PMID- 38518869
OWN - NLM
STAT- Publisher
LR  - 20240413
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
DP  - 2024 Mar 20
TI  - Primary All-Soft Tissue Quadriceps Tendon Autograft Anterior Cruciate Ligament 
      Reconstruction With Suture Tape Augmentation Resulted in Satisfactory Patient 
      Outcomes and a Low Graft Failure Rate in High School and Collegiate Athletes.
LID - S0749-8063(24)00234-2 [pii]
LID - 10.1016/j.arthro.2024.02.047 [doi]
AB  - PURPOSE: To evaluate >/=2-year patient outcomes after primary all-soft tissue 
      quadriceps tendon autograft (ASTQ) anterior cruciate ligament reconstruction 
      (ACLR) with suture tape augmentation (STA) in skeletally mature high school and 
      collegiate athletes. METHODS: All high school and collegiate athletes who 
      underwent primary ASTQ ACLR with STA with a minimum of 2-year follow-up were 
      analyzed retrospectively. Patients were administered validated patient-reported 
      outcome measures (PROMs) pre- and postoperatively. The minimal clinically 
      important difference was calculated for each PROM based on this study population 
      and applied to the individual patient. Return to sport, subsequent surgical 
      intervention including contralateral ACLR, and KT-1000 arthrometer measurements 
      for knee laxity were collected. Complications were assessed by physical 
      examination, radiologic studies, or obtained via telephone. RESULTS: In total, 60 
      patients were included in the final data analysis, with a mean age of 16.8 years 
      (95% confidence interval 13-23) and mean final follow-up of 37.1 months (95% 
      confidence interval 33.1-41.1). Twelve patients (20%) required subsequent surgery 
      on the ipsilateral knee, which included 7 patients having a subsequent meniscal 
      procedure and 3 patients who underwent arthrolysis. None sustained a graft 
      failure, and 6 patients sustained a contralateral ACL injury necessitating 
      surgery. All PROMs improved at the final follow-up (P < .001). In addition, 
      KT-1000 arthrometer measurements significantly improved postoperatively at 1-year 
      clinical follow-up (P < .001). Most patients obtained the minimal clinically 
      important difference thresholds for each PROM at the final follow-up. There were 
      48 patients (80%) who participated in pivoting sports. The return-to-sport rate 
      at same level was 54 patients (90%), with 6 patients (10%) not returning to the 
      same level because of graduation. CONCLUSIONS: ASTQ ACLR with STA in a young 
      athletic patient population may result in a low graft failure rate while 
      maintaining satisfactory patient outcomes at short-term follow-up, including a 
      return to sport at the same level of 90%. LEVEL OF EVIDENCE: Level IV, 
      retrospective case series.
CI  - Copyright (c) 2024 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Daniel, Adam V
AU  - Daniel AV
AD  - Columbia Orthopaedic Group, Columbia, Missouri, U.S.A.. Electronic address: 
      a.daniel@columbiaorthogroup.com.
FAU - Smith, Patrick A
AU  - Smith PA
AD  - Columbia Orthopaedic Group, Columbia, Missouri, U.S.A.
LA  - eng
PT  - Journal Article
DEP - 20240320
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
EDAT- 2024/03/23 05:42
MHDA- 2024/03/23 05:42
CRDT- 2024/03/22 20:25
PHST- 2023/09/27 00:00 [received]
PHST- 2024/02/28 00:00 [revised]
PHST- 2024/02/29 00:00 [accepted]
PHST- 2024/03/23 05:42 [pubmed]
PHST- 2024/03/23 05:42 [medline]
PHST- 2024/03/22 20:25 [entrez]
AID - S0749-8063(24)00234-2 [pii]
AID - 10.1016/j.arthro.2024.02.047 [doi]
PST - aheadofprint
SO  - Arthroscopy. 2024 Mar 20:S0749-8063(24)00234-2. doi: 
      10.1016/j.arthro.2024.02.047.