Quadriceps tendon autograft is comparable to hamstring tendon and bone-patella-tendon-bone up to 2 years after isolated primary anterior cruciate ligament reconstruction

Purpose To evaluate the functional and graft survivorship outcomes of the three most common autograft options for primary anterior cruciate ligament reconstruction (ACLR)—hamstring tendon (HT), bone-patella-tendon-bone (BPTB), and quadriceps tendon (QT). Methods Patients captured by the New Zealand...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2023-08, Vol.31 (8), p.3268-3276
Main Authors: Zhou, Yushy, Fuimaono-Asafo, Atua, Frampton, Chris, van Niekerk, Michael, Hirner, Marc
Format: Article
Language:English
Subjects:
Anterior cruciate ligament
Anterior Cruciate Ligament Injuries - surgery
Anterior Cruciate Ligament Reconstruction - methods
Autografts
Autografts - surgery
Bone-Patellar Tendon-Bone Grafting
Grafting
Hamstring Tendons - transplantation
Humans
Knee
Ligaments
Medicine
Medicine & Public Health
Meniscus
Orthopedics
Osteoarthritis
Patella
Patella - surgery
Patellar Ligament - surgery
Quadriceps muscle
Recreation
Revisions
Sports Medicine
Statistical analysis
Surgery
Survival
Tendons
Tendons - transplantation
Transplantation, Autologous
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Summary:Purpose To evaluate the functional and graft survivorship outcomes of the three most common autograft options for primary anterior cruciate ligament reconstruction (ACLR)—hamstring tendon (HT), bone-patella-tendon-bone (BPTB), and quadriceps tendon (QT). Methods Patients captured by the New Zealand ACL registry who underwent a primary ACLR from 2014 to 2020 were considered for the study. Patients with associated knee injury (including meniscus, chondral, osseous, and additional ligamentous injury) and previous knee surgery were excluded. Comparison was made between HT, BPTB, and QT autografts with respect to Marx and KOOS (Knee Osteoarthritis Outcome Score) scores at minimum 2 years follow-up. In addition, graft survivorship was evaluated by comparing all-cause revision per 100 graft years and revision-free proportion at 2 years post-surgery. Results 2,582 patients (1,921 HT, 558 BPTB, 107 QT) were included in the study. Differences in adjusted functional outcomes between HT and BPTB were found at 12 months (mean Marx; HT 6.2; BPTB 7.1; P  
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-023-07370-7