2021 Annual Meeting Knee Access Pass-Perioperative Complications and Early Clinical Outcomes Following ACL Reconstruction with Soft Tissue Quadriceps Tendon Autograft in Adolescent Athletes

Perioperative Complications and Early Clinical Outcomes Following ACL Reconstruction with Soft Tissue Quadriceps Tendon Autograft in Adolescent Athletes

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Video Summary

This study examined adolescent ACL reconstructions using quadriceps tendon autografts, focusing on complications and early outcomes. Involving 90 patients (mean age 16), it found a 6% early graft re-tear rate, comparable to other graft types, and a high incidence (up to 20%) of arthrofibrosis, primarily cyclops lesions requiring arthroscopic surgery. Complications negatively impacted patient-reported outcomes initially, though differences faded by two years. No significant outcome differences were noted between the initial learning curve period and later surgeries. The study suggests that biological factors and surgical techniques may contribute to arthrofibrosis in this population and emphasizes the need for further research.

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Dr. Benton Heyworth | ACL Graft and Revision

Keywords

adolescent ACL reconstruction

quadriceps tendon autograft

arthrofibrosis

graft re-tear rate

cyclops lesion