Abstract
Techniques of reconstruction of the anterior cruciate ligament (ACL) of the knee have undergone, in recent years, important changes both in the technical and rehabilitation field, all aimed at a less invasive and better functional recovery for the patient. The appropriate choice of the graft is of focal importance in the success of the procedure, and if only a few years ago the patellar tendon (BPTB) was considered the best choice in ACL reconstruction techniques [1, 2], currently the indications for its use have limited in favour of the hamstring tendons (semitendinosus and gracilis) and to a lesser extent to allografts (especially with regard to the ACL reconstruction revision) [3, 4]. Nevertheless, the patellar tendon still remains today the “golden standard” for the choice of the graft in primary ACL reconstruction particularly in young and active patients.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Jones KG. Reconstruction of the anterior cruciate ligament. A technique using the central one-third of the patellar ligament. J Bone Joint Surg Am. 1963;45:925–32.
Eriksson E. Reconstruction of the anterior cruciate ligament. Orthop Clin North Am. 1976;7(1):167–79.
Beard DJ, Anderson JL, Davies S, Price AJ, Dodd CAF. Hamstrings versus patella tendon for anterior cruciate ligament reconstruction: a randomised controlled trial. Knee. 2001;8:45–50.
Pinczewski LA, Lyman J, Salmon LJ, Russell VJ, Roe J, Linklater J. A 10-year comparison of anterior cruciate ligament reconstructions with hamstring tendon and patellar tendon autograft: a controlled, prospective trial. Am J Sports Med. 2007;35:564–74.
Breitfuss H, Frohlich R, Povacz P, et al. The tendon defect after anterior cruciate ligament reconstruction using the midthird patellar tendon: a problem for the patellofemoral joint? Knee Surg Sports Traumatol Arthrosc. 1996;3:194–8.
Shelbourne KD, Trumper RV. Preventing anterior knee pain after anterior cruciate ligament reconstruction. Am J Sports Med. 1997;25:41–7.
Sim JA, Gadikota HR, Li JS, Li G, Gill TJ. Biomechanical evaluation of knee joint laxities and graft forces after anterior cruciate ligament reconstruction by anteromedial portal, outside in, and transtibial techniques. Am J Sports Med. 2011;39(12):2604–10.
Alentorn-Geli E, Lajara F, Samitier G, Cugat R. The transtibial versus the anteromedial portal technique in the arthroscopic bone-patellar tendon-bone anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2010;18:1013–37.
Denti M, Bigoni M, Randelli P. Graft-tunnel mismatch in endoscopic anterior cruciate ligament reconstruction. Intraoperative and cadaver measurement of the intra-articular graft length and the length of the patellar tendon. Knee Surg Sports Traumatol Arthrosc. 1998;6:165–8.
Denti M, Arrigoni P, Volpi P, Bait C, Sedran JC, Randelli P. Arthrometric stability of horizontal versus vertical single-bundle arthroscopic anterior cruciate ligament reconstruction. Orthopedics. 2014;37(5):321–4.
Cain Jr EL, Clancy Jr WG. Anatomic endoscopic anterior cruciate ligament reconstruction with patella tendon autograft. Orthop Clin North Am. 2002;33(4):717–25.
Corry IS, Webb JM, Clingeleffer AJ, Pinczewski LA. Arthroscopic reconstruction of the anterior cruciate ligament. A comparison of patellar tendon autograft and four-strand hamstring tendon autograft. Am J Sports Med. 1999;27:444–54.
Pinczewski LA, Deehan DJ, Salmon LJ, Russell VJ, Clingeleffer AJ. A five-year comparison of patellar tendon versus fourstrand hamstring tendon autograft for arthroscopic reconstruction of the anterior cruciate ligament. Am J Sports Med. 2002;30:523–36.
Roe J, Pinczewski LA, Russell VJ, Salmon LJ, Kawamata T, Chew M. A 7-year follow-up of patellar tendon and hamstring tendon grafts for arthroscopic anterior cruciate ligament reconstruction. Differences and similarities. Am J Sports Med. 2005;33:1337–45.
Volpi P, Marinoni L, Bait C, Galli M, De Girolamo L. Tibial fixation in anterior cruciate ligament reconstruction with bone-patellar tendon-bone and semitendinosus-gracilis autografts: a comparison between bioabsorbable screws and bioabsorbable cross-pin fixation. Am J Sports Med. 2009;37:808–12.
Denti M, Randelli P, Lo Vetere D, Moioli M, Bagnoli I, Cawley PW. Motor control performance in the lower extremity: normals vs. anterior cruciate ligament reconstructed knees 5–8 years from the index surgery. Knee Surg Sports Traumatol Arthrosc. 2000;8(5):296–300.
Randelli P, Monteleone M, Ghezzi A, Bagnoli I, Denti M. Endoscopic bone-patellar-tendon bone anterior cruciate ligament reconstruction: long term follow-up. Eur J Sports Traumatol Relat Res. 2001;23(3):123–9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 ESSKA
About this chapter
Cite this chapter
Denti, M., Quaglia, A., Randelli, P. (2016). Arthroscopic Anterior Cruciate Ligament Reconstruction with Bone-Patellar Tendon-Bone. In: Randelli, P., Dejour, D., van Dijk, C., Denti, M., Seil, R. (eds) Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49376-2_20
Download citation
DOI: https://doi.org/10.1007/978-3-662-49376-2_20
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-49374-8
Online ISBN: 978-3-662-49376-2
eBook Packages: MedicineMedicine (R0)