A comparative study of arthroscopic reconstruction of acl using bone patellar tendon bone graft and quadrupled hamstring tendon graft
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 2
Abstract
Anterior Cruciate Ligament reconstruction (ACLR) using either autologous Bone patellar tendon bone (BPTB) graft or Quadrupled hamstring tendon graft has equal number of proponents worldwide. The aim of this study is to find out the advantages and disadvantages of each procedure in terms of outcome at 3 year of post-operative follow-up. Methods In this study 30 patients underwent ACLR of which 15 patients each were allocated randomly to undergo either BPTB or Quadrupled hamstring graft. Subjective as well as objective outcome measures such as analog scales, international knee documentation committee (IKDC) form, Tegners scale, stress radiographs and Lysholm scores were used to document pre-operative and postoperative patient characteristics related to ACL deficiency and knee joint, were used in the study. Statistical analysis was used to compare preoperative status and postoperative outcome for all the variables measured in the study. Outcome was statistically analysed using PSPP software. Results ACLR using either BPTB or hamstring graft yielded statistically significant improvement (p values 0.001 and 0.002 respectively) when compared to preoperative IKDC subjective scores. At 3 year postoperative follow-up, subjective & objective IKDC scores, Tegner’s scale, Lysholm scores and stress radiographs showed no significant difference between the two groups. PTB group had graft donor site related complaints including anterior knee pain in 3 patients and numbness lateral to patella in 1 patient. Conclusion ACLR using either graft results in improved knee function in terms of stability and pain at 3 year follow-up. This study could not demonstrate clear advantage of either graft over the other in terms of functional outcome. Overall hamstring graft has marginal advantage with less graft site morbidity when compared to BPTB graft.
Authors and Affiliations
Kasukurthi Raja Shekhar, Kopuri Ravi Kiran, G Jagadesh
Keywords
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