ABSTRACT
Objective: To determine the functional outcomes and patient satisfaction status after using the patellar tendon and hamstring tendon autograft for anterior cruciate ligament reconstruction in malepatients
Study Design: Prospective randomized clinical trial
Place and Duration of Study: Department of Orthopaedic, Dr. Ruth KM Pfau Civil Hospital Karachi and Medicare Cardiac & General Hospital Karachi between April 2017and November 2019.
Methodology:Forty one patients of the male gender and age above 20 years with unilateral anterior cruciate ligament rupture were enrolled. Patients were divided into two groups; Group I consisted of 22 patients receiving Patellar Tendon Graft for open ACL reconstruction and Group II consisted of 19 patients receiving Hamstring (semitendinosus and gracilis) Quadruple Tendon Graft for arthroscopic ACL reconstruction. Outcomes of both techniques were examined and compared. Patients were followed for 24 months.
Results: No significant difference was observed regarding age and causes of injury between both groups (p-value >0.05). Postoperatively no significant difference in terms of Lysholm score, IKDC, Lachman test, pivot shift test, and pain during kneeling at 2 years. In Group I, 14 (63.64%) patients were satisfied, 6 (27.27%) patients were very satisfied and 2 (9.09%) patients were neutral, and in Group II, 10 (52.63%) patients were satisfied, 5 (26.32%) patients were very satisfied and 4 (21.05%) patients were neutral at final follow-up. In our study, morbidity like anterior knee pain during kneeling was not significant in either group at 2 years.
Conclusion: The patellar tendon and semitendinosus tendons are considered as a procedure of choice for the rupture of the anterior cruciate ligament. We concluded that both techniques patellar tendon and semitendinosus tendon autografts are safe and effective treatment modalities for anterior cruciate ligament reconstruction. We found no significant difference in terms of functional outcomes, patient satisfaction, and kneeling pain between both groups.
Keywords: Outcome, Patellar tendon (PT), Hamstring tendon (HT) auto-graft, Anterior cruciate ligament reconstruction
