A comparison of ACL reconstruction using patellar tendon versus hamstring autograft in female patients: a prospective randomised study
Language English Country Germany Media print-electronic
Document type Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't
- MeSH
- Autografts MeSH
- Transplantation, Autologous MeSH
- Adult MeSH
- Knee Joint surgery MeSH
- Muscle, Skeletal surgery MeSH
- Middle Aged MeSH
- Humans MeSH
- Anterior Cruciate Ligament surgery MeSH
- Patellar Ligament surgery MeSH
- Adolescent MeSH
- Young Adult MeSH
- Joint Instability surgery MeSH
- Knee Injuries surgery MeSH
- Anterior Cruciate Ligament Injuries MeSH
- Prospective Studies MeSH
- Anterior Cruciate Ligament Reconstruction methods MeSH
- Tendons transplantation MeSH
- Treatment Outcome MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Randomized Controlled Trial 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.
See more in PubMed
Am J Sports Med. 2009 Feb;37(2):334-8 PubMed
Arthroscopy. 2006 Jun;22(6):660-8 PubMed
Am J Sports Med. 2012 Feb;40(2):307-14 PubMed
Int Orthop. 2013 Feb;37(2):181-6 PubMed
Am J Sports Med. 2014 Feb;42(2):285-91 PubMed
N Am J Sports Phys Ther. 2010 Dec;5(4):234-51 PubMed
Am J Sports Med. 2007 May;35(5):740-8 PubMed
J Orthop Surg Res. 2007 May 21;2:10 PubMed
Am J Sports Med. 2014 Feb;42(2):278-84 PubMed
J Appl Biomech. 2011 Aug;27(3):215-22 PubMed
Int Orthop. 2013 Feb;37(2):239-46 PubMed
Int Orthop. 2013 May;37(5):809-17 PubMed
Am Fam Physician. 2010 Oct 15;82(8):917-22 PubMed
Am J Sports Med. 2003 Jul-Aug;31(4):564-73 PubMed
Am J Sports Med. 2012 Feb;40(2):404-13 PubMed
Acta Orthop. 2007 Jun;78(3):350-4 PubMed
Knee Surg Sports Traumatol Arthrosc. 2009 Feb;17(2):162-9 PubMed
Am J Sports Med. 2010 Jul;38(7):1334-42 PubMed
J Strength Cond Res. 2012 Aug;26(8):2156-65 PubMed
Knee Surg Sports Traumatol Arthrosc. 2015 Mar;23(3):799-807 PubMed
Arthroscopy. 2012 Aug;28(8):1114-23 PubMed
Scand J Med Sci Sports. 2001 Jun;11(3):170-7 PubMed
Clin Sports Med. 2008 Jul;27(3):405-24, vii-ix PubMed
Int Heart J. 2009 Sep;50(5):601-7 PubMed
Int Orthop. 2013 Feb;37(2):253-69 PubMed
Knee Surg Sports Traumatol Arthrosc. 2004 Nov;12(6):534-9 PubMed
Arthritis Rheum. 2005 Mar;52(3):794-9 PubMed
