Clinical Results of Anterior Cruciate Ligament Reconstruction: Bone-Paterllar-Tendon-Bone vs Hamstring Tendon Autograft.
- Author:
Eun Kyoo SONG
1
;
Jong Yoon SEOL
;
Taek Rim YOON
Author Information
1. Department of Orthopedic Surgery, Chonnam National University Medical School, Kwangju, Korea. eksong@chonnam.ac.kr
- Publication Type:Original Article
- Keywords:
ACL Reconstruction;
Doubled semitendinosus and gracilis autograft;
Bone-patellar tendon- bone autograft
- MeSH:
Anterior Cruciate Ligament Reconstruction*;
Anterior Cruciate Ligament*;
Autografts*;
Follow-Up Studies;
Humans;
Knee;
Knee Joint;
Range of Motion, Articular;
Tendons*;
Walking
- From:Journal of the Korean Knee Society
2000;12(2):166-171
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To compare the clinical and radiologic results of the anterior cruciate ligament(ACL) recon- struction between bone-patellar tendon-bone autograft and doubled semitendinosus and gracilis autograft. MATERIALS AND METHODS: 45 patients out of 235 ACL reconstructions with bone-patellar tendon- bone(BPTB) autograft and 47 patients out of 178 ACL reconstructions with doubled semitendinosus and gracilis were included in this study. Average follow-up period were 19 months in BPTB autograft and 17 months in doubled semitendinosus and gracilis autograft. There were no differences in preoperative parameters(age, sex, instability). RESULTS: There were no significant differences between two groups with respect to functional result(Lysholm knee score), degree of laxity and range of motion at final follow-up. However, the parap- atellar complications, especially anterior knee pain after long distance walking or exercise, and quadriceps weakness were less occurred in doubled semitendinosus and gracilis autograft than in BPTB autograft. CONCLUSION: ACL reconstruction with doubled semitendinosus and gracilis autograft is a good alternative choice in reducing parapatellar complications and in achieving functional stability of knee joint.
