The quad tendon graft is an intriguing option for ACL reconstruction that may have more desirable outcomes than the patellar tendon graft. The Advantages and Disadvantages of the Hamstring Tendon Graft As with any option for surgery, there are certain advantages to … no meta-analyses to compare which graft has a higher CACL injury rate. Methods: A comprehensive search of literature published between 1980 and January 2020 was performed using MEDLINE, … Moreover, as This involves harvesting a piece of bone from the patella (kneecap), the central 1cm of the patellar tendon, and a piece of bone from the tibia to create the new ACL. Purpose: The risk of graft failure after anterior cruciate ligament (ACL) reconstructions with hamstring or patellar tendon was evaluated in a French population of athletes. versus hamstring tendon (HT) at 5-year follow-up in over 45 000 patients (2.8% vs 4.2%; p<0.001). Surgeons in the US most often use bone-patellar tendon-bone (BPTB) and 4-strand hamstring tendon autografts. This is the “gold-standard” for ACL reconstruction and has been used for over 40 years as a reliable, safe graft for ACL reconstruction. Methods: Athletes who had undergone ACL autograft reconstruction and who received rehabilitation care at the European Center for Sports Rehabilitation (CERS; Capbreton, France) were screened for this prospective cohort study. Both the kneecap and the hamstring are critical to normal knee function, and damaging these structures can cause problems with rehabilitation. Many trials used flawed methods that … Materials and Methods: 55 patients aged 50 years and above presented to our institution with symptomatic ACL tear and were managed with arthroscopic reconstruction with patellar tendon/hamstring graft. Most studies have shown equivalent functional results, re-rupture rates and return to sport when comparing hamstring to patellar tendon grafts. Hence, this meta-analysis was conducted to compare the incidence of the CACL injury after ACL reconstruction with bone-patellar tendon-bone (BPTB) autografts compared with hamstring (HT) autografts. D.G. For example, the most common graft locations for ACL reconstruction surgery are either of the patellar tendon or the hamstring tendon. [6,7] A study of surgeons in Italy showed a preference for hamstring autografts. Harvest of this graft has lower risk and morbidity than bone-patellar tendon graft. This review included 19 studies reporting the outcomes of ACL reconstruction with patellar tendon versus hamstring tendon grafts in a total of 1597 young to middle-aged adults. Because it has two bony fixation points, the Patella tendon graft is relatively more stable during the initial 6-8 weeks post surgery compared to the hamstring graft, which only has a single bony point of fixation. Because of a lower incidence of re-tearing when compared to the hamstring or a cadaver graft. 22 patients underwent ACL reconstruction with bone- patellar tendon-bone graft and the remaining 33 with a hamstring graft. This review aimed to find out if one graft was better than the other. In recent years the graft choice for ACL reconstruction has been slowly shifting towards favoring hamstring grafts rather than patellar tendon grafts. In the Norwegian registry, with 12 643 patients included, higher revision rates were recorded in HT graft versus BPTB graft at all follow-up times (2.8% vs 0.7% at 2 years and 5.1% vs 2.1% at 5 years). Arthroscopic reconstruction is the standard approach to treating ACL tears, but the optimum graft choice remains controversial. The initial graft tensile strength of bone-patellar tendon-bone autograft is 2977 N with a stiffness of 620 N/mm. An alternative option that we’ll talk about today is the quad tendon graft. Now that you have an idea of what the hamstring tendon graft is, let’s take a look at the pros and cons of this particular graft. There is a lower risk of persistent anterior knee pain and patella fracture with hamstring graft. Patellar Tendon Autograft.
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