Abstract
Introduction: Anterior cruciate ligament (ACL) ruptures are one of the most common and most challenging injuries to manage in competitive sports. It is estimated that 100,000 to 250,000 ACL injuries happen per year. Of the challenges faced by athletes, quadriceps strength recovery is one of the most prevalent. It is possible that graft choice for ACL repair may play a role in quadriceps strength recovery following ACL repair.
Objective: The purpose of this critically appraised topic is to determine if the Quadriceps Tendon (QT) graft is an effective choice for ACL repair with regards to recovery of quadriceps strength when compared to Hamstring Tendon (HT) graft.
Study Design: Critically Appraised Topic
Methods: An online search was performed using the following terms: Quadriceps tendon, Hamstring Tendon, Graft, Anterior Cruciate Ligament, Reconstruction, and Quadriceps Strength.
Results: Four of five studies found similar outcomes of quadriceps strength after ACL repair when comparing QT to HT grafts. The fifth study showed quad strength to be significantly lower in the QT group compared to the HT group. All studies showed a significant improvement from baseline strength measurements. Sample sizes were generally small, there was variability in strength assessment, and inconsistent post-operative rehabilitation protocols.
Conclusion: There is level B evidence according to the GRADE Guidelines that the QT graft produces similar outcomes compared to HT grafts for primary ACL reconstruction with regards to quadriceps strength recovery. More high quality studies are needed to make a stronger recommendation.
Objective: The purpose of this critically appraised topic is to determine if the Quadriceps Tendon (QT) graft is an effective choice for ACL repair with regards to recovery of quadriceps strength when compared to Hamstring Tendon (HT) graft.
Study Design: Critically Appraised Topic
Methods: An online search was performed using the following terms: Quadriceps tendon, Hamstring Tendon, Graft, Anterior Cruciate Ligament, Reconstruction, and Quadriceps Strength.
Results: Four of five studies found similar outcomes of quadriceps strength after ACL repair when comparing QT to HT grafts. The fifth study showed quad strength to be significantly lower in the QT group compared to the HT group. All studies showed a significant improvement from baseline strength measurements. Sample sizes were generally small, there was variability in strength assessment, and inconsistent post-operative rehabilitation protocols.
Conclusion: There is level B evidence according to the GRADE Guidelines that the QT graft produces similar outcomes compared to HT grafts for primary ACL reconstruction with regards to quadriceps strength recovery. More high quality studies are needed to make a stronger recommendation.
| Original language | American English |
|---|---|
| State | Published - 4 Sep 2020 |
| Event | Oklahoma State University Center for Health Sciences Research Day 2020 - Oklahoma State University Center for Health Sciences College of Osteopathic Medicine, Tulsa, United States Duration: 27 Feb 2020 → 28 Feb 2020 |
Conference
| Conference | Oklahoma State University Center for Health Sciences Research Day 2020 |
|---|---|
| Country/Territory | United States |
| City | Tulsa |
| Period | 27/02/20 → 28/02/20 |