ISSN 0303-5212
 

Original Research 


Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction

Naveed Ali Shair, Muhammad Abubakar, Abdullah Tariq, Khurram Shehzad, Rana Shahid Waseem, Muhammad Hanif Mian.

Abstract
Objective: To compare the bone-patellar tendon-bone (BPTB) graft and semitendinous-gracilis (STG) tendon graft approaches in terms of post-surgery knee stability, knee functions, graft-site related morbidities and range of motion (ROM) among patients undergoing arthroscopically assisted anterior cruciate ligament (ACL) reconstruction.
Methodology: This prospective, open label, comparative trial was conducted at Department of Orthopedic Surgery, Lahore General Hospital, Lahore, from January 2019 to July 2020. A total of 60 patients (30 in BPTB group and 30 in STG group) undergoing single incision arthroscopically assisted ACL reconstruction adopting either BPTB or hamstring auto graft without extra articular augmentation were enrolled.
Results: Mean age of patients was 28.58+6.18 years. Majority of the patients, 39(65.0%) had their left side affected. Daily living activities were the most frequent 32(53.3%) mode of injury. No statistically significant difference was noted among patients in terms of clinical stability, ROM and general symptoms except patellofemoral pain at 6 months (PTB=26.7% vs STG=3%, p=0.0114) and graft site morbidity at 1 year (PTB=16.7% vs. STG=0%, p=0.0200).
Conclusion: Hamstring tendon and patellar tendon graft approaches were found to have similar outcomes in terms of clinical stability, ROM and pain. Hamstring tendon approach had significantly less chance of graft site morbidity as well as anterior knee pain during follow up.

Key words: Anterior cruciate ligament, bone-patellar tendon-bone graft, semitendinous-gracilis tendon graft.


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Naveed Ali Shair
Articles by Muhammad Abubakar
Articles by Abdullah Tariq
Articles by Khurram Shehzad
Articles by Rana Shahid Waseem
Articles by Muhammad Hanif Mian
on Google
on Google Scholar

How to Cite this Article
Pubmed Style

Shair NA, Abubakar M, Tariq A, Shehzad K, Waseem RS, Mian MH. Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction. RMJ. 2021; 46(1): 94-97.


Web Style

Shair NA, Abubakar M, Tariq A, Shehzad K, Waseem RS, Mian MH. Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction. https://www.rmj.org.pk/?mno=23330 [Access: December 08, 2023].


AMA (American Medical Association) Style

Shair NA, Abubakar M, Tariq A, Shehzad K, Waseem RS, Mian MH. Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction. RMJ. 2021; 46(1): 94-97.



Vancouver/ICMJE Style

Shair NA, Abubakar M, Tariq A, Shehzad K, Waseem RS, Mian MH. Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction. RMJ. (2021), [cited December 08, 2023]; 46(1): 94-97.



Harvard Style

Shair, N. A., Abubakar, . M., Tariq, . A., Shehzad, . K., Waseem, . R. S. & Mian, . M. H. (2021) Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction. RMJ, 46 (1), 94-97.



Turabian Style

Shair, Naveed Ali, Muhammad Abubakar, Abdullah Tariq, Khurram Shehzad, Rana Shahid Waseem, and Muhammad Hanif Mian. 2021. Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction. Rawal Medical Journal, 46 (1), 94-97.



Chicago Style

Shair, Naveed Ali, Muhammad Abubakar, Abdullah Tariq, Khurram Shehzad, Rana Shahid Waseem, and Muhammad Hanif Mian. "Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction." Rawal Medical Journal 46 (2021), 94-97.



MLA (The Modern Language Association) Style

Shair, Naveed Ali, Muhammad Abubakar, Abdullah Tariq, Khurram Shehzad, Rana Shahid Waseem, and Muhammad Hanif Mian. "Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction." Rawal Medical Journal 46.1 (2021), 94-97. Print.



APA (American Psychological Association) Style

Shair, N. A., Abubakar, . M., Tariq, . A., Shehzad, . K., Waseem, . R. S. & Mian, . M. H. (2021) Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction. Rawal Medical Journal, 46 (1), 94-97.