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KMID : 0828620120160010026
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Journal of Korean Arthroscopy Society
2012 Volume.16 No. 1 p.26 ~ p.33
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Clinical Results of Anatomical Single Bundle Anterior Cruciate Ligament Reconstruction Using Autogenous Quadriceps Tendon
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Park Jin
Kim Young-Sin
Lee Ju-Hong
Wang Seong-Il
Park Chan-Il
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Abstract
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Purpose: The purpose of this study was to evaluate the clinical outcomes and stability of anatomical single bundle anterior cruciate ligament reconstruction (SBACLR) with quadriceps tendon comparable to double bundle anterior cruciate ligament reconstruction (DBACLR).
Materials and Methods: We retrospectively reviewed 28 consecutive patients (16 male, 12 female) who underwent SBACLR using quadriceps tendon from March 2009 (Group 1) and compared its clinical results to whom DBACLR with semitendinosus tendon for 53 patients (51 male, 2 female) from August. 2006 (Group 2). Mean age were 34.9 (range, 16-52) in Group 1 and 21.6 (range, 17-55) in Group 2. Mean follow up periods were 13.9 months (range, 12-20) in Group 1 and 36.2 months (range, 20-52) in Group 2. Lysholm score, International Knee Documentation Committee (IKDC) evaluation form and Tegner score were performed for evaluating the clinical outcome. Lachman test, pivot shift test and KT-1000 arthrometer (MEDmetric Corp., San Diego, CA, USA) were performed for stability.
Results: There was no statistical significant difference between the two groups in terms of Lysholm score (Group 1: 85.9±2.6, Group 2: 90.9±1.0, P=0.226), IKDC score (P=0.345) and Tegner score (Group 1: 6.9±1.4, Group 2: 7.1±1.3, P=0.523). Nor was there statistical significance between the two groups in terms of KT-1000 arthrometer (Group 1: 1.5±1.1 mm , Group 2: 1.5±1.6 mm , P=0.457), Lachman test (P=0.547) and pivot shift test (P=0.073).
Conclusion: Anatomical SBACLR with quadriceps tendon shows similar clinical outcomes and stability comparable to anatomical DBACLR with hamstring tendon.
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KEYWORD
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Anterior cruciate ligament, Single bundle, Double bundle, Anatomical reconstruction
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