2023 AOSSM Annual Meeting Recordings with CME-Early clinical outcomes following anterior cruciate ligament reconstruction with quadriceps tendon autograft in an adolescent population suggest higher rates of arthrofibrosis with bone-block than all soft tissue.

Early clinical outcomes following anterior cruciate ligament reconstruction with quadriceps tendon autograft in an adolescent population suggest higher rates of arthrofibrosis with bone-block than all soft tissue.

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Video Summary

In this video, the speaker discusses a study comparing the use of bone block versus all soft tissue autograft for ACL reconstruction. The study included patients under 20 years old and focused on early clinical outcomes and complication rates. The results showed that the bone block group had a higher rate of osteofibrosis, but all patients achieved full range of motion. The inability to achieve terminal knee extension was identified as a significant risk factor for osteofibrosis. Larger graft size was not correlated with osteofibrosis. The study concluded that achieving terminal knee extension after quad tendon ACL reconstruction is important in preventing complications.

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Mauricio Drummond, MD

Keywords

bone block

soft tissue autograft

ACL reconstruction

osteofibrosis

terminal knee extension