Skip to main content
Top
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 7/2006

01-07-2006 | Sports Medicine

Comparative evaluation of knee stability following reconstruction of the anterior cruciate ligament with the bone–patellar tendon–bone and the double semitendinosus–gracilis methods: 1- and 2-year prospective study

Authors: Matteo Denti, Dario Lo Vetere, Marco Bandi, Piero Volpi

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 7/2006

Login to get access

Abstract

An account of a prospective study of anterior cruciate ligament reconstructions with the bone–patellar tendon–bone autograft (BPTB) and the doubled semitendinosus–gracilis autograft (ST–GR) is given in 39 patients and 22 patients, respectively. The BPTB patients were younger, and there were more women in the ST–GR group. There were no statistical differences in the clinical and instrumental evaluations of stability after 1 and 2 years (Lachman and Jerk test, KT1000) between the two groups. Slightly better results were obtained in the BPTB group: mean 0.80 and 0.96 (first and second years) versus 1.18 and 1.20. Both methods, in fact, resulted in very satisfactory anterior knee stability, even when applied in two dissimilar groups of patients.
Literature
1.
go back to reference Aglietti P, Buzzi R, Zaccherotti G, De Biase P (1994) Patellar tendon versus doubled semitendinousus and gracilis tendons for anterior cruciate ligament reconstruction. Am J Sports Med 22:211–218PubMedCrossRef Aglietti P, Buzzi R, Zaccherotti G, De Biase P (1994) Patellar tendon versus doubled semitendinousus and gracilis tendons for anterior cruciate ligament reconstruction. Am J Sports Med 22:211–218PubMedCrossRef
2.
go back to reference Aglietti P, Giron F, Buzzi R, Biddau F, Sasso F (2004) Anterior cruciate ligament reconstruction: bone–patellar tendon–bone compared with double semitendinosus and gracilis tendon grafts: a prospective, randomized clinical trial. J Bone Joint Surg Am 86:2143–2155PubMed Aglietti P, Giron F, Buzzi R, Biddau F, Sasso F (2004) Anterior cruciate ligament reconstruction: bone–patellar tendon–bone compared with double semitendinosus and gracilis tendon grafts: a prospective, randomized clinical trial. J Bone Joint Surg Am 86:2143–2155PubMed
3.
go back to reference Aune AK, Holm I, Risberg MA, Jensen HK, Steen H (2001) Four-strand hamstring tendon autograft compared with patellar tendon–bone autograft for anterior cruciate ligament reconstruction. A randomized study with two-year follow-up. Am J Sports Med 29:722–728PubMed Aune AK, Holm I, Risberg MA, Jensen HK, Steen H (2001) Four-strand hamstring tendon autograft compared with patellar tendon–bone autograft for anterior cruciate ligament reconstruction. A randomized study with two-year follow-up. Am J Sports Med 29:722–728PubMed
4.
go back to reference Barrett GR, Noojin FK, Hartzog CW, Nash CR (2002) Reconstruction of the anterior cruciate ligament in females: a comparison of hamstring versus patellar tendon autograft. Arthroscopy 18:46–54PubMedCrossRef Barrett GR, Noojin FK, Hartzog CW, Nash CR (2002) Reconstruction of the anterior cruciate ligament in females: a comparison of hamstring versus patellar tendon autograft. Arthroscopy 18:46–54PubMedCrossRef
5.
go back to reference Beynnon BD, Johnson RJ, Fleming BC, Kannus P, Kaplan M, Samani J, Renstrom P (2002) Anterior cruciate ligament replacement: comparison of bone–patellar tendon–bone grafts with two-strand hamstring grafts. A prospective, randomized study. J Bone Joint Surg Am 84:1503–1513PubMed Beynnon BD, Johnson RJ, Fleming BC, Kannus P, Kaplan M, Samani J, Renstrom P (2002) Anterior cruciate ligament replacement: comparison of bone–patellar tendon–bone grafts with two-strand hamstring grafts. A prospective, randomized study. J Bone Joint Surg Am 84:1503–1513PubMed
