Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1392
10
1
gregorian
2014
1
1
28
1
online
1
fulltext
en
Reconstruction of the anterior cruciate ligament:a comparison between bone-patellar tendon-bone grafts and four-strand hamstring grafts
Orthopedic Surgery
Orthopedic Surgery
Original Research
Original Research
<p> <strong> Background </strong>:Disruption of anterior cruciate ligament (ACL) is a common ligamentous injury of the knee. The choice of graft for (ACL) reconstruction remains controversial. This prospective, randomized clinical trial aimed to compare clinical results of bone-patellar tendon-bone (BPTB) grafts and four-strand semitendinosus-gracilis (ST) grafts for ACL reconstruction over a 3-year follow-up interval. </p><p> <strong> Methods </strong>:Seventy-one patients with an average age of 29± 4.5yearswere treated for torn ACL between 2008 and 2009. Forty-sixpatients underwent reconstruction with BPTBautograft, and 41 were treated with STautograft.At the time of final follow-up, 37 patients in patella group and 34 patients in hamstring group were evaluated in terms of return to pre-injury activity level, pain, knee stability, range of motion,IKDC (International Knee Documentation Committee) score and complications. </p><p> <strong> Results </strong>: At 36thmonth of follow-up, 34 (92%) and 28 (82%) patients in BPTB and ST group, respectively had good-to-excellent IKDC score (p > 0.05). Theactivity levelswerehigher in BPTB group(p> 0.05). At 3rd yearof follow up, the Lachman test was graded normal, for 23 (62%) and 11 (32%) patientsin BPTB and ST group, respectively(p=0.019).Regarding the pivot-shift test, 29 (79%) and 15 (44%) patients in patella and hamstring group, respectively had normal test at the latest follow-up (p=0.021).There were no significant differences in terms of thigh circumference difference, effusion, knee range of motion, pain and complications. </p><p> <strong> Conclusion </strong>: Theresults indicate a trend toward increased graft laxityand pivot-shift grades in patients undergoing reconstruction with hamstring autograft compared with patella tendon. However, the two groups had comparable results in terms of activity level and knee function. </p><p> </p>
Anterior Cruciate Ligament (ACL), Reconstruction, Bone-Patellar Tendon-Bone (BPTB) graft, Semitendinosus-gracilis graft, Outcome.
903
910
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1569-16&slc_lang=en&sid=1
Mohammad
Razi
m_razi@yahoo.com
200319475328460014004
200319475328460014004
No
Department of Orthopedics and Sport Medicine, RassoleAkram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Mohammad Mahdi
Sarzaeem
mmsarzaeem@yahoo.com
200319475328460014005
200319475328460014005
Yes
Department of Orthopedic Surgery, Imam Hossein Hospital, ShahidBeheshti University of Medical Sciences, Tehran, Iran.
Gholam Hossein
Kazemian
gh_kazemian@yahoo.com
200319475328460014006
200319475328460014006
No
Department of Orthopedic Surgery, Imam Hossein Hospital, ShahidBeheshti University of Medical Sciences, Tehran, Iran.
Farideh
Najafi
faridehnajafi1@gmail.com
200319475328460014007
200319475328460014007
No
Department of Orthopedic Surgery, Imam Hossein Hospital, ShahidBeheshti University of Medical Sciences, Tehran, Iran.
Mohammad Amin
Najafi
najafi.ma@yahoo.com
200319475328460014008
200319475328460014008
No
Faculty of Medicine, Isfahan University of Medical Sciences, Esfahan, Iran.