Comparison of Knee Sonography and Pressure Pain Threshold After Anterior Cruciate Ligament Reconstruction with Quadriceps Tendon Versus Hamstring Tendon Autografts in Soccer Players

Overview

Journal Acta Orthop Traumatol Turc

Specialties Emergency Medicine
Orthopedics

Date 2019 Jun 16

PMID 31201076

Citations 6

Authors

Jose L Martin-Alguacil

Manuel Arroyo-Morales

Jose Luis Martin-Gomez

Mario Lozano-Lozano

Noelia Galiano-Castillo

Irene Cantarero-Villanueva

Affiliations

Soon will be listed here.

Abstract

Objective: The aim of this study was to compare the pressure pain threshold and muscle architecture after an anatomic single bundle reconstruction with quadriceps tendon and hamstring tendon autografts of the anterior cruciate ligament in competitive soccer players. We hypothesized that both procedures will obtain similar outcomes.

Methods: Fifty-one participants were enrolled in this secondary analysis of a randomized controlled trial and were categorised into two groups: quadriceps tendon (QT) group (23 men and 3 women; mean age 18.7 ± 3.6; BMI 23.0 ± 2.2) or hamstring tendon (HT) group (16 men and 9 women; mean age 19.2 ± 3.6 BMI 23.5 ± 3.5). Both groups followed the same rehabilitation staged protocol. Pressure pain threshold (PPT), as a measure of perceived pain, was obtained in several points of quadriceps and hamstring muscles. Ultrasound imaging measurements were obtained in quadriceps tendon and knee cartilage thickness. Four measurements were taken in this study: baseline, 1, 3, 6, and 12 months after the anterior cruciate ligament (ACL) reconstruction.

Results: The analysis of PPT did not find significant differences in both groups × interaction time in the points evaluated: epicondyle (QT = 421.1 ± 184.1 vs HT = 384.7 ± 154.1 kPa), vastus lateralis (QT = 576.2 ± 221.3 vs HT = 560.1 ± 167.7 kPa), vastus medialis (QT = 544.7 ± 198.8 vs HT = 541.1.1 ± 181.77 kPa), patellar tendon (QT = 626.3 ± 221.1 vs HT = 665.0 ± 205.5 kPa), QT (QT = 651.1 ± 276.9 vs HT = 660.0 ± 195.2 kPa). (QT = 667.8 ± 284.7 vs HT = 648.2 ± 193.4 kPa) injured knee (all P > 0.05). The results of ultrasound imaging did not show significant differences in both groups × interaction time in the thickness of the QT (QT = 9.9 ± 2.4 vs HT = 9.4 ± 1.7 kPa) and patellar cartilage (QT = 3.2 ± 0.6 vs HT = 3.2 ± 0.4 kPa) (P > 0.05).

Conclusion: A QT autograft produces similar results to a HT autograft in ACL reconstructions in terms of pressure pain threshold and ultrasound muscle architecture during the 1-year follow-up.

Level Of Evidence: Level I, Therapeutic Study.

Citing Articles

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Regional healing trajectory of the patellar tendon after bone-patellar tendon-bone autograft harvest for anterior cruciate ligament reconstruction.

Ito N, Sigurdsson H, Cortes D, Snyder-Mackler L, Silbernagel K J Orthop Res. 2024; 42(7):1399-1408.

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Ultrasonography for quantitative assessment of knee joint effusions-useful tool for objective evaluation of rehabilitation progress?.

Karaszewski W, Pekanovic A, Streich N, Herbort M, Petersen W, Schmidt-Lucke C Int Orthop. 2023; 47(4):955-961.

PMID: 36683051 DOI: 10.1007/s00264-023-05697-x.

Anterior cruciate ligament reconstruction with all-soft tissue quadriceps tendon versus quadriceps tendon with bone block.

Setliff J, Nazzal E, Drain N, Herman Z, Mirvish A, Smith C Knee Surg Sports Traumatol Arthrosc. 2022; 31(7):2844-2851.

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Short-term effectiveness of high- and low-intensity percutaneous electrolysis in patients with patellofemoral pain syndrome: A pilot study.

Valera-Calero J, Sanchez-Mayoral-Martin A, Varol U World J Orthop. 2021; 12(10):781-790.

PMID: 34754834 PMC: 8554351. DOI: 10.5312/wjo.v12.i10.781.

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