Comparison of Bone-Patellar Tendon-Bone Graft, Semitendinosus–Gracilis Graft and Semitendinosus–Gracilis with Preserved Tibial Insertion Graft in Anterior Cruciate Ligament Reconstruction in Sports Persons
https://doi.org/10.5704/MOJ.2107.003
- Author:
Soni A
1
;
Gupta RK
1
;
Raghav M
1
;
Masih GD
1
;
Bansal P
1
Author Information
1. Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India
- Publication Type:Journal Article
- Keywords:
cruciate ligament, reconstruction, graft, semitendinosus, gracilis
- From:Malaysian Orthopaedic Journal
2021;15(No.2):12-17
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Bone-patellar tendon-bone (BPTB) and
semitendinosus–gracilis (STG) are the commonest grafts
used for ACL reconstruction. However even after having
been debated for years, there is no consensus about the ideal
graft. Moreover, the literature is deficient about STG graft
with preserved tibial insertion (STGPI) which preserves the
proprioception. Our aim is to compare the outcome of BPTB,
free STG and STGPI grafts after ACL reconstruction in
professional sports persons. We compared the outcome in
terms of mechanical stability, functional outcome, return to
sports activity and degenerative changes.
Materials and Methods: Professional sports persons aged
between 16-50 years operated for ACL tear using BPTB, free
STG and STGPI grafts with minimum follow-up of two
years were identified from hospital records. Patients with
associated knee injuries were excluded. Patients, divided in
three groups according to graft used, were compared in terms
of mechanical stability (arthrometric examination KT-1000
score), functional outcome (Lysholm Score), return to sports
activity (Tegner score and difference in thigh circumference)
and degenerative changes (KL grading).
Results: BPTB graft group was found to be better than free
STG and STGPI graft groups in terms of KT-1000 score.
There was no statistically significant difference among the
groups in terms of Lysholm score, Tegner score, difference in
thigh circumference and KL grading.
Conclusion: BPTB graft is better than free STG and STGPI
grafts in terms of knee stability. When compared for patient
reported outcome, return to sports activity, osteoarthritic
changes and graft failure there is no significant difference
among the three types of grafts.
- Full text:16.2021my1169.pdf
