Drop Vertical Jump Landing Mechanics Are Similar Between Patients With Quadriceps Tendon and Patellar Tendon Autografts After Anterior Cruciate Ligament Reconstruction

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Abstract

Purpose

To compare the biomechanics of a drop vertical jump (DVJ) landing task and functional outcomes among patients with anterior cruciate ligament reconstruction (ACLR) with quadriceps tendon (QT) and patellar tendon (PT) autografts.

Methods

Physically active patients who underwent primary ACLR with either a QT or PT autograft were included in this study. All were within 6 months to 2 years after surgery and cleared for return to physical activity. Subjects completed DVJs in a biomechanics laboratory. Peak vertical ground reaction force (VGRF) and lower-extremity joint sagittal and frontal plane kinematics and kinetics were collected and analyzed. Mann-Whitney U tests were used to compare the surgical limbs of the QT and PT autograft groups for kinematic and kinetic variables. Wilcoxon rank-sum tests were used to compare the surgical and nonsurgical limbs for both the QT and PT autograft groups.

Results

Twenty-four physically active individuals who underwent primary ACLR with QT (n = 14) or PT (n = 10) autografts completed DVJs in a biomechanics laboratory. There were no statistically significant biomechanical differences between the QT and PT groups. Peak VGRF differed between the surgical and nonsurgical limbs for the QT (surgical and nonsurgical, 1.10 and 1.30 N) and PT (surgical and nonsurgical, 1.10 and 1.35 N) groups. Specifically, both groups demonstrated lower VGRFs in the surgical limb compared with the nonsurgical limb ( P < .05). Additional medium and large effect sizes were found when comparing kinetic variables between limbs within both surgical groups.

Conclusions

Regardless of the graft-specific surgical technique, patients who undergo ACLR are returning to activity with movements that resemble an offloading pattern of the surgical limb. Coupled with the finding of an absence of differences in kinematic and kinetic variables between the QT and PT autograft groups suggests that the QT graft may be a viable alternate graft source for ACLR.

Level of Evidence

Level III, retrospective comparative study.

Related collections

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Author and article information

Contributors

Kate Pfile

Journal

Journal ID (nlm-ta): Arthrosc Sports Med Rehabil

Journal ID (iso-abbrev): Arthrosc Sports Med Rehabil

Title: Arthroscopy, Sports Medicine, and Rehabilitation

Publisher: Elsevier

ISSN (Electronic): 2666-061X

Publication date PMC-release: 30 July 2024

Publication date Collection: December 2024

Publication date (Electronic): 30 July 2024

Volume: 6

Issue: 6

Electronic Location Identifier: 100981

Affiliations

[a ]Medical University of South Carolina, Charleston, South Carolina, U.S.A.

[b ]College of Charleston, Charleston, South Carolina, U.S.A.

[c ]Arthritis Foundation, Atlanta, Georgia, U.S.A.

Author notes

[∗ ]Address correspondence to Kate Pfile, Ph.D., A.T.C., College of Charleston, 66 George St., Charleston, South Carolina 29424, U.S.A. pfilekr@ 123456cofc.edu

Article

Publisher Item ID: S2666-061X(24)00108-1 Publisher ID: 100981

DOI: 10.1016/j.asmr.2024.100981

PMC ID: 11701937

SO-VID: b447b9e0-e54f-4701-8116-a0dc2823091b

License:

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Drop Vertical Jump Landing Mechanics Are Similar Between Patients With Quadriceps Tendon and Patellar Tendon Autografts After Anterior Cruciate Ligament Reconstruction

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