ACL Reconstruction With Patellar Tendon And Hamstring Grafts – Which Is A Better Choice??
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 2
Abstract
Background and Objectives: Young patients with ACL tear are prone for subsequent injury to menisci and cartilage eventually triggering a process of rapid degeneration. These people do well with early ACL reconstruction. There are many sources of graft for ACL with their own advantages and disadvantages. Most widely used graft sources are patellar tendon and hamstrings. Which one among these is better is still debatable. This study aims here to evaluate the best of the two graft choices. Materials and Methods: 29 male patients with complete ACL tear were randomized into groups. Patellar tendon group (51.72%) was operated with patellar tendon graft and hamstring group (48.27) was operated with quadrupled hamstring graft. Patients underwent same rehabilitation protocol. Cases were assessed clinically and radiologically at presentation, 6 months and 1 year.Results were analysed with SPSS 16.0 version. Results: Mean operative time from index injury to surgery was 16.7 weeks in patellar tendon group and 19 weeks in hamstring group. Lysholm’s score improved in both groupscompared to preoperativescore (p-0.001). Graft site morbidity was significantly higher in patellar tendon group.One case developed patellar clunk syndrome in patellar tendon group. One case in hamstring group had symptomatic laxity at the end of 6 months follow up. Conclusion: With no difference in clinical outcome between patellar tendon and hamstring graft but with least morbidity with hamstring graft, it is emerging as the most suitable graft for ACL reconstruction in young.
Authors and Affiliations
Sapan DS, Sunil Kumar PD, Manjunath S Daragadh, Manjunath Japatti
Keywords
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