Purpose
Use of autogenous patellar tendons or a semitendinosus tendon of the femur muscle as a graft for to reconstruct a torn anterior cruciate ligament (ACL) they are recognized as a very successful procedure for stabilizing the knee joint (1-3).
However,
rehabilitation following reconstruction of the ACL of the knee using autogenous patellar tendon graft (BTB) or semitendinosus tendon femur muscle (ST) can be complicated by the residual morbidity after the graft harvest (4-5).
Unfortunately,
all the reports presented to date on this issue are controversial...
Methods and Materials
40 patients (BTB-20,
ST-20) were examined 1,
3 and 6 months after arthroscopic reconstruction of ACL,
having been operated on at the R.R.
Vreden Russian Scientific Research Institute of Traumatology and Orthopedics,
Saint Petersburg,
during 2005-2009.
In all patients,
in accordance with the type of transplant and the method of its fixation,
the standard arthroscopic single-bundletranstibial reconstruction of ACL was used.
Random systematic sampling was used in grouping of patients.
The studied groups were comparable in age,
sex,
level of physical activity,
combined injuries and...
Results
One month later all patients of the BTB group showed a thickening of the lateral and medial segments of the patellar ligament with preservation of the defect at the graft harvesting site (Fig.
6).
After 3 months,
the ligament was visualized as a whole with the restoration of the external and internal contours.
In 3 patients,
signs of inflammation in the form of moderate edema and echo-structure heterogeneity of the lateral and medial fragments with the development of tendinitis were revealed.
The regenerate was a...
Conclusion
The healing process of the mother bed in both groups is the same type with the replacement of defects in 6 months after surgery by scar tissue with a clear linear structure,
but 15% in BTB and 13% in the ST group did not achieve a complete recovery.
Comparison of ultrasound results with CT showed the possibility of ultrasound monitoring of the donor area healing after ACL autoplasty with the view of optimizing the rehabilitation Protocol.
References
Cristiani R,
Sarakatsianos V,
Engström B.
et al.
Increased knee laxity with hamstring tendon autograft compared to patellar tendon autograft: a cohort study of 5462 patients with primary anterior cruciate ligament reconstruction.
Knee Surg Sports Traumatol Arthrosc (2019) 27: 381-388. https://doi.org/10.1007/s00167-018-5029-9
Feller JA,
Webster KE A randomized comparison of patellar tendon and hamstring tendon for anterior cruciate ligament reconstruction.
Am J Sports Med 2003,
31(4):564–573.
Xie X,
Liu X,
Chen Z,
Yu Y,
Peng S,
Li Q A meta-analysis of bone-patellar-tendon-bone autograft versus four-strand hamstring...
Personal Information
PhD Serebryak Tatiana Viktorovna,
Senior researcher of the Department of biomechanical studies of the musculoskeletal system,
Orthopedic trauma doctor,
ultrasonic medical investigation specialist,
Federal State Budget Institution «The G.A.
Albrecht Federal Scientific Center of Rehabilitation of the Disabled» of the Ministry of Labor and Social Protection of the Russian Federation,
Saint Petersburg /RU;
MD PhD Trachuk Aleksandr Pavlovich,
Senior researcher of the Department of sports rehabilitation and traumatology,
The R.R.
Vreden Russian Scientific Research Institute of Traumatology and Orthopedics,
Saint Petersburg/RU.
Correspondence:
[email protected]