2025 · Clinics in Orthopedic Surgery
ACL再再建で、QTPB同種移植腱の安定性・スポーツ復帰・再断裂の結果はどうか？
KOOS・IKDC・Lysholm・Tegnerスコアは2年時に有意に改善し、35/38人（92.1%）がスポーツに復帰しました。
対象と方法
絵を読んだ順序です
主な結果
手術に関する読書のポイント
解釈の限界
簡単に説明しましょう
この研究で何が確認されましたか?
KOOS・IKDC・Lysholm・Tegnerスコアは2年時に有意に改善し、35/38人（92.1%）がスポーツに復帰しました。
治療決定に直接適用できるか?
対照群のない38例の後ろ向き研究で、段階的手術や半月板・軟骨手術を含み、前外側補強はありません。他の移植腱との優劣や長期再断裂率は確定できません。
Keywords・キーワード
- Anterior cruciate ligament
- Anterior cruciate ligament reconstruction
- Quadriceps muscle
- Anterior Cruciate Ligament Reconstruction
- Anterior Cruciate Ligament Injuries
- Bone-Patellar Tendon-Bone Grafting
- Retrospective Studies
- Young Adult
Abstract・原文の抄録
Do Weon Lee, Sanguk Lee, Du Hyun Ro, Hyuk-Soo Han. Satisfactory Clinical Outcomes of Revision Anterior Cruciate Ligament Reconstruction Using Quadriceps Tendon-Patellar Bone Allograft. Clinics in orthopedic surgery. 2025;17(1):91-99. doi:10.4055/cios23409.
BACKGROUD
Allografts are preferred in certain cases of revision anterior cruciate ligament reconstructions to avoid additional graft harvesting and to fill in enlarged tunnels. The clinical outcomes of quadriceps tendon-patellar bone allograft in revision anterior cruciate ligament reconstruction are not well-known. This study was performed to evaluate the clinical outcomes of revision anterior cruciate ligament reconstructions using quadriceps tendon-patellar bone allografts.
METHODS
Patients who underwent revision anterior cruciate ligament reconstructions with quadriceps tendon-patellar bone allografts with a minimum follow-up of 2 years were retrospectively reviewed. Their mean follow-up length was 33.5 ± 19.5 months. Outcomes including clinical scores (Lysholm, International Knee Documentation Committee [IKDC], Tegner scale, and Knee injury and Osteoarthritis Outcome Score [KOOS]), knee stability (physical examinations and knee arthrometer), return to sports, and any associated complications were assessed. Degrees of graft synovialization were also evaluated using arthroscopy.
RESULTS
A total of 38 patients were reviewed and their age at the time of surgery and follow-up length were 37.2 ± 12.5 years (range, 17-66 years) and 2.8 ± 1.6 years, respectively. All clinical scores including KOOS, IKDC, Lysholm, and Tegner scale significantly improved at 2 years after surgery and 92.1% of the patients returned to sports. The mean preoperative side-to-side difference in knee arthrometer decreased from 4.5 ± 2.3 mm before surgery to 2.6 ± 1.5 mm after surgery (p < 0.001). Graft synovialization was observed in 13 of 16 patients (81.3%) who underwent second-look arthroscopy. Complication rate was 10.5% (n = 4). All complications were graft re-rupture and occurred at an average of 18 months after revision surgery.
CONCLUSIONS
Quadriceps tendon-patellar bone allograft showed satisfactory clinical outcomes in revision anterior cruciate ligament reconstruction and thus could be a good alternative when autograft harvesting is not optimal.
Copyright © 2025 by The Korean Orthopaedic Association
オリジナル紙だ
Satisfactory Clinical Outcomes of Revision Anterior Cruciate Ligament Reconstruction Using Quadriceps Tendon-Patellar Bone Allograft
Do Weon Lee, Sanguk Lee, Du Hyun Ro, Hyuk-Soo Han
Clinics in Orthopedic Surgery · 2025