Quadriceps tendon autograft for primary ACL reconstruction: a Bayesian network meta-analysis
- PDF / 2,087,886 Bytes
- 10 Pages / 595.276 x 790.866 pts Page_size
- 17 Downloads / 182 Views
GENERAL REVIEW
Quadriceps tendon autograft for primary ACL reconstruction: a Bayesian network meta‑analysis Filippo Migliorini1 · Jörg Eschweiler1 · Yasser El Mansy1,2 · Valentin Quack1 · Markus Tingart1 · Arne Driessen1 Received: 25 February 2020 / Accepted: 22 April 2020 © Springer-Verlag France SAS, part of Springer Nature 2020
Abstract Background The purpose of the current study was to clarify the role of the quadriceps tendon (QT) autograft for primary ACL reconstruction. Thus, a Bayesian network meta-analysis comparing patients undergoing a primary ACL reconstruction with QT versus patellar tendon (PT) and hamstring tendon (HT) autografts was conducted. Material and methods This Bayesian network meta-analysis was conducted according to the PRISMA extension statement for reporting systematic reviews incorporating network meta-analyses of health care interventions. In January 2020, the main databases were accessed. Articles comparing the outcomes of the QT autograft versus HT autograft and/or PT autograft for primary ACL reconstruction were included in the present study. The statistical analysis was performed with STATA Software/ MP, through a Bayesian hierarchical random-effect model analysis. Results Data from a total of 2603 knees were analysed. The overall mean follow-up was 35.0 months. Among the different grafts were evidenced comparable values of IKDC, Tegner and Lysholm score. The QT autograft detected comparable rate of Lachman test > 3 mm, Pivot shift test > 3 m and instrumental laxity > 3 mm. The QT autograft showed a lower rate of autograft failure above all. The QT autograft detected the reduced rate of AKP than the PT. Conclusion Quadriceps tendon autograft may represent a feasible option for primary ACL reconstruction. These results must be interpret within the limitations of the present network meta-anlaysis. Keywords ACL reconstruction · Quadriceps · Hamstring · Patellar · Autograft
Introduction The anterior cruciate ligament (ACL) stabilizes the knee and prevents anterior translation of the tibia in reference to the femur. According to epidemiological reports estimating 100,000 to 200,000 ACL ruptures per year in the USA alone, it is one of the most common injuries of active people [1]. If not repaired, a torn ACL can lead to joint instability, accelerate degenerative joint degradation and cause damage to meniscus and cartilage [2]. Therefore, surgical reconstruction in selected patients may be necessary [3]. Several surgical techniques such as allografts, autografts and synthetic grafts can be used for ACL reconstruction [4]. In patients * Filippo Migliorini [email protected] 1
Department of Orthopaedics, University Hospital RWTH Aachen, Pauwelsstraße 30, 52074 Aachen, Germany
Department of Orthopaedics, University Clinic of Alexandria, Alexandria, Egypt
2
with joint instability, the gold standard for ACL surgery is the reconstruction with an autologous tendon autograft [5]. Currently, the patellar tendon (PT) and hamstring (HT) autograft are believed to be the best
Data Loading...
