Document

KNEE RANGE OF MOTION FOLLOWING QUADRICEPS TENDON ACL RECONSTRUCTION

Description

Recent Literature has demonstrated quadriceps tendon (QT) autograft to be a viable graft choice for ACL reconstruction. Literature directly comparing outcomes following QT autografts harvested with a patellar bone block (BB) versus all soft tissue tendon grafts (ST) are lacking. This study aims to evaluate the early knee range of motion when comparing ACL reconstruction using QT-BB versus QT-ST grafts. Over a 4 year period the postoperative range of motion for patients that underwent ACL reconstruction with QT autograft were retrospectively reviewed. 216 patients were compared in the study. 85 patients with QT-ST and 131 patients with QT-BB. Extension at 3 months was less in the QT-BB group although this difference was not clinically significant. By 6 months both groups achieved full extension and greater than 130 degrees of knee flexion.  This study demonstrates there were no significant knee range of motion deficits at any time point for patients who choose a QT autograft utilizing a bone block or all soft tissue tendon. 

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Author

Headshot of Kendall Hamilton, M.D.

Kendall Hamilton

Surgeon- Chief of Sports Medicine

Corewell Health/Michigan State University

ESSKA Continuous Professional Education Partners