2021 AOSSM-AANA Combined Annual Meeting Recordings-Quadriceps Tendon Autograft has Lower MRI Signal than Hamstring Tendon Autograft in Anterior Cruciate Ligament Reconstructions in Adolescent Athletes

Quadriceps Tendon Autograft has Lower MRI Signal than Hamstring Tendon Autograft in Anterior Cruciate Ligament Reconstructions in Adolescent Athletes

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Video Transcription

Video Summary

In this video, the presenter discusses a paper on ACL reconstruction in adolescent athletes. The paper examined the outcomes of 324 athletes under the age of 20 who had undergone ACL reconstruction. The study found that the group of athletes who had undergone hamstring autografts had a high failure rate compared to other groups. As a result, the researchers made two changes: transitioning to all-soft-tissue quadriceps autografts and adding an LET procedure for certain cases. The study also looked at MRI signal intensity as a predictor of graft maturation. The results showed that quad tendons had lower signal intensity ratios compared to hamstrings at 12 months. This suggests that quads may have better graft incorporation and synovialization. The study supports the use of quadriceps autografts in young athletes until longer-term follow-up studies are conducted.

Asset Caption

Frank Cordasco, MD, MS

Keywords

ACL reconstruction

adolescent athletes

hamstring autografts

quadriceps autografts

MRI signal intensity