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Comparison Between Functional Outcomes of Bone Patellar Tendon Bone Autografts versus Semitendinosus Autografts for Reconstruction of Anterior Cruciate Ligament


Affiliations
1 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India
2 Associate Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India
3 PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India
 

Purpose: Our study of comparison of functional outcomes and complications of bone patellar tendon bone autograft and semitendinosus autograft for Anterior Cruciate Ligament reconstruction. Material and Methods: 60 patients were operated for ACL reconstruction in a tertiary health care setup, out of them 30 were operated with semitendinosus graft and 30 were operated with bone-patellar tendon-bone graft and were reviewed at 3 months, 6 months, 9 months and 12 months. After the procedure, the patients were assessed for the functional outcome using Tegner-lysholm knee scoring scale and also with International Knee Documentation Committee (IKDC) Scoresat. Results: Mean lysholm score was comparable between STA and BPTB groups at baseline (41.50 vs 41.77; p-0.81). The mean scores significantly improved in both group at each follow up and was recorded as 93.43 and 90.6 by the end of one year in STA and BPTB group respectively. The improvement was slightly better in STA group at each follow up. Conclusion: Arthroscopic/open anterior cruciate ligament reconstruction by either semitendinosus autograft or bone patellar tendon graft gives satisfactory results in short term follow up in terms of knee functions. However, Rehabilitation with bone patellar tendon bone autografts group was accelerated in balance proprioception and running as compared to semitendinosus autografts also creep of graft is mostly seen in semitendinosus autografts which is less likely to be seen in bone patellar tendon bone autografts.

Keywords

Anterior Cruciate Ligament Injury, Arthroscopic Repair, Bone Patellar Tendon Bone Autografts, Semitendinosus Autografts
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  • Comparison Between Functional Outcomes of Bone Patellar Tendon Bone Autografts versus Semitendinosus Autografts for Reconstruction of Anterior Cruciate Ligament

Abstract Views: 141  |  PDF Views: 100

Authors

Kaustubh Satish Devasthali
Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India
Satyen Prafull Joshi
Associate Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India
Saurabh Rajendra Tidke
PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India
Vishwesh Devendrasinh Chudsasama
Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India
Shubham Zade
Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, India

Abstract


Purpose: Our study of comparison of functional outcomes and complications of bone patellar tendon bone autograft and semitendinosus autograft for Anterior Cruciate Ligament reconstruction. Material and Methods: 60 patients were operated for ACL reconstruction in a tertiary health care setup, out of them 30 were operated with semitendinosus graft and 30 were operated with bone-patellar tendon-bone graft and were reviewed at 3 months, 6 months, 9 months and 12 months. After the procedure, the patients were assessed for the functional outcome using Tegner-lysholm knee scoring scale and also with International Knee Documentation Committee (IKDC) Scoresat. Results: Mean lysholm score was comparable between STA and BPTB groups at baseline (41.50 vs 41.77; p-0.81). The mean scores significantly improved in both group at each follow up and was recorded as 93.43 and 90.6 by the end of one year in STA and BPTB group respectively. The improvement was slightly better in STA group at each follow up. Conclusion: Arthroscopic/open anterior cruciate ligament reconstruction by either semitendinosus autograft or bone patellar tendon graft gives satisfactory results in short term follow up in terms of knee functions. However, Rehabilitation with bone patellar tendon bone autografts group was accelerated in balance proprioception and running as compared to semitendinosus autografts also creep of graft is mostly seen in semitendinosus autografts which is less likely to be seen in bone patellar tendon bone autografts.

Keywords


Anterior Cruciate Ligament Injury, Arthroscopic Repair, Bone Patellar Tendon Bone Autografts, Semitendinosus Autografts

References