Chronological Changes in Anterior Knee Stability after Anatomical Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone and Hamstring Grafts

Kohei Kawaguchi; Shuji Taketomi; Hiroshi Inui; Ryota Yamagami; Keiu Nakazato; Kentaro Takagi; Tomofumi Kage; Manabu Kawata; Sakae Tanaka

doi:10.1055/s-0039-1700809

The Journal of Knee Surgery, Inhaltsverzeichnis

J Knee Surg 2021; 34(06): 659-664
DOI: 10.1055/s-0039-1700809

Original Article

Chronological Changes in Anterior Knee Stability after Anatomical Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone and Hamstring Grafts

Kohei Kawaguchi

¹Department of Orthopaedics, Tokyo University Hospital, Tokyo, Japan

,

Shuji Taketomi

¹Department of Orthopaedics, Tokyo University Hospital, Tokyo, Japan

,

Hiroshi Inui

¹Department of Orthopaedics, Tokyo University Hospital, Tokyo, Japan

,

Ryota Yamagami

¹Department of Orthopaedics, Tokyo University Hospital, Tokyo, Japan

,

Keiu Nakazato

¹Department of Orthopaedics, Tokyo University Hospital, Tokyo, Japan

,

Kentaro Takagi

¹Department of Orthopaedics, Tokyo University Hospital, Tokyo, Japan

,

Tomofumi Kage

¹Department of Orthopaedics, Tokyo University Hospital, Tokyo, Japan

,

Manabu Kawata

¹Department of Orthopaedics, Tokyo University Hospital, Tokyo, Japan

,

Sakae Tanaka

¹Department of Orthopaedics, Tokyo University Hospital, Tokyo, Japan

› Institutsangaben

Abstract

The clinical outcomes of anterior cruciate ligament (ACL) reconstruction are typically evaluated at specific time points only. This study aimed to characterize the chronological changes in anterior knee stability after anatomical ACL reconstruction and to compare the anterior knee stability achieved with bone–patellar tendon–bone (BPTB) and hamstring tendon (HT) grafts. A total of 59 patients underwent anatomical rectangular tunnel ACL reconstruction using the BPTB graft and 23 patients underwent anatomical double-bundle ACL reconstruction using the HT graft. Anterior knee stability was quantitatively assessed using the KneeLax 3 arthrometer at 6 months, 1 year, and 2 years after surgery using side-to-side differences. The values for anterior knee stability using the BPTB graft were 0.3 mm after 6 months, 0.2 mm after 1 year, and 0.2 mm after 2 years, and no significant differences were observed during the postoperative study period. Meanwhile, the values for anterior knee stability using the HT graft were −0.3 mm after 6 months, 0.5 mm after 1 year, and 1.2 mm after 2 years, and anterior knee stability decreased chronologically from 6 months up to 2 years. Regarding anterior stability, the HT graft showed significant laxity compared with the BPTB graft only after 2 years. No chronological changes in anterior stability were observed from 6 months up to 2 years after ACL reconstruction using the BPTB graft, whereas anterior laxity developed during the same period after ACL reconstruction using the HT graft. This is a Level IV, therapeutic case series study.

Keywords

anterior cruciate ligament - anterior stability - chronological change - bone–patellar tendon–bone - hamstring tendon

