Clinical Outcomes of Anterior Cruciate Ligament Reconstruction Using Quadriceps Tendon Autograft Versus Hamstring Tendons Autograft: A Retrospective Analysis.

Mohd A Aslam,Sachin Avasthi,Swagat Mahapatra,Satyam Singh,Pankaj Aggarwal,Vineet Kumar

doi:10.7759/cureus.18760

Mohd A Aslam, Sachin Avasthi + Show 4 more

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https://doi.org/10.7759/cureus.18760

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Journal: Cureus	Publication Date: Oct 13, 2021
Citations: 2	License type: cc-by

Affiliation: Dr. Ram Manohar Lohia Institute of Medical Sciences

Abstract

Aim: The purpose of this retrospective study was to examine the clinical outcomes of anatomic single-bundle anterior cruciate ligament (ACL) reconstruction using a free quadriceps (QUADRI) tendon or a quadrupled hamstring (HAM) autograft.Material and method: The retrospective analysis (Level III, Therapeutic Study) included consecutive patients who underwent ACL reconstruction between April 2017 and April 2020 using either a free quadriceps tendon autograft or a hamstring tendon autograft. All patients underwent ACL reconstruction to treat isolated ACL injuries. The Tegner-Lysholm knee scoring system and the modified Cincinnati knee score were used for evaluation before surgery, and at six weeks, six months, and one-year follow-up time.Results: In the present study, 35 people underwent quadriceps (QUADRI) grafts and 35 underwent hamstring (HAM) grafts. The demographic data for the groups were extremely comparable. The mean follow-up length for the HAM group was 11.96±0.28 months, while the QUADRI group had a mean follow-up period of 11.25±0.43 months. No significant variations in the Cincinnati score were observed between the two groups during any of the treatment's follow-up periods. Similarly, the Tegner Lysholm Score revealed no statistically significant differences between clinical outcomes in the HAM and QUADRI groups at all follow-up visits, except for the sixth week.Conclusion: Clinical outcomes are comparable in terms of stability and subjective assessments following ACL reconstruction using a free quadriceps or hamstring tendon autograft.

Highlights

The hamstring tendon (HAM) autograft is used most often for autograft anterior cruciate ligament (ACL) reconstruction [1], followed by bone-patellar tendon-bone (BTB) autograft [2]
Despite the fact that the QUADRI as graft has been used for ACL reconstruction for a lengthy period of time and with positive results, it is still regarded as a secondary alternative for primary ACL reconstruction [9]
Several studies indicate that donor site morbidity is significantly lower following QUADRI-ACL surgery than BTB-ACL reconstruction [7]

Summary

Introduction

The hamstring tendon (HAM) autograft is used most often for autograft anterior cruciate ligament (ACL) reconstruction [1], followed by bone-patellar tendon-bone (BTB) autograft [2]. Both graft approaches have advantages and disadvantages, as there is no conclusive proof that one is preferable over the other [3,4]. Interest in using quadriceps tendon (QUADRI) as an autologous graft for ACL reconstruction has been established [7] This increased interest could be attributed to the advancement of graft harvesting procedures, which have resulted in the introduction of less invasive treatments using smaller incisions [8]. Several studies indicate that donor site morbidity is significantly lower following QUADRI-ACL surgery than BTB-ACL reconstruction [7]. Donor site morbidity was found to be significantly lower for the free quadriceps transplant, without a patellar bone block, than for the HAM graft harvest [10]

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