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
Related Articles
- EP ID EP394938
- DOI -
- Views 125
- Downloads 0
Functional Outcome Of Flexible Nailing Fixation In Shaft Femur Fractures In Children’s
BACKGROUD- femoral shaft fracture common in children, conservative treatment like spica cast and other method are more problematic n uncomfortable due to prolong immobilization, the children especially to near the end g...
Unstable Intertrochanteric Fractures Treated With Proximal Femoral Nail Antirotation-II: An Evaluation Of Functional Outcome In The Elderly
Background: The incidence of unstable intertrochanteric fractures is increasing due to increased life span. These fractures require stable fixation and early mobilisation to reduce the morbidity and mortality. Extra-me...
Functional Outcome Of Displaced Intra-Articular Fractures Of The Calcaneus Treated With Minimally Invasive Fixation: A Retrospective Study
Background: Management of displaced intra-articular fractures of the calcaneus remains a challenge despite recent advances in diagnostic and operative techniques. Traditional open reduction and internal fixation is assoc...
Braided, double stranded ss wire tension band wiring for patella fractures
Purpose of study Various surgical methods of treatment have been described in literature for displaced patella fracture. Though open reduction and tension band wiring is most commonly performed other fixation methods pr...
Outcome Following Mini External Fixation For Open Fractures Of Proximal And Distal Metaphysis Of Tibia
Background: Treatment of metaphyseal fractures of proximal and distal tibia in situations like open fractures, severe soft tissue swelling and skin blisters or impending compartment syndrome is challenging. Minimally inv...