and patellar tendon autografts. Knee Surg Sports Traumatol Arthrosc 14, 1070–1076 (2006). https://doi.org/10.1007/s00167-006-0100-3

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  • DOI: https://doi.org/10.1007/s00167-006-0100-3

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