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@physicaltherapyresearch
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722 Likes13 Comments

๐Ÿ”ฌ๐Ÿ“š
ACL RECONSTRUCTION:
Patellar tendon Vs. Hamstring Autograft
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The 2 most common autografts used are
1. Boneโ€“patellar tendonโ€“bone (BPTB)
2. Quadrupled hamstring (HS)
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Numerous studies compare these graft types, but most focus on short-term outcomes with follow-ups of 2 years or less.
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Substantive evidence favoring one technique over another is lacking.
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Poehling-Monaghan et al. (2017), systematically reviewed current literature comparing BPTB autograft versus HS autografts with a minimum of 5-year follow-up and compared long-term outcomes with regard to:
1. Knee stability or graft failure
2. Complications
3. Functional outcome
4. Radiographic evidenced osteoarthritis
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RESULTS:
(12) Studies (953) Participants
(9 yrs) Avg. Follow-up time .
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1. No differences in graft failure or manual or instrumented laxity were seen in any studies.
2. Lower clinical outcomes scores and greater motion loss were seen in BPTB patients in 1 and 2 studies, respectively.
3. 2/4 reported on anterior knee pain, and 3/7 recorded on kneeling pain; found more frequently among BPTB patients.
4. 1 study reported a significant increase in contralateral ACL tears in BPTB patients.
5. 3/5 studies reporting on radiographic evidence of osteoarthritis noted significantly increased rates in BPTB patients.
๐Ÿ’ญ๐Ÿ’ญ
CONCLUSIONS:
No significant differences in manual/instrumented laxity and graft failures between graft types.
An increase in long-term anterior knee pain, kneeling pain, and higher rates of osteoarthritis were noted with BPTB graft use.
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LIMITATIONS:
Variety of concomitant pathology was encountered at the time of index surgery
Not enough consistency in the description of surgical technique
Did not uniformly address patient activity level or sport; or return to sport or preinjury activity level with any consistency
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SOURCE:
Poehling-Monaghan et al. (2017). Long-Term Outcomes in ACL Reconstruction: A Systematic Review of Patellar Tendon Versus Hamstring Autografts. Orthop J Sprts Med. 5(6).

03 Sep 2019

Comments
  • @abrezaebram

    ๐Ÿ”ฅ

    09 Sep 2019

  • @king__gp

    Hello Dalton,could you please check your DMs?

    08 Sep 2019

  • @lydianeo2

    @dreneo_

    05 Sep 2019

  • @drscottaweiss

    Go with patella tendon

    04 Sep 2019

  • @jmontes2021

    @mrmarcus3284 looks like you got the right one

    04 Sep 2019

  • @m_casen

    Patelar tendon, essential for running and jumping in sports (they use the main tendon for a graft, conclusion? Less strength in the muscle. Problems? Lower performance in sports)

    03 Sep 2019

  • @m_casen

    Hamstrings, essential muscles to prevent ACL tears (they use the tendons for grafts, conclusion? Less strength in the muscle. Problems? Reinjure the acl.)

    03 Sep 2019

  • @straleheisen3

    Team Harmstring ๐Ÿ’ฏ๐Ÿ’ฏ๐Ÿ’ฏ

    03 Sep 2019

  • @equipesilvianevezzani

    @blom_reab coversamos sobre o tema

    03 Sep 2019

  • @evandromartirano

    @tommasobaldaccini

    03 Sep 2019

  • @physicaltherapyresearch

    . . . #rehab #pain #painscience #physiology #physicaltherapy #physiotherapy #massage #orthopedic #chiropractic #medicine #sportsmedicine #science #research #health #wellness #nervoussystem #neuroscience #brain #physicaltherapyresearch #dpt #dptstudent #exercise #fitness #workout #aclrecovery #acl

    03 Sep 2019