Reconstruction of Anterior Cruciate Ligament with Medial Hamstring or Patellar Tendon Graft (Comparative Study of Short-Term Results)

Zare&#039;e, MD, Jalil; Zare&#039;e, MD, Jalil; Hedayati, MD, Arefeh; Hedayati, MD, Mohammad Reza; Vakili, MD, Mahmoud; Safdari, MSc, Farshad

doi:10.22034/ijos.2020.121102

Reconstruction of Anterior Cruciate Ligament with Medial Hamstring or Patellar Tendon Graft (Comparative Study of Short-Term Results)

Authors

Jalil Zare'e, MD

Arefeh Hedayati, MD

Mohammad Reza Hedayati, MD

Mahmoud Vakili, MD

Farshad Safdari, MSc

https://doi.org/10.22034/ijos.2020.121102

Abstract

Background: There is a great debate about the proper autograft for arthroscopic anterior cruciate ligament reconstruction (ACLR). In current study, we compared the clinical and functional outcomes of ACLR using either medial hamstring (MH) tendon or patellar tendon (PT).

Methods: Eighty eight patients with anterior cruciate ligament (ACL) injury contributed to a retrospective study. The study was done in a teaching hospital in Yazd, Iran. Patients were divided into two groups based on the type of autograft used for ACLR: MD (48 patients) and PT (40 patients). In a follow-up of 18.5±2.2 months in MH and 19.3±2.9 months in PT group, the pain was analized using visual analogue scale (VAS) and the range of knee flexion was measured. The result of the surgery was assessed utilizing Tegner-Lysholm score, KOOS (Knee injury and osteoarthritis outcomes) and return to the previous activity.

Results: The two groups were the same in term of range of knee flexion, KOOS and Tegner-Lysholm score. The VAS averaged .9±.3 in MH and 1.15±.5 in PT groups, with no significant difference. Return to previous activity was seen in 80% of PT group and 85.4% of MH group.

Conclusions: ACLR using either MH or PT autograft, is effective in short-term, and is associated with satisfactory clinical and functional outcomes.

Keywords

Anterior cruciate ligament

Arthroscopy

Reconstruction

Bone-patellar tendon-bone grafting

Treatment outcome