Skip to main content

Table 5 Clinical studies that directly compare ACLR with QT vs. HT

From: ACL reconstruction with quadriceps tendon graft and press-fit fixation versus quadruple hamstring graft and interference screw fixation – a matched pair analysis after one year follow up

Author

Number of patients and Surgical Technique, FU

Drilling Technique Femoral/Tibial Fixation

Main Results

Graft Failure

Runer et al. [16]

2017

40 SB QT-PB vs. 40 SB HT; 2 years

Both: AM; button/Bio-IF screw + button

No difference in Lyholm, Tegner and VAS scores or knee pain; no postoperative knee laxity data

1 HT

0 QT

Cavaignac et al. [17] 2017

45 QT-BT vs. 41 SB HT, 3.6 years

Both: outside in, Bio-IF screw/Bio-IF screw

No difference in Tegner and IKDC scores; Sig. better Lysholm and KOOS scores for QT; SSD QT-HT 1.1 mm vs. 3.6 mm

1 QT

2 HT

Lee et al. [18]2016

48 SB QT-PB vs. 48 dB HT, 2 years

QT: TT, metal IF screw/Bio-IF screw

HT: AM; button/Bio-IF screw

No difference Lysholm, Tegenr, IKDC, SSD QT 2 .1mm; HT 1 .9mm; no difference in anterior knee pain and extensor muscle strength recovery, better flexor muscle strength recovery for QT

No data

Sofu et al. [19] 2017

23 SB QT-PB vs. 21 SB HT; both: TT, 3 years

QT: Metal-IF screw/Bio-IF screw

HT: Transfemural fixation/Bio-IF screw

SSD: QT-HT 2.8 vs. 1.1, QT 52% > 3 mm, HT 9% > 3 mm

Symptoms of instability: 21% QT, 0% HT

No data

  1. FU = Follow up; SB = Single bundle; DB = Double bundle; QT = Quadriceps tendon, PB = Patellar bone; HT = Hamstring tendon; AM = Anteromedial portal drilling technique; TT = Transtibial drilling technique; Bio-IF-screw = bioresorbable interference screw; SSD = Side-to-side difference (KT1000/Rolimeter); VAS = Visual analogue scale; KOOS = Knee injury and osteoarthritis outcome score; AM = Anteromedial drilling technique, QT-BT = Quadriceps bone-tendon graft