Pain level after ACL reconstruction: A comparative study between free quadriceps tendon and hamstring tendons autografts Article Swipe
Cristian Buescu
,
Adela Hilda Onuțu
,
Dan Osvald Gheorghe Lucaciu
,
Adrian Todor
·
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1016/j.aott.2017.02.011
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1016/j.aott.2017.02.011
Objective The objective of this study was to compare the pain levels and analgesic consumption after single bundle ACL reconstruction with free quadriceps tendon autograft versus hamstring tendon autograft. Patients and methods A total of 48 patients scheduled for anatomic single-bundle ACL reconstruction were randomized into two groups: the free quadriceps tendon autograft group (24 patients) and the hamstring tendons autograft group (24 patients). A basic multimodal analgesic postoperative program was used for all patients and rescue analgesia was provided with tramadol, at pain scores over 30 on the Visual Analog Scale. The time to the first rescue analgesic, the number of doses of tramadol and pain scores were recorded. The results within the same group were compared with the Wilcoxon signed test. Results Supplementary analgesic drug administration proved significantly higher in the group of subjects with hamstring grafts, with a median (interquartile range) of 1 (1.3) dose, compared to the group of subjects treated with a quadriceps graft, median = 0.5 (0.1.25) (p = 0.009). A significantly higher number of subjects with a quadriceps graft did not require any supplementary analgesic drug (50%) as compared with subjects with hamstring graft (13%; Z-statistics = 3.01, p = 0.002). The percentage of subjects who required a supplementary analgesic drug was 38% higher in the HT group compared with the FQT group. Conclusion The use of the free quadriceps tendon autograft for ACL reconstruction leads to less pain and analgesic consumption in the immediate postoperative period compared with the use of hamstrings autograft. Level of Evidence Level I Therapeutic study ER - Keywords ACL reconstruction Pain Hamstring tendons Free quadriceps tendon
Related Topics
Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1016/j.aott.2017.02.011
- OA Status
- green
- Cited By
- 44
- References
- 23
- Related Works
- 10
- OpenAlex ID
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All OpenAlex metadata
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- OpenAlex ID
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https://openalex.org/W2591850110Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1016/j.aott.2017.02.011Digital Object Identifier
- Title
-
Pain level after ACL reconstruction: A comparative study between free quadriceps tendon and hamstring tendons autograftsWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2017Year of publication
- Publication date
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2017-02-27Full publication date if available
- Authors
-
Cristian Buescu, Adela Hilda Onuțu, Dan Osvald Gheorghe Lucaciu, Adrian TodorList of authors in order
- Landing page
-
https://doi.org/10.1016/j.aott.2017.02.011Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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greenOpen access status per OpenAlex
- OA URL
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https://www.ncbi.nlm.nih.gov/pmc/articles/6197319Direct OA link when available
- Concepts
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Medicine, Analgesic, Interquartile range, Hamstring, Tramadol, Visual analogue scale, Surgery, Quadriceps tendon, Anesthesia, TendonTop concepts (fields/topics) attached by OpenAlex
- Cited by
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44Total citation count in OpenAlex
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2025: 7, 2024: 5, 2023: 7, 2022: 3, 2021: 4Per-year citation counts (last 5 years)
- References (count)
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23Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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