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Category:Data lossAnterior cruciate ligament reconstruction using autogenous quadriceps tendon grafts.
The purpose of this article is to report on the results of anterior cruciate ligament (ACL) reconstruction using autogenous quadriceps tendon grafts for the treatment of traumatic ACL tears. We have performed thirty-four ACL reconstructions on twenty-seven patients (twenty-six men, one woman) between August 1999 and June 2000 using an autogenous quadriceps tendon graft. Twenty-one patients were athletes. Twenty-three patients had a mean age of twenty-four years (range, sixteen to forty-six years). Twenty-four patients were followed for a mean of twenty-one months (range, nine to forty-two months). Twenty-three patients had been previously treated with anterior cruciate ligament reconstruction with an autogenous semitendinosus tendon graft. Patients were evaluated by means of patient history, physical examination, Lysholm knee score, KT-2000 arthrometer measurements, and isokinetic strength testing. The average age of the twenty-three athletes was twenty-three years (range, seventeen to forty-six years). Twenty-two patients returned to play. Athletes returned to play an average of fifteen weeks after surgery. Preinjury level of competition was at the high school level in eleven patients, collegiate in seven patients, and at the professional level in three patients. A statistically significant improvement was observed in the mean Lysholm score from preoperatively to postoperatively. The mean was 79.4 preoperatively and 93.6 postoperatively. The mean preoperative KT-2000 arthrometer value was 2.76 mm (range, 0 to 6.3 mm) and the postoperative KT-2000 arthrometer value was 0.3 mm (range, 0 to 2.7 mm). One patient had a revision ACL reconstruction at nineteen months after the primary ACL reconstruction. Four patients underwent a second ACL reconstruction with an autogenous quadriceps tendon graft. Of the twenty-three patients, nineteen underwent arthroscopic evaluation. Nineteen of these nineteen patients had a normal arthroscopic appearance. The results of this study support the use of an autogenous quadriceps tendon graft for the reconstruction of the ACL in the athletic patient.Methods 01e38acffe
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