A comparison of ACL reconstruction using patellar tendon versus hamstring autograft in female patients: a prospective randomised study
Jazyk angličtina Země Německo Médium print-electronic
Typ dokumentu časopisecké články, randomizované kontrolované studie, práce podpořená grantem
- MeSH
- autologní štěp MeSH
- autologní transplantace MeSH
- dospělí MeSH
- kolenní kloub chirurgie MeSH
- kosterní svaly chirurgie MeSH
- lidé středního věku MeSH
- lidé MeSH
- ligamentum cruciatum anterius chirurgie MeSH
- ligamentum patellae chirurgie MeSH
- mladiství MeSH
- mladý dospělý MeSH
- nestabilita kloubu chirurgie MeSH
- poranění kolena chirurgie MeSH
- poranění předního zkříženého vazu MeSH
- prospektivní studie MeSH
- rekonstrukce předního zkříženého vazu metody MeSH
- šlachy transplantace MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- randomizované kontrolované studie MeSH
PURPOSE: The incidence of an anterior cruciate ligament (ACL) tear is highest in female patients; however, it is not apparent whether graft choice affects clinical results. The aim of this prospective randomised study was to evaluate clinical results of an ACL reconstruction using patellar tendon [bone-patellar tendon-bone (BTB)] or hamstring graft (HS) in female patients. METHODS: Inclusion criteria were traumatic instability, no signs of osteoarthritis, no previous instability and no contralateral knee instability. Inclusion criteria were met in 150 patients, mean age 26 (17-47) years. Patients were randomised into two groups of 75 patients according to graft type; all had the same rehabilitation protocol. Tegner Lysholm knee score and stability were evaluated pre-operatively and one and two years postoperatively. The difference between groups was statistically evaluated using unpaired t test. RESULTS: Of the 150 patients, all completed one year follow-up; three were lost to follow-up at two years. There was no significant difference in functional scores and knee stability between groups. The HS group had significantly less anterior knee pain in the first six months postoperatively. CONCLUSION: ACL reconstruction significantly improves clinical results and stability of the knee. Difference in Lysholm score and stability between groups was not significant. Neither group showed higher tendency to graft failure within two years. Graft choice for reconstruction in female patients should be surgeon specific and individualised, as both grafts studied achieved comparable results.
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