A 10-Year Comparison of Anterior Cruciate Ligament Reconstructions with Hamstring Tendon and Patellar Tendon Autograft

@article{Pinczewski2007A1C,
  title={A 10-Year Comparison of Anterior Cruciate Ligament Reconstructions with Hamstring Tendon and Patellar Tendon Autograft},
  author={Leo A. Pinczewski and Jeffrey R. Lyman and Lucy J. Salmon and Vivianne J. Russell and Justin P. Roe and James M. Linklater},
  journal={The American Journal of Sports Medicine},
  year={2007},
  volume={35},
  pages={564 - 574}
}
Background There are no controlled, prospective studies comparing the 10-year outcomes of anterior cruciate ligament (ACL) reconstruction using patellar tendon (PT) and 4-strand hamstring tendon (HT) autografts. Hypothesis Comparable results are possible with HT and PT autografts. Study Design Cohort study; Level of evidence, 2. Methods One hundred eighty ACL-deficient knees that met inclusion criteria underwent ACL reconstruction (90 HT autograft, 90 PT autograft) by one surgeon and were… 
Quadriceps and hamstring tendon autografts in ACL reconstruction yield comparably good results in a prospective, randomized controlled trial
TLDR
There was significantly improved knee stability at all time intervals with no difference between the two study groups and muscle strength and outcome scores did not show any differences between the hamstring tendon and the quadriceps tendon group.
Anterior cruciate ligament reconstruction using patellar tendon versus hamstring tendon: a prospective comparative study with 9-year follow-up.
Quality of Life and Clinical Outcome Comparison of Semitendinosus and Gracilis Tendon Versus Patellar Tendon Autografts for Anterior Cruciate Ligament Reconstruction
TLDR
Both hamstring and patellar tendon autografts provided good subjective outcomes and objective stability at 11 years after anterior cruciate ligament reconstruction; however, patients with patella tendon graft had a greater prevalence of osteoarthritis.
Twenty-Year Outcomes of a Longitudinal Prospective Evaluation of Isolated Endoscopic Anterior Cruciate Ligament Reconstruction With Patellar Tendon Autografts
TLDR
Female patients had lower rerupture rates, poorer subjective scores, and decreased participation in strenuous activities, putting the graft at a lower risk of failure, and the most significant predictor of a contralateral ACL injury was age <18 years.
Comparison of Bone-Patella Tendon-Bone and Four-Strand Hamstring Tendon Grafts for Anterior Cruciate Ligament Reconstruction: A Prospective Study
TLDR
Both BPTB andHT grafts present with benefits and drawbacks and remain viable autograft options for primary ACL reconstruction as each has, although HT grafts seem to be more susceptible to re-rupture.
Comparison of Short-term Biodex Results After Anatomic Anterior Cruciate Ligament Reconstruction Among 3 Autografts
TLDR
Patients undergoing ACLR with a QT graft demonstrated clinically meaningful quadriceps asymmetry at 5 to 8 months and 9 to 15 months postoperatively, suggesting that a longer time to return to play and specific rehabilitation protocols that emphasize quadricePS strengthening may be necessary because of residualquadriceps weakness after ACLR.
No significant difference in clinical outcome and knee stability between patellar tendon and semitendinosus tendon in anterior cruciate ligament reconstruction
TLDR
Both, patellar tendon and semitendinosus tendon are safe autografts for ACL reconstruction and individual patient-dependent factors should be considered.
No Difference in Outcome of Anterior Cruciate Ligament Reconstruction with "Bone-patellar Tendon-bone versus Semitendinosus-gracilis Graft with Preserved Insertion": A Randomized Clinical Trial.
TLDR
There was no difference between two grafts in term of knee stability, visual analog scale score and functional outcome, however, hamstring tendon graft is associated with less donor site morbidity.
Original Article With Video Illustrations Anterior Cruciate Ligament Reconstruction Using Patellar Tendon Versus Hamstring Tendon: A Prospective Comparative Study With 9-Year Follow-Up
TLDR
The implant-free press-fit technique for anterior cruciate ligament reconstruction by use of bone‐patellar tendon and hamstring grafts with anatomic graft placement is an innovative technique to preserve the cartilage and meniscal status without significant differences between the operated and nonoperated knees in the long term.
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A 7-Year Follow-up of Patellar Tendon and Hamstring Tendon Grafts for Arthroscopic Anterior Cruciate Ligament Reconstruction
Background For arthroscopic anterior cruciate ligament reconstruction, the most commonly used graft constructs are either the hamstring tendon or patellar tendon. Well-controlled, long-term studies
Patellar tendon or semitendinosus tendon autografts for anterior cruciate ligament reconstruction: a prospective, randomized study with a 7-Year follow-up.
TLDR
Seven years after ACL reconstruction, the subjective and objective outcomes were similar after using the central-third BTB autograft and triple/quadruple semi-triple semitendinosus autografteds.
Patellar Tendon or Semitendinosus Tendon Autografts for Anterior Cruciate Ligament Reconstruction
TLDR
Seven years after ACL reconstruction, the subjective and objective outcomes were similar after using the central-third BTB autograft and triple/quadruple semi-triple semitendinosus autografteds.
A Five-Year Comparison of Patellar Tendon versus Four-Strand Hamstring Tendon Autograft for Arthroscopic Reconstruction of the Anterior Cruciate Ligament
TLDR
Arthroscopic reconstruction with either graft results in a similar surgical outcome, reliably restoring knee stability over a 5-year period; however, patients with patellar tendon grafts are at greater risk of developing early signs of osteoarthritis.
Four-Strand Hamstring Tendon Autograft Compared with Patellar Tendon-Bone Autograft for Anterior Cruciate Ligament Reconstruction
Seventy-two patients with subacute or chronic rupture of the anterior cruciate ligament were randomly assigned to autograft reconstruction with four-strand gracilis and semitendinosus tendon (N = 37)
A Prospective Randomized Study of Patellar versus Hamstring Tendon Autografts for Anterior Cruciate Ligament Reconstruction
TLDR
Equal results were seen for patellar and hamstring tendon autograft anterior cruciate ligament reconstructions at 2 years after surgery, and both techniques seem to improve patients' performance.
A Prospective Randomized Comparison of Patellar Tendon versus Semitendinosus and Gracilis Tendon Autografts for Anterior Cruciate Ligament Reconstruction *
TLDR
It was found that hamstring tendon grafts performed similarly to patellar tendon grafting, although fewer patients in the hamstring tendon group had patellofemoral pain and loss of motion.
A Randomized Comparison of Patellar Tendon and Hamstring Tendon Anterior Cruciate Ligament Reconstruction *
TLDR
Both grafts resulted in satisfactory functional outcomes but with increased morbidity in the patellar tendon group and increased knee laxity and radiographic femoral tunnel widening in the hamstring tendon group.
A comparison of quadruple semitendinosus and patellar tendon grafts in reconstruction of the anterior cruciate ligament.
TLDR
It is concluded that patellar tendon and quadruple semitendinous tendon grafts have similar outcomes in the medium term and early reconstruction seems to be beneficial.
Arthroscopic Anterior Cruciate Ligament Reconstruction: A Metaanalysis Comparing Patellar Tendon and Hamstring Tendon Autografts
TLDR
Patellar tendon autografts had a significantly lower rate of graft failure and resulted in better static knee stability and increased patient satisfaction compared with hamstring tendon auto-grafts, however, patellar Achilles tendon Autograft reconstructions resulted in an increased rate of anterior knee pain.
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