ACL reconstruction with hamstring, quadriceps autografts may improve functional outcomes
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Key takeaways:
- ACL reconstruction with both hamstring and quadriceps tendon autografts yielded satisfactory functional improvements.
- Lysholm, Tegner and VAS pain scores all improved from pre-injury to 2-year follow-up.
Published results showed ACL reconstruction with hamstring tendon and quadriceps tendon autografts yielded satisfactory patient-reported functional outcomes and return to sport for athletically active patients aged 50 years and older.
Amit Meena, MBBS, MS, DNB, a knee and sports medicine surgeon from Shalby Hospital in Jaipur, India, and colleagues performed a retrospective cohort study of data from patients aged 50 years and older who underwent primary arthroscopic ACL reconstruction with hamstring tendon (n = 143) or quadriceps tendon (n = 85) autograft.
Outcomes were assessed from before injury to 2-year follow-up and included Lysholm knee scores, Tegner activity level scores, VAS pain scores, as well as graft failure, tendon rupture and return to sport.
Meena and colleagues found Lysholm, Tegner and VAS pain scores all improved from pre-injury to 2-year follow-up with no differences between patients who received hamstring or quadriceps autograft.
They also found overall return to sport rates were similar between patients who received hamstring or quadriceps autograft at 2-year follow-up. However, they noted patients who received hamstring autograft did not return to winter sports such as skiing and snowboarding at the same rate as before injury. According to the study, 69% of patients who received hamstring autograft and 84% of patients who received quadriceps autograft returned to skiing or snowboarding.
In addition, Meena and colleagues found no cases of graft failure, tendon rupture or patella fracture at 2-year follow-up.
They concluded both hamstring tendon and quadriceps tendon autografts yielded satisfactory functional improvements and return to pre-injury level of sport.
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