Hamstring, bone-patellar tendon-bone, quadriceps and peroneus longus tendon autografts for primary isolated posterior cruciate ligament reconstruction: a systematic review. Issue 1 (22nd April 2022)

• Record Type: Journal Article
• Authors: Migliorini, Filippo; Pintore, Andrea; Vecchio, Gianluca; Oliva, Francesco; Hildebrand, Frank; Maffulli, Nicola
• Is Part Of: British medical bulletin. Volume 142:Issue 1(2022)
• Page Start: 23
• Page End: 33
• Publication Date: 2022-04-22
• Subjects: posterior cruciate ligament -- autograft -- quadriceps -- bone-patellar tendon-bone -- hamstring -- peroneus longus; Medicine -- Periodicals; 610.5
• DOI: 10.1093/bmb/ldac010
• Languages: English
• ISSNs: 0007-1420

Abstract

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.