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April 1, 1997Journal of Ultrasound in Medicine

Serial ultrasonographic imaging evaluation of the patellar tendon after harvesting its central one third for anterior cruciate ligament reconstruction

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Why the study?

What are the ultrasonographic image changes in the patellar tendon over 12 months after removal of its central one third for anterior cruciate ligament reconstruction?

Population

14 patients undergoing anterior cruciate ligament reconstruction using the central one third of the patellar…

Comparison

Serial ultrasonographic imaging evaluation… vs Preoperative state (baseline)

Design

Cohort

Follow-up

12 months

Key result

Harvesting the central one third of the patellar tendon for ACL reconstruction led to persistent abnormal echogenicity and a twofold increase in anteroposterior thickness at 12 months postoperatively.

Authors

JWJ. Preston WileyRBRobert C. BrayDWDavid Wiseman

Discussion

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Overview

Persistent donor-site abnormalities on ultrasound at 12 months should not yet alter practice; leaves open long-term clinical implications and healing duration.

Study Design

Type

Observational (n=14)

Structured PICO

What are the ultrasonographic image changes in the patellar tendon over 12 months after removal of its central one third for anterior cruciate ligament reconstruction?

P
Population
14 patients undergoing anterior cruciate ligament reconstruction with central one third patellar tendon harvest, followed for 12 months.
E
Exposure
Serial ultrasonographic imaging evaluation preoperatively and at 2 weeks, 4 weeks, 2 months, 6 months, and 12 months postoperatively
C
Comparator
Preoperative state (baseline)
O
Outcome
Ultrasonographic image changes in the patellar tendon (echogenicity, thickness, margins)surrogate

Ultrasonographic imaging demonstrates that the donor patellar tendon remains enlarged and hypoechoic up to 1 year after ACL reconstruction, never returning to its preoperative appearance.

Cite This Study

Wiley et al. (1997) conducted an observational in Anterior cruciate ligament reconstruction (n=14). Harvesting central one third of patellar tendon vs. Presurgical state was evaluated on Ultrasonographic image changes in the patellar tendon. Harvesting the central one third of the patellar tendon for ACL reconstruction led to persistent abnormal echogenicity and a twofold increase in anteroposterior thickness at 12 months postoperatively.

synapsesocial.com/papers/6a9cc2881de9d981c6979737https://doi.org/10.7863/jum.1997.16.4.251
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Regional healing trajectory of the patellar tendon after bone‐patellar tendon‐bone autograft harvest for anterior cruciate ligament reconstruction2024 · 8 citations
  2. 2Evaluation of the donor site defect after harvesting the medial third of the patellar tendon in ACL reconstruction: An MRI study2025
  3. 3Magnetic Resonance Imaging of Reconstructed Anterior Cruciate Ligament2001 · 23 citations
  4. 4Poster 326: Near Complete Quadriceps Tendon Healing 2 Years Following Harvest in Anterior Cruciate Ligament Reconstruction2024
  5. 5The critical 3‐ to 6‐month period of quadriceps tendon graft remodelling following ACL reconstruction: Implications for safe return to sport2026