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References
1 Beynnon BD, Johnson RJ, Abate JA, Fleming BC, Nichols CE. Treatment of anterior cruciate ligament injuries, part I. Am J Sports Med 2005; 33 (10) 1579-1602
2 Church S, Keating JF. Reconstruction of the anterior cruciate ligament: timing of surgery and the incidence of meniscal tears and degenerative change. J Bone Joint Surg Br 2005; 87 (12) 1639-1642
3 Cohen M, Amaro JT, Ejnisman B. et al. Anterior cruciate ligament reconstruction after 10 to 15 years: association between meniscectomy and osteoarthrosis. Arthroscopy 2007; 23 (06) 629-634
4 Kuroda R, Hoshino Y, Kubo S. et al. Similarities and differences of diagnostic manual tests for anterior cruciate ligament insufficiency: a global survey and kinematics assessment. Am J Sports Med 2012; 40 (01) 91-99
5 Amano H, Tanaka Y, Kita K. et al. Significant anterior enlargement of femoral tunnel aperture after hamstring ACL reconstruction, compared to bone-patellar tendon-bone graft. Knee Surg Sports Traumatol Arthrosc 2019; 27 (02) 461-470
6 Taketomi S, Inui H, Yamagami R. et al. Bone-patellar tendon-bone autograft versus hamstring tendon autograft for anatomical anterior cruciate ligament reconstruction with three-dimensional validation of femoral and tibial tunnel positions. J Knee Surg 2018; 31 (09) 866-874
7 Cristiani R, Sarakatsianos V, Engström B, Samuelsson K, Forssblad M, Stålman A. 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 (02) 381-388
8 Beynnon BD, Johnson RJ, Naud S. et al. Accelerated versus nonaccelerated rehabilitation after anterior cruciate ligament reconstruction: a prospective, randomized, double-blind investigation evaluating knee joint laxity using roentgen stereophotogrammetric analysis. Am J Sports Med 2011; 39 (12) 2536-2548
9 Mae T, Shino K, Matsumoto N. et al. Anatomic double-bundle anterior cruciate ligament reconstruction using hamstring tendons with minimally required initial tension. Arthroscopy 2010; 26 (10) 1289-1295
10 Heijne A, Werner S. A 2-year follow-up of rehabilitation after ACL reconstruction using patellar tendon or hamstring tendon grafts: a prospective randomised outcome study. Knee Surg Sports Traumatol Arthrosc 2010; 18 (06) 805-813
11 Taketomi S, Inui H, Sanada T, Yamagami R, Tanaka S, Nakagawa T. Eccentric femoral tunnel widening in anatomic anterior cruciate ligament reconstruction. Arthroscopy 2014; 30 (06) 701-709
12 Shino K, Nakata K, Nakamura N. et al. Rectangular tunnel double-bundle anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft to mimic natural fiber arrangement. Arthroscopy 2008; 24 (10) 1178-1183
13 Ferretti M, Ekdahl M, Shen W, Fu FH. Osseous landmarks of the femoral attachment of the anterior cruciate ligament: an anatomic study. Arthroscopy 2007; 23 (11) 1218-1225
14 Fu FH, Jordan SS. The lateral intercondylar ridge--a key to anatomic anterior cruciate ligament reconstruction. J Bone Joint Surg Am 2007; 89 (10) 2103-2104
15 Nakagawa T, Takeda H, Nakajima K. et al. Intraoperative 3-dimensional imaging-based navigation-assisted anatomic double-bundle anterior cruciate ligament reconstruction. Arthroscopy 2008; 24 (10) 1161-1167
16 Taketomi S, Nakagawa T, Takeda H. et al. Anatomical placement of double femoral tunnels in anterior cruciate ligament reconstruction: anteromedial tunnel first or posterolateral tunnel first?. Knee Surg Sports Traumatol Arthrosc 2011; 19 (03) 424-431
17 Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med 1982; 10 (03) 150-154
18 Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome Score (KOOS)--development of a self-administered outcome measure. J Orthop Sports Phys Ther 1998; 28 (02) 88-96
19 Nakamura N, Takeuchi R, Sawaguchi T, Ishikawa H, Saito T, Goldhahn S. Cross-cultural adaptation and validation of the Japanese Knee Injury and Osteoarthritis Outcome Score (KOOS). J Orthop Sci 2011; 16 (05) 516-523
20 Kautzner J, Kos P, Hanus M, Trc T, Havlas V. A comparison of ACL reconstruction using patellar tendon versus hamstring autograft in female patients: a prospective randomised study. Int Orthop 2015; 39 (01) 125-130
21 Fink C, Zapp M, Benedetto KP, Hackl W, Hoser C, Rieger M. Tibial tunnel enlargement following anterior cruciate ligament reconstruction with patellar tendon autograft. Arthroscopy 2001; 17 (02) 138-143
22 Maletis GB, Cameron SL, Tengan JJ, Burchette RJ. A prospective randomized study of anterior cruciate ligament reconstruction: a comparison of patellar tendon and quadruple-strand semitendinosus/gracilis tendons fixed with bioabsorbable interference screws. Am J Sports Med 2007; 35 (03) 384-394
23 Falconiero RP, DiStefano VJ, Cook TM. Revascularization and ligamentization of autogenous anterior cruciate ligament grafts in humans. Arthroscopy 1998; 14 (02) 197-205
24 Janssen RP, van der Wijk J, Fiedler A, Schmidt T, Sala HA, Scheffler SU. Remodelling of human hamstring autografts after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2011; 19 (08) 1299-1306
25 Papageorgiou CD, Ma CB, Abramowitch SD, Clineff TD, Woo SL. A multidisciplinary study of the healing of an intraarticular anterior cruciate ligament graft in a goat model. Am J Sports Med 2001; 29 (05) 620-626
26 Suzuki T, Shino K, Nakagawa S. et al. Early integration of a bone plug in the femoral tunnel in rectangular tunnel ACL reconstruction with a bone-patellar tendon-bone graft: a prospective computed tomography analysis. Knee Surg Sports Traumatol Arthrosc 2011; 19 (01) (Suppl. 01) S29-S35
27 Masuda H, Taketomi S, Inui H. et al. Bone-to-bone integrations were complete within 5 months after anatomical rectangular tunnel anterior cruciate ligament reconstruction using a bone-patellar tendon-bone graft. Knee Surg Sports Traumatol Arthrosc 2018; 26 (12) 3660-3666
28 Taketomi S, Inui H, Nakamura K. et al. Secure fixation of femoral bone plug with a suspensory button in anatomical anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft. Joints 2016; 3 (03) 102-108
29 Martin-Alguacil JL, Arroyo-Morales M, Martín-Gomez JL. et al. Strength recovery after anterior cruciate ligament reconstruction with quadriceps tendon versus hamstring tendon autografts in soccer players: a randomized controlled trial. Knee 2018; 25 (04) 704-714
30 Sánchez M, Anitua E, Azofra J, Prado R, Muruzabal F, Andia I. Ligamentization of tendon grafts treated with an endogenous preparation rich in growth factors: gross morphology and histology. Arthroscopy 2010; 26 (04) 470-480
31 Denti M, Vetere DL, Bandi M, Volpi P. Comparative evaluation of knee stability following reconstruction of the anterior cruciate ligament with the bone-patellar tendon-bone and the double semitendinosus-gracilis methods: 1- and 2-year prospective study. Knee Surg Sports Traumatol Arthrosc 2006; 14 (07) 637-640
32 Zoller SD, Toy KA, Wang P, Ebramzadeh E, Bowen RE. Temporal relation of meniscal tear incidence, severity, and outcome scores in adolescents undergoing anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2017; 25 (01) 215-221