Abstract
Abstract
Purpose
The purpose of this systematic review is to report complications, graft failure, fixation methods, rehabilitation protocol, clinical and patient-reported outcomes, and return to sports with the use of quadriceps tendon graft with the bone block (QT-B) and without bone block (QT-S).
Methods
According to the PRISMA guidelines a comprehensive search was performed across PubMed/MEDLINE, Scopus, EMBASE, and Cochrane Library databases from inception until April 2022. Only prospective studies using quadriceps tendon autograft with a minimum of 20 patients were considered for inclusion. The outcome measures extracted from the studies were the KT-1000, Lysholm score, Subjective and Objective IKDC, Tegner, Marx Score, complications, failures and/or revision surgery, and rate of return to sports. Cochrane risk of bias and MINORS tool were used for the risk of bias assessment of all included studies.
Results
A total of 13 studies were included, consisting of 5 randomized controlled trials, 6 cohort studies, 1 case–control and 1 case series. A total of 484 patients received QT-S in 6 studies of which 224 (46.2%) were males and 212 (43.8%) females with a mean age of 21.5 ± 7.5 (range 14–58). While 243 patients received QT-B in 7 studies of which 167 (68.7%) were males and 76 (31.3%) females with a mean age of 28.9 ± 4.5 (range: 18–49). The studies analyzed had a mean MINORS score of 14.6 (range, 12–19). Both QT-B and QT-S for ACL reconstruction reported satisfactory results in terms of patient-reported outcome measures. Although, a slightly higher anterior laxity was found with the QT-S than with the QT-B.
Conclusion
Quadriceps tendon with a bone block (QT-B) or without bone block (QT-S) for ACL reconstruction is supported by current literature. Both grafts are safe and viable options for ACL reconstruction with comparable clinical outcomes, complications and revision rates.
Level of evidence
Level IV.
Registration
PROSPERO-CRD42022347134; https://www.crd.york.ac.uk/prospero/
Funder
UMIT TIROL-Private Universität für Gesundheitswissenschaften und -technologie GmbH
Publisher
Springer Science and Business Media LLC
Subject
Orthopedics and Sports Medicine,Surgery
Reference32 articles.
1. Arakgi ME, Burkhart TA, Hoshino T, Degen R, Getgood A (2022) Biomechanical comparison of three suspensory techniques for all soft tissue central quadriceps tendon graft fixation. Arthrosc Sports Med Rehabil 4:e843–e851
2. Barié A, Sprinckstub T, Huber J, Jaber A (2020) Quadriceps tendon vs. patellar tendon autograft for ACL reconstruction using a hardware-free press-fit fixation technique: comparable stability, function and return-to-sport level but less donor site morbidity in athletes after 10 years. Arch Orthop Trauma Surg 140:1465–1474
3. Burns PB, Rohrich RJ, Chung KC (2011) The levels of evidence and their role in evidence-based medicine. Plast Reconstr Surg 128:305–310
4. Cavaignac E, Coulin B, Tscholl P, Nik MohdFatmy N, Duthon V, Menetrey J (2017) Is Quadriceps tendon autograft a better choice than hamstring autograft for anterior cruciate ligament reconstruction? a comparative study with a mean follow-up of 3.6 years. Am J Sports Med 45:1326–1332
5. Çeti NM, Söylemez MS, Öztürk BY, Mutlu I, Karakuş Ö (2022) Mechanical analyses of quadriceps tendon graft with five different fixation techniques on the femoral side: an experimental study on sheep knees. Acta Chir Orthop Traumatol Cech 89:293–299
Cited by
12 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献