6.
go back to reference Corry IS, Webb JM, Clingeleffer AJ, Pinczewski LA (1999) Arthroscopic reconstruction of the anterior cruciate ligament. A comparison of patellar tendon autograft and four-strand hamstring tendon autograft. Am J Sports Med 27:444–454PubMed Corry IS, Webb JM, Clingeleffer AJ, Pinczewski LA (1999) Arthroscopic reconstruction of the anterior cruciate ligament. A comparison of patellar tendon autograft and four-strand hamstring tendon autograft. Am J Sports Med 27:444–454PubMed
7.
go back to reference Daniel DM, Malcom LL, Losse G, Stone ML, Sachs R, Burks R (1985) Instrumented measurement of anterior laxity of the knee. J Bone Joint Surg Am 67:720–726PubMed Daniel DM, Malcom LL, Losse G, Stone ML, Sachs R, Burks R (1985) Instrumented measurement of anterior laxity of the knee. J Bone Joint Surg Am 67:720–726PubMed
8.
go back to reference Eriksson K, Anderberg P, Hamberg P, Lofgren AC, Bredenberg M, Westman I, Wredmark T (2001) A comparison of quadruple semitendinosus and patellar tendon grafts in reconstruction of the anterior cruciate ligament. J Bone Joint Surg Br 83:348–354CrossRefPubMed Eriksson K, Anderberg P, Hamberg P, Lofgren AC, Bredenberg M, Westman I, Wredmark T (2001) A comparison of quadruple semitendinosus and patellar tendon grafts in reconstruction of the anterior cruciate ligament. J Bone Joint Surg Br 83:348–354CrossRefPubMed
9.
go back to reference Ejerhed L, Kartus J, Sernert N, Köhler K, Karlsson J (2003) Patellar tendon or semitendinosus tendon autografts for anterior cruciate ligament reconstruction? A prospective randomized study with a two-year follow-up. Am J Sports Med 31:19–25PubMed Ejerhed L, Kartus J, Sernert N, Köhler K, Karlsson J (2003) Patellar tendon or semitendinosus tendon autografts for anterior cruciate ligament reconstruction? A prospective randomized study with a two-year follow-up. Am J Sports Med 31:19–25PubMed
10.
go back to reference Feller JA, Webster KE (2003) A randomized comparison of patellar tendon and hamstring tendon anterior cruciate ligament reconstruction. Am J Sports Med 31:564–573PubMed Feller JA, Webster KE (2003) A randomized comparison of patellar tendon and hamstring tendon anterior cruciate ligament reconstruction. Am J Sports Med 31:564–573PubMed
11.
go back to reference Freedman KB, D’Amato MJ, Nedeff DD, Kaz A, Bach BR (2003) Arthroscopic anterior cruciate ligament reconstruction: a metaanalysis comparing patellar tendon and hamstring tendon autografts. Am J Sports Med 31:2–11PubMed Freedman KB, D’Amato MJ, Nedeff DD, Kaz A, Bach BR (2003) Arthroscopic anterior cruciate ligament reconstruction: a metaanalysis comparing patellar tendon and hamstring tendon autografts. Am J Sports Med 31:2–11PubMed
12.
go back to reference Jackson DW, Schaefer RK (1990) Cyclops syndrome: loss of extension following intrarticular anterior cruciate ligament reconstruction. Arthroscopy 6:171–175PubMedCrossRef Jackson DW, Schaefer RK (1990) Cyclops syndrome: loss of extension following intrarticular anterior cruciate ligament reconstruction. Arthroscopy 6:171–175PubMedCrossRef
13.
go back to reference Jansson KA, Linko E, Sandelin J, Harilainen A (2003) A prospective randomized study of patellar versus hamstring tendon autografts for anterior cruciate ligament reconstruction. Am J Sports Med 31:12–18PubMed Jansson KA, Linko E, Sandelin J, Harilainen A (2003) A prospective randomized study of patellar versus hamstring tendon autografts for anterior cruciate ligament reconstruction. Am J Sports Med 31:12–18PubMed
14.
