Comparative analysis of arthroscopic ACL reconstruction between bone-patellar tendon graft and hamstring tendon graft

  • Dr. Sachin Samaiya Associate Professor, RKDF Medical College and Research Center Bhopal, Madhya Pradesh, India
  • Dr. Manav Moda Associate Professor, World College Of Medical Science and Research, Gurawar, Jhajjar, Haryana, India
Keywords: Anterior cruciate ligament, Bone graft, Intra-articular autografts

Abstract

Aim: The purpose of this study was to present the outcome of the results of the anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft and the hamstring tendon graft and their comparative analysis.

Material and Method: The basic population for the study consisted of the 35 patients who were operated upon (ACL reconstruction) during the period from August 2014to July 2018 and followed for ten months in two tertiary care institutes. The groups were analyzed with respect to the age, gender, duration between injury and surgery, side of the limb involved, and post-operative complications.

Result: 16 patients were present in each group and a total of 32 patients were studied. 26 patients were male and 6 were female. The mean duration of follow-up was 10.1 months for the hamstring group and it was 10.3 months for the patellar tendon group. The primary mechanism of injury of ACL was sports activity in 22 (68.5%) in total and it was 10 patients (62.4%) in patellar tendon group and 12 patients (75%) in hamstring tendon group Medial meniscus was injured in 7 (41.8%) patients in patellar tendon group and 5 (31.3%) patients in hamstring tendon group. Final results were evaluated using Lysholm's score and IKDC score.

Conclusion: There was a significant improvement in the stability of the knee postoperatively in both the groups but there was no significant difference in the functional outcome between patellar tendon and hamstring tendon groups.

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References

Kannus P, Järvinen MA. Conservatively treated tears of the anterior cruciate ligament. Long-term results. JBone Joint Surg. 1987;69(7):1007-1012.

Odensten MA, Hamberg P, Nordin MA, Lysholm JA, Gillquist J. Surgical or conservative treatment of the acutely torn anterior cruciate ligament; a randomized study with a short-term follow-upobservations. Clin Orthop Relat Res. 1985;198:87-93.

Hughston JC. The importance of the posterior oblique ligament in repairs of acute tears of the medial ligaments in knees with and without an associated rupture of the anterior cruciate ligament. Results of long-term follow-up. J Bone Joint Surg. 1994;76(9):1328-1344. doi: https://doi.org/10.2106/00004623-199409000-00008.

Johnson RJ, Beynnon BD, Nichols CE, Renstrom PA. The treatment of injuries of the anterior cruciate ligament. J Bone Joint Surg. 1992;74(1):140-151.

Dickison and Bennet: Therapeutic exercises: Clin Sports Med. 1985;4(3):417-429.

Noyes FR, Butler DL, Grood ES, Zernicke RF, Hefzy MS. Biomechanical analysis of human ligament grafts used in knee-ligament. J. Bone Joint Surg. 1984;66(3):344-352.

Kurosaka M, Yoshiya S, Andrish JT. A biomechanical comparison of different surgical techniques of graft fixation in anterior cruciate ligament reconstruction. Am J Sports Med. 1987;15(3):225-229. doi: https://doi.org/10.1177/036354658701500306.

Brant Lipscomb A, Johnston RK, Snyder RB. The technique of cruciate ligament reconstruction. Am J Sports Med. 1981;9(2):77-81. doi: https://doi.org/10.1177/036354658100900201.

Lysholm J., Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale: Am JSports Med. 1982;10(3):150-154. doi: https://doi.org/10.1177/036354658201000306.

Anderson C, Ondenstein M, Good L Gillquist.Surgical or non-surgical treatment of acute rupture of the anterior cruciate ligament. A randomized study with long-term follow-up. J Bone Joint Surg Am. 1989;71(7):965-974.

Buss DD, Min R, Skyhar M, Galinat B, Warren RF, Wickiewicz TL. Nonoperative treatment of acute anterior cruciate ligament injuries in a selected group of patients. Am J Sports Med. 1995;23(2):160-165. doi: https://doi.org/10.1177/036354659502300206.

O'brien SJ, Warren RF, Pavlov H, Panariello R, Wickiewicz TL. Reconstruction of the chronically insufficient anterior cruciate ligament with the central third of the patellar ligament. J Bone Joint Surg. 1991;73(2):278-286.

Bach BR, Tradonsky S, Bojchuk J, Levy ME, Bush-Joseph CA, Khan NH. Arthroscopically assisted anterior cruciate ligament reconstruction using patellar tendon autograft. Am J Sports Med. 1998;26(1):20-29.doi: https://doi.org/10.1177/03635465980260012101.

Shelboume KD, Wilckens JH, Decarlo M. Arthrofibrosis in acute anterior cruciate ligament reconstruction: The effect of timing of reconstruction: Am JSports Med. 1991;19(4):332-336. doi: https://doi.org/10.1177/036354659101900402.

Fu FH, Bennett CH, Ma CB, Menetrey J, Lattermann C. Current trends in anterior cruciate ligament reconstruction: Part II. Operative procedures and clinical correlations. Am J Sports Med. 2000;28(1):124-130. doi: https://doi.org/10.1177/03635465000280010801.

Major RA, Woodfin B: achieving full range of motion after ACL reconstruction. Am JSports Med. 1996;24(3):350-355. doi: https://doi.org/10.1177/036354659602400317.

Noyes FR, Barber-Westin SD. Anterior cruciate ligament reconstruction with autogenous patellar tendon graft in patients with articular cartilage damage. Am JSports Med. 1997;25(5):626-634. doi: https://doi.org/10.1177/036354659702500507.

Rosenberg TD, Franklin JL, Baldwin GN, Nelson KA. Extensor mechanism function after patellar tendon graft harvest for anterior cruciate reconstruction: Am JSports Med. 1992;20(5):519-525. doi: https://doi.org/10.1177/036354659202000506.

Shelbourne KD, Trumper RV. Preventing Anterior knee pain after anterior cruciate reconstruction. Am J Sports Med.1997;25(1):41-47. doi: https://doi.org/10.1177/036354659702500108.

Muneta T, Seklya I, Ogiuchi T, Yagishita K, Yamamoto H, Shinomiya K. Objective factors affecting overall subjective evaluation of recovery after anterior cruciate ligament reconstruction. Scand JMed Sci Sports. 1998;8(5):283-289.

Kartus J, Magnusson L, Stener S, Brandsson S, Eriksson BI, Karlsson J. Complications following arthroscopic anterior cruciate ligament reconstruction A 2–5-year follow-up of 604 patients with special emphasis on anterior knee pain. Knee Surg Sports Traumatol Arthrosc. 1999;7(1):2-8. doi: https://doi.org/10.1007/s001670050112.

Aglietti P, Buzzi R, Zaccherotti G, De Biase P. Patellar tendon versus doubled semitendinosus and gracilis tendons for anterior cruciate ligament reconstruction. Am JSports Med. 1994;22(2):211-218. doi: https://doi.org/10.1177/036354659402200210.

CITATION
DOI: 10.17511/ijoso.2020.i03.01
Published: 2020-06-17
How to Cite
Samaiya, S., & Moda, M. (2020). Comparative analysis of arthroscopic ACL reconstruction between bone-patellar tendon graft and hamstring tendon graft. Surgical Review: International Journal of Surgery, Trauma and Orthopedics, 6(3), 139-146. https://doi.org/10.17511/ijoso.2020.i03.01
Section
Original Article