Clinical Results of Anatomical Single Bundle Anterior Cruciate Ligament Reconstruction Using Autogenous Quadriceps Tendon

자가 대퇴사두건을 이용한 해부학적 단일 다발 전방십자인대 재건술의 임상적 결과

  • Park, Jin (Research Institute of Clinical Medicine of Chonbuk National University Hospital, Department of Orthopedic Surgery, Chonbuk National University Medical School) ;
  • Kim, Young Sin (Research Institute of Clinical Medicine of Chonbuk National University Hospital, Department of Orthopedic Surgery, Chonbuk National University Medical School) ;
  • Lee, Ju Hong (Research Institute of Clinical Medicine of Chonbuk National University Hospital, Department of Orthopedic Surgery, Chonbuk National University Medical School) ;
  • Wang, Seong Il (Research Institute of Clinical Medicine of Chonbuk National University Hospital, Department of Orthopedic Surgery, Chonbuk National University Medical School) ;
  • Park, Chan Ill (Research Institute of Clinical Medicine of Chonbuk National University Hospital, Department of Orthopedic Surgery, Chonbuk National University Medical School)
  • 박진 (전북대학교 의학전문대학원 정형외과학교실, 전북대학교병원 임상 연구소) ;
  • 김영신 (전북대학교 의학전문대학원 정형외과학교실, 전북대학교병원 임상 연구소) ;
  • 이주홍 (전북대학교 의학전문대학원 정형외과학교실, 전북대학교병원 임상 연구소) ;
  • 왕성일 (전북대학교 의학전문대학원 정형외과학교실, 전북대학교병원 임상 연구소) ;
  • 박찬일 (전북대학교 의학전문대학원 정형외과학교실, 전북대학교병원 임상 연구소)
  • Received : 2012.01.03
  • Accepted : 2012.02.09
  • Published : 2012.02.28

Abstract

Purpose: The purpose of this study was to evaluate the clinical outcomes and stability of anatomical single bundle anterior cruciate ligament reconstruction (SBACLR) with quadriceps tendon comparable to double bundle anterior cruciate ligament reconstruction (DBACLR). Materials and Methods: We retrospectively reviewed 28 consecutive patients (16 male, 12 female) who underwent SBACLR using quadriceps tendon from March 2009 (Group 1) and compared its clinical results to whom DBACLR with semitendinosus tendon for 53 patients (51 male, 2 female) from August. 2006 (Group 2). Mean age were 34.9 (range, 16-52) in Group 1 and 21.6 (range, 17-55) in Group 2. Mean follow up periods were 13.9 months (range, 12-20) in Group 1 and 36.2 months (range, 20-52) in Group 2. Lysholm score, International Knee Documentation Committee (IKDC) evaluation form and Tegner score were performed for evaluating the clinical outcome. Lachman test, pivot shift test and KT-1000 arthrometer (MEDmetric Corp., San Diego, CA, USA) were performed for stability. Results: There was no statistical significant difference between the two groups in terms of Lysholm score (Group 1: $85.9{\pm}2.6$, Group 2: $90.9{\pm}1.0$, P=0.226), IKDC score (P=0.345) and Tegner score (Group 1: $6.9{\pm}1.4$, Group 2: $7.1{\pm}1.3$, P=0.523). Nor was there statistical significance between the two groups in terms of KT-1000 arthrometer (Group 1: $1.5{\pm}1.1\;mm$, Group 2: $1.5{\pm}1.6\;mm$, P=0.457), Lachman test (P=0.547) and pivot shift test (P=0.073). Conclusion: Anatomical SBACLR with quadriceps tendon shows similar clinical outcomes and stability comparable to anatomical DBACLR with hamstring tendon.