Clinical Outcomes of All-Soft Tissue Quadriceps Tendon Autograft for

Revision Anterior Cruciate Ligament Reconstruction

Janelle Prince MSAT, LAT, ATC, OTCPI: John Xerogeanes, MD

Background

Objectives

The purpose of this study was to examine early and intermediate clinical outcomes of the all soft tissue

quadriceps tendon autograft when used for revision ACL reconstructions

QT Autograft (Revision)

QT Autograft (Primary)

Alternate Autografts (Revision)

Methodology

• Retrospective chart review• Prospectively followed 100 patients undergoing revision ACL

reconstruction with a quadriceps tendon autograft

• All surgeries were performed by single surgeon• Standard post-op protocol• Outcomes collected as post-op standard of care

Surgical Technique

Methodology• Outcomes

• Self reported function (IKDC)• Knee laxity (KT 1000)• Limb strength symmetry (Biodex)• Complication rate

Participants

• 100 patients that underwent revision ACL reconstruction with QT autograft

Results

• Average follow up= 42.2 ± 21.2 months • 80% response rate to follow up survey• IKDC scores improved significantly • KT 1000 not statistically significant over time• Strength improved significantly over time• Overall complication rate= 18%

Results- Subjective Function• IKDC improved significantly from 54.3 to 82.8 (p<0.001)

Results- Knee Laxity

Results- Strength

Results- Complications• 11% failure rate, 5% revision rate• 13% of patients returned to OR for various complications

Conclusion

• Acceptable intermediate term clinical outcomes

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THANK YOU!

Janelle Prince, MSAT, LAT, ATC, OTCjprinc6@emory.edu