Comparison of grafts for anatomical reconstruction of the ACL: patellar versus semitendinosus/gracilis

Abstract

ObjectiveTo compare the functional results from surgical treatment for anatomical reconstruction of the anterior cruciate ligament (ACL) with a single band, using two types of autologous grafts.MethodsTwenty-seven patients who underwent anatomical reconstruction of the ACL by means of the Chambat technique were evaluated prospectively. They were divided into two groups: A, with 14 patients, using grafts from flexor tendons; and B, with 13 patients, using grafts from the patellar tendon. In both groups, fixation was performed using an absorbable interference screw.ResultsBased on the Lysholm score, group A presented a mean score of 71.6 in the first month, while B presented 75. At the end of the sixth month, both groups presented 96.6. Evaluation of the total IKDC showed that in the first month, the majority of the patients, both in group A (85.7%) and in group B (76.9%), presented a knee assessment that was close to normal. In the sixth month, 92.9% of group A had normal presentations, and 100% of group B.ConclusionAccording to the Lysholm functional evaluation and the IKDC subjective assessment, there was no statistically significant difference in the results between the groups, and the results were better in the sixth month.

Contralateral Patellar Tendon Autograft in Anterior Cruciate Ligament Reconstruction

“…Considering the instability ACL injuries cause, and potential comorbidities resulting from ACL rupture (such as meniscal and chondral injury and possibly early osteoarthrosis), the recommended treatment is surgical and involves ligament reconstruction. 1 , 2…”