ACL Reconstruction Using Autologous Quadriceps Tendon / 대한정형외과학회잡지

ABSTRACT

PURPOSE: We report upon our experience of ACL reconstruction using autologous central quadriceps tendon. MATERIALS AND METHODS: Twenty-six patients with ACL reconstruction using autologous central quadriceps tendon, who were followed up at least one year, were included in the present study. The clinical results including, anterior laxity, range of motion, anterior knee pain, and quadriceps power were evaluated using, the Lachman test, anterior drawer test, pivot shift test, Lysholm score, KT-2000 study and Cybex II dynamometer. RESULTS: The results of the Lachman, anterior drawer and pivot shift tests were markedly improved. The side to side difference of maximal manual translation measured by KT-2000 reduced from an average 7.5 mm preoperatively to 2.5 mm postoperatively and the Lysholm score improved significantly from 69.4 preoperatively to 86.2 postoperatively. No patient complained of a newly developed anterior knee pain. CONCLUSION: ACL reconstruction using autologous central quadriceps tendon showed satisfactory clinical results without anterior knee pain or donor site morbidity. Autologous central quadriceps tendon may be a resonable source of graft in ACL reconstruction.