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European Journal of Orthopaedic Surgery & Traumatology

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Open Access 04.05.2020 | General Review

Quadriceps tendon autograft for primary ACL reconstruction: a Bayesian network meta-analysis

verfasst von: Filippo Migliorini, Jörg Eschweiler, Yasser El Mansy, Valentin Quack, Markus Tingart, Arne Driessen

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 7/2020

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Abstract

Background

The purpose of the current study was to clarify the role of the quadriceps tendon (QT) autograft for primary ACL reconstruction. Thus, a Bayesian network meta-analysis comparing patients undergoing a primary ACL reconstruction with QT versus patellar tendon (PT) and hamstring tendon (HT) autografts was conducted.

Material and methods

This Bayesian network meta-analysis was conducted according to the PRISMA extension statement for reporting systematic reviews incorporating network meta-analyses of health care interventions. In January 2020, the main databases were accessed. Articles comparing the outcomes of the QT autograft versus HT autograft and/or PT autograft for primary ACL reconstruction were included in the present study. The statistical analysis was performed with STATA Software/MP, through a Bayesian hierarchical random-effect model analysis.

Results

Data from a total of 2603 knees were analysed. The overall mean follow-up was 35.0 months. Among the different grafts were evidenced comparable values of IKDC, Tegner and Lysholm score. The QT autograft detected comparable rate of Lachman test > 3 mm, Pivot shift test > 3 m and instrumental laxity > 3 mm. The QT autograft showed a lower rate of autograft failure above all. The QT autograft detected the reduced rate of AKP than the PT.

Conclusion

Quadriceps tendon autograft may represent a feasible option for primary ACL reconstruction. These results must be interpret within the limitations of the present network meta-anlaysis.

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Titel: Quadriceps tendon autograft for primary ACL reconstruction: a Bayesian network meta-analysis
verfasst von: Filippo Migliorini
Jörg Eschweiler
Yasser El Mansy
Valentin Quack
Markus Tingart
Arne Driessen
Publikationsdatum: 04.05.2020
Verlag: Springer Paris
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 7/2020
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-020-02680-9

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Material and methods

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