ArticleJournal of experimental orthopaedics2025
Long-term results of anterior cruciate ligament reconstruction using the medial third of the patellar tendon.
Article in Journal of experimental orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Structural severity versus clinical reality: Are we measuring the right endpoints?Journal of experimental orthopaedics · 2026Article
- Long-term results of anterior cruciate ligament reconstruction using the medial third of the patellar tendon.Journal of experimental orthopaedics · 2025Article
- Evaluation of the donor site defect after harvesting the medial third of the patellar tendon in ACL reconstruction: An MRI study.Journal of experimental orthopaedics · 2025Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: To report long-term outcome of anterior cruciate ligament reconstruction (ACLR) using the medial third of the patellar tendon in terms of knee function evaluated with clinical assessments, patient-reported outcomes (PROs) and radiological examinations. Methods: Forty patients were retrospectively evaluated 16.8 ± 0.3 (range 16.2-17.4) years after the index operation for anterior knee pain, side-to-side difference in anterior tibial translation (ATT), Lysholm score, Tegner score, subjective International Knee Documentation Committee (IKDC) score, Knee injury and Osteoarthritis Outcome Score (KOOS) and radiographic evidence of osteoarthritis (Kellgren-Lawrence osteoarthritis [OA] grading). Results: Incidence of donor-site knee pain was 7.5% and the severity of the pain ranged 0.5-5.5 on visual analogue scale. Incidence of kneeling pain was 17.5% and the severity of pain ranged 3-7. There were no evidence for side-to-side differences in ATT (operated: 2.0 ± 0.7 vs. intact: 2.0 ± 0.9, Conclusions: Long-term clinical outcomes following ACLR with the medial third of the patellar tendon demonstrate a low incidence of anterior knee pain, excellent anterior-posterior stability and low rate of mild radiographic osteoarthritis. The majority of patients had achieved acceptable knee function and symptom resolution. These findings suggest that the medial third of the patellar tendon autograft is a reliable option for achieving sustained knee function and high patient satisfaction in the long term. Level of Evidence: Level IV.
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