COMPARATIVE STUDY OF ARTHROSCOPIC ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING BONE PATELLAR TENDON BONE GRAFT AND HAMSTRING GRAFT.

Dr. Shivananda S.; Dr Nikhil Das; Dr Anudeep. N. Naik; Dr. Jai Aditya Jhamb; Dr Anil K Nair

Volume : VIII, Issue : XI, November - 2019

COMPARATIVE STUDY OF ARTHROSCOPIC ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING BONE PATELLAR TENDON BONE GRAFT AND HAMSTRING GRAFT.

Dr. Shivananda S. , Dr Nikhil Das, Dr Anudeep. N. Naik, Dr. Jai Aditya Jhamb, Dr Anil K Nair

Abstract :

Introduction: ACL reconstruction is probably the most common procedure of the knee in adults in recent times, and the choice of graft to be used for it is the most important decision to be made during the surgery. Although several methods of ACL reconstruction exist, the 2 most common procedures done are BTB reconstruction using an autograft of the middle third of the patellar tendon and reconstruction using a (HT) graft. Purpose: The purpose of this study was to evaluate the midterm functional outcome of ACL reconstruction using the bone–patellar tendon–bone graft and hamstring graft. Materials and Methods: The study was conducted in the Department of Orthopaedics, Kempegowda institute of medical science and research centre. A total of 40 cases were operated out of whom 20 were operated using arthroscopic ACL reconstruction using Hamstring graft and other 20 underwent ACLR using Patellar tendon graft. Patients in our study were assessed by IKDC, Tegners and Lysholm operative scores. Results– The mean age of the patients in our study was around 29 years. Around 70% of our patients were operated within 6 months from the time of injury after achieving complete flexion. Evaluation using IKDC, Lyshom and tegner scoring system showed hamstring graft having statistical significance when compared with BPTB graft, but the difference between the groups was not clinically appreciable. Conclusions: ACL reconstruction by either hamstring tendon graft or bone patellar tendon graft gives equally satisfactory results. But complications in the form of anterior knee pain were noted in BPTB group.