Arthroscopically Assisted Anterior Cruciate Ligament Reconstruction: Comparision of Bone-Patellar Tendon-Bone Versus Semitendinosus Gracilis Autograft

Anterior Cruciate Ligament Reconstruction

  • ML Chetan Associate Professor, Department of Orthopaedics, Subbaiah institute of Medical Sciences, Shivamogga, Karnataka, India
  • K Girish Kumar Associate Professor, Department of Orthopaedics, Subbaiah institute of Medical Sciences, Shivamogga, Karnataka, India
Keywords: Anterior Cruciate Ligament, Hamstring Tendon, A Patellar Tendon Graft

Abstract

Background: Injuries to the anterior cruciate ligament (ACL) of the knee are immediately debilitating and can cause long-term consequences, including the early onset of osteoarthritis. The present study compared the results  of Arthroscopically assisted ACL reconstruction using  bone- patellar-bone and semitendinous gracilis (STG) tendon grafts. Subjects & Methods: The study was conducted from April 2019 to March 2020 at Department of Orthopaedics in Subbaiah Institute of Medical Sciences, Shivamogga, Karnataka on 40 patients who underwent ACL reconstruction were divided into 2 groups, single-incision arthroscopically assisted ACL reconstructions using either the bone-patellar tendon-bone (group I) or the hamstring autograft without extra-articular augmentation (group II). Results: There is a significant risk of associated injuries with ACL deficient knees, among the group who underwent surgeries 3 months after the injury than those who underwent before 3 months. The most common mechanism of injury was the activity of daily living in twenty patients, road traffic accidents in eleven, and sporting activity in nine patients. Anterior Drawer’s Translation after 1 year was seen in 15 each in groups I and II with 0-2 mm and 5 each in groups     I and II with 3-5 mm. Conclusion: The outcome for patients in this study undergoing ACL reconstruction with a hamstring tendon graft did  not differ from that of patients with a patellar tendon graft in terms of clinical stability, range of motion, and general symptoms. The hamstring tendon group also had lower graft harvest site morbidity, as demonstrated by less kneeling pain at 1 and 2 years.

Downloads

Download data is not yet available.

References

Miyasaka KC, Daniel DM, Stone ML. The incidence of knee ligament injuries in the general population. Am J Knee Surg. 1991;4:3–8.

Noyes FR, Bassett RW, Grood ES, Butler DL. Arthroscopy in acute traumatic hemarthrosis of the knee. Incidence of anterior cruciate tears and other injuries. J Bone Jt Surg. 1980;62(5):687–695. Available from: https://dx.doi.org/10.2106/00004623-198062050-00001.

Levy IM, Torzilli PA, Warren RF. The effect of medial meniscectomy on anterior-posterior motion of the knee. J Bone Joint Surg. 1982;64(6):883–888. Available from: https://dx.doi.org/10.2106/00004623-198264060-00011.

Jomha NM, Pinczewski LA, Clingeleffer A, Otto A. Arthro- scopic reconstruction of anterior cruciate ligament with patellar-tendon autograft and interferrence screw fixation.The results at seven years. J Bone Joint Surg. 1999;81(5):775–784. Available from: https://doi.org/10.1302/0301-620x.81b5.8644.

Barrack RL, Bruckner JD, Kneisl J, Inman WS, Alexander AH. The Outcome of Nonoperatively Treated Complete Tears of the Anterior Cruciate Ligament in Active Young Adults. Clin Orthop Relat Res. 1990;(259):192–199. Available from: https://dx.doi.org/10.1097/00003086-199010000-00027.

Dye SF, Wojtys EM, Fu FH, Fithian DC, Gillquist J. Factors contributing to function of the knee joint after injury and reconstruction of the anterior cruciateligament. Instr Course Lect. 1999;48:185–198.

Jorgensen U, Sonne-Holm U, Lauridsen F, Rosenklint A. Long term follow-up of meniscectomy in athletes. J Bone Joint Surg. 1987;69(1):80–83. Available from: https://doi.org/10.1302/0301-620x.69b1.3818740.

Rangger C, Klestil T, Gloetzer W, Kemmler G, Benedetto KP. Osteoarthritis After Arthroscopic Partial Meniscectomy. Am J Sports Med. 1995;23(2):240–244. Available from: https://doi.org/10.1177/036354659502300219.

Yunes M, Richmond JC, Engels EA, Pinczewski LA. Patellar versus hamstring tendons in anterior cruciate ligament recon- struction. Arthroscopy. 2001;17(3):248–257. Available from: https://dx.doi.org/10.1053/jars.2001.21242.

Corry IS, Webb JM, Clingeleffer AJ, Pinczewski LA. Arthro- scopic Reconstruction of the Anterior Cruciate Ligament. Am J Sports Med. 1999;27(4):444–454. Available from: https://dx.doi.org/10.1177/03635465990270040701.

Akgun I, Ogut T, Kesmeszacar H, Yucel I. Central third bone-patellar tendon-bone arthroscopic anterior cruciate ligament reconstruction: a 4-year follow-up. J Knee Surg. 2002;15(4):207–219.

Beynnon BD, Johnson RJ, Fleming BC, Kannus P, Kaplan M, Samani J, et al. Anterior cruciate ligament replacement: comparison of bone-patellar tendon-bone grafts with two- strand hamstring grafts. A prospective, randomized study. J Bone Joint Surg Am. 2002;84(9):1503–1513. Available from: https://dx.doi.org/10.2106/00004623-200209000-00001.

Published
2020-12-30
How to Cite
ML Chetan, & K Girish Kumar. (2020). Arthroscopically Assisted Anterior Cruciate Ligament Reconstruction: Comparision of Bone-Patellar Tendon-Bone Versus Semitendinosus Gracilis Autograft. Asian Journal of Medical Research, 9(4), 16-19. Retrieved from http://aijournals.com/index.php/ajmr/article/view/1864