go back to reference Noojin FK, Barrett GR, Hartzog CW, Nash CR (2000) Clinical comparison of intraarticular anterior cruciate ligament reconstruction using autogenous semitendinosus and gracilis tendons in men versus women. Am J Sports Med 28:783–789PubMed Noojin FK, Barrett GR, Hartzog CW, Nash CR (2000) Clinical comparison of intraarticular anterior cruciate ligament reconstruction using autogenous semitendinosus and gracilis tendons in men versus women. Am J Sports Med 28:783–789PubMed
15.
go back to reference O’Neill DB (1996) Arthroscopically assisted reconstruction of the anterior cruciate ligament. A prospective randomized analysis of three techniques. J Bone Joint Surg Am 78:803–813PubMed O’Neill DB (1996) Arthroscopically assisted reconstruction of the anterior cruciate ligament. A prospective randomized analysis of three techniques. J Bone Joint Surg Am 78:803–813PubMed
16.
go back to reference Otero AL, Hutcheson L (1993) A comparison of the doubled semitendinosus/gracilis and central third patellar tendon autografts in arthroscopic anterior cruciate ligament reconstruction. Arthroscopy 9:143–148PubMedCrossRef Otero AL, Hutcheson L (1993) A comparison of the doubled semitendinosus/gracilis and central third patellar tendon autografts in arthroscopic anterior cruciate ligament reconstruction. Arthroscopy 9:143–148PubMedCrossRef
17.
go back to reference Ott SM, Ireland ML, Ballantyne BT, Willson JD, McClay Davis IS (2003) Comparison of outcomes between males and females after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 11:75–80PubMed Ott SM, Ireland ML, Ballantyne BT, Willson JD, McClay Davis IS (2003) Comparison of outcomes between males and females after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 11:75–80PubMed
18.
go back to reference Rosenberg TD (1991) Endoscopic technique for anterior cruciate ligament reconstruction with PRO-TAC tibial guide. Acufex Microsurgery Technical Bulletin, Norwood Rosenberg TD (1991) Endoscopic technique for anterior cruciate ligament reconstruction with PRO-TAC tibial guide. Acufex Microsurgery Technical Bulletin, Norwood
19.
go back to reference Shaieb MD, Kan DM, Chang SK, Marumoto JM, Richardson AB (2002) A prospective randomized comparison of patellar tendon versus semitendinosus and gracilis tendon autografts for anterior cruciate ligament reconstruction. Am J Sports Med 30:214–220 PubMed Shaieb MD, Kan DM, Chang SK, Marumoto JM, Richardson AB (2002) A prospective randomized comparison of patellar tendon versus semitendinosus and gracilis tendon autografts for anterior cruciate ligament reconstruction. Am J Sports Med 30:214–220 PubMed
20.
go back to reference Shelbourne KD, Nitz P (1990) Accelerated rehabilitation after anterior cruciate ligament reconstruction. Am J Sports Med 18:292–298PubMedCrossRef Shelbourne KD, Nitz P (1990) Accelerated rehabilitation after anterior cruciate ligament reconstruction. Am J Sports Med 18:292–298PubMedCrossRef
21.
go back to reference Yunes M, Richmond JC, Engels EA, Pinczewski LA (2001) Patellar versus hamstring tendons in anterior cruciate ligament reconstruction: a meta-analysis. Arthroscopy 17:248–257PubMedCrossRef Yunes M, Richmond JC, Engels EA, Pinczewski LA (2001) Patellar versus hamstring tendons in anterior cruciate ligament reconstruction: a meta-analysis. Arthroscopy 17:248–257PubMedCrossRef
Metadata
Title
Comparative evaluation of knee stability following reconstruction of the anterior cruciate ligament with the bone–patellar tendon–bone and the double semitendinosus–gracilis methods: 1- and 2-year prospective study
Authors
Matteo Denti
Dario Lo Vetere
Marco Bandi
Piero Volpi
Publication date
01-07-2006
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 7/2006
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-005-0007-4

Other articles of this Issue 7/2006

Knee Surgery, Sports Traumatology, Arthroscopy 7/2006 Go to the issue