Hamstring, bone-patellar tendon-bone, quadriceps and peroneus longus tendon autografts for primary isolated posterior cruciate ligament reconstruction: a systematic review

British Medical Bulletin, vol. 142, pp. 23–33

Abstract

INTRODUCTION: Several autografts are available to reconstruct the posterior cruciate ligament (PCL). SOURCE OF DATA: Current scientific literature published in PubMed, Google scholar, Embase and Scopus. AREAS OF AGREEMENT: Hamstring, bone-patellar tendon-bone (BPTB), quadriceps and peroneus longus (PLT) are the most common tendon autografts used for primary isolated PCL reconstruction. AREAS OF CONTROVERSY: The optimal tendon source for PCL reconstruction remains nevertheless debated. Identifying the most suitable tendon autograft could assist the surgeon during primary PCL reconstruction. GROWING POINTS: The present study compared the outcome of PCL reconstruction using hamstring, BPTB, quadriceps and PLT autografts. The focus was on patient-reported outcome measures (PROMs), joint laxity, range of motion and complications. AREAS TIMELY FOR DEVELOPING RESEARCH: All autografts are viable options for PCL reconstruction, with BTB and hamstring autografts demonstrating superior PROMs. However, further clinical investigations are required to determine the ideal autograft construct.

Authors 6

1. Filippo Migliorini Aachen Department of Orthopaedic, Trauma, and Reconstructive Surgery

   Universitätsklinikum Aachen · RWTH Aachen University

   Affiliation as printed

   Department of Orthopaedic , Trauma, and Reconstructive Surgery, RWTH Aachen University Hospital, Aachen 52064, Germany

2. Andrea Pintore

   University of Salerno

   Affiliation as printed

   Department of Orthopaedics , Surgery and Dentistry, University of Salerno, Via S. Allende, Baronissi, Salerno (SA) 84081, Italy

3. Gianluca Vecchio

   University of Salerno

   Affiliation as printed

   Department of Orthopaedics , Surgery and Dentistry, University of Salerno, Via S. Allende, Baronissi, Salerno (SA) 84081, Italy

4. Francesco Oliva

   University of Salerno

   Affiliation as printed

   Department of Orthopaedics , Surgery and Dentistry, University of Salerno, Via S. Allende, Baronissi, Salerno (SA) 84081, Italy

5. Frank Hildebrand Aachen Department of Orthopaedic, Trauma, and Reconstructive Surgery

   Universitätsklinikum Aachen · RWTH Aachen University

   Affiliation as printed

   Department of Orthopaedic , Trauma, and Reconstructive Surgery, RWTH Aachen University Hospital, Aachen 52064, Germany

6. Nicola Maffulli corresponding

   University of Salerno · Queen Mary University of London · Mile End Hospital · Keele University

   Affiliation as printed

   Department of Orthopaedics , Surgery and Dentistry, University of Salerno, Via S. Allende, Baronissi, Salerno (SA) 84081, Italy

   Queen Mary University of London , Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, 275 Bancroft Road, London E1 4DG, UK

   School of Pharmacy and Bioengineering , Keele University Faculty of Medicine, Thornburrow Drive, 01782 Stoke on Trent, UK