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

Anterior Cruciate Ligament Reconstruction

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 Drawers 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.