Reconstrucción primaria del ligamento cruzado anterior utilizando porción central de tendón Cuadricipital. Cohorte longitudinal

Abstract

BackgroundThe use of a free quadriceps tendon graft without the use of a bone plug is not the first choice for primary anterior cruciate ligament reconstruction. A series of patients, with a minimum follow-up of two years, is presented in which the choice of free quadricipital tendon graft without a bone plug will be evaluated as a reliable and safe alternative for primary reconstruction of the anterior cruciate ligament. MethodsPatients undergoing surgery for a period of 24 months (2013-2015) were included in this study. A follow-up was carried out for a minimum of 2 years. Controls were carried out at 8 and 15 days, when the sutures were removed. The first 2 months were then evaluated every 3 weeks and every 6 weeks for 6 months, and then at 1 year, 18 months, and two years. A record was made of the values obtained by each patient on the Lysholm, Tegner, and IKDC (International Knee Documentation Committee) scales. ResultsThe study included 92 patients that met the inclusion criteria. The mean subjective IKDC score at one-year follow-up was 80.44 points, and the mean Tegner activity index reduction was 0.82 index points. The mean Lysholm and Gillquist score was 89 points per year, with good results being obtained in 89.1%. DiscussionThe central quadriceps tendon graft without a bone plug is a technically reproducible procedure with no greater morbidity in the donor site. This has been reflected in the excellent scores on functional scales and in the satisfaction expressed by the patients during two years of follow-up.Evidence Level: III.