Comparison of hamstring and patellar tendon grafts in anterior cruciate ligament reconstruction: A prospective randomized study

Stańczak, Katarzyna; Zielińska, Marzenna; Synder, Marek; Domżalski, Marcin; Polguj, Michał; Sibiński, Marcin

doi:10.1177/0300060517722696

Cited by 19 publications

(20 citation statements)

References 18 publications

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“…Results of this study were similar to the previous studies, where no difference was found between two grafts in terms of functional outcome 1314151631. Stańczak et al in their prospective study observed that type of graft had no effect on the functional outcome of ACL reconstruction 11. Return to sports was observed to be early and higher with BPTB graft as compared to STGPI graft.…”

Section: Discussionsupporting

confidence: 88%

“…The hamstring tendon graft does have its pros and cons such as its association with joint laxity,8 reduced hamstring strength,9 and higher graft rupture rate 10. However, most of the peer-reviewed articles showed satisfactory results with both the grafts 11121314151617. In the previous study, it was observed that doubled loop STG graft with preserved tibial insertion (STGPI) was superior to free double looped STG graft in terms of knee stability and functional outcome 18.…”

Section: Introductionmentioning

confidence: 99%

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No Difference in Outcome of Anterior Cruciate Ligament Reconstruction with “Bone–patellar Tendon-bone versus Semitendinosus-gracilis Graft with Preserved Insertion:” A Randomized Clinical Trial

Gupta

Kapoor

Soni

et al. 2019

IJOO

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Background:The type of graft for anterior cruciate ligament (ACL) reconstruction is still a topic of debate and there is still no clear consensus on the ideal graft for ACL reconstruction.Purpose:This study was conducted to compare the outcome of ACL reconstruction surgery between hamstring tendon graft and bone–patellar tendon-bone (BPTB) graft.Materials and Methods:One hundred and sixty professional athletes were enrolled in the study. They were divided into two groups by computerized randomization. In Group I, ACL reconstruction was done using BPTB graft, and in Group II, ACL reconstruction was done using semitendinosus gracilis graft with preserved tibial insertion (STGPI). Postoperatively, patients were assessed for knee stability, Lysholm score, and WOMAC score.Results:Mean KT-1000 side-to-side difference at 1 year was 2.31 ± 1.68 mm in BPTB cohort and 2.52 ± 1.6 mm in STGPI cohort (P = 0.4); and at 2 years, it was 1.98 ± 1.62 mm in BPTB cohort and 2.23 ± 1.6 mm in STGPI cohort (P = 0.4). Mean Lysholm score at 2 years was 96.1 ± 5.81 in STGPI cohort and 97.3 ± 4.62 in BPTB cohort (P = 0.15). Mean WOMAC score at 2 years was 3.3 ± 2.76 in STGPI cohort and 2.84 ± 2.21 in BPTB cohort (P = 0.25). Graft rupture rate was 3.75%; 3 patients in each group had graft rupture. Kneeling pain was present in 15% (12/80) of patients with BPTB graft whereas none of the patients in STGPI cohort had kneeling pain.Conclusion:There was no difference between two grafts in term of knee stability, visual analog scale score and functional outcome. However, hamstring tendon graft is associated with less donor site morbidity.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

No Difference in Outcome of Anterior Cruciate Ligament Reconstruction with “Bone–patellar Tendon-bone versus Semitendinosus-gracilis Graft with Preserved Insertion:” A Randomized Clinical Trial

Gupta

Kapoor

Soni

et al. 2019

IJOO

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“…A study by Stan'czak et al states that there is comparable improvement in patients undergoing ACLR with bone tendon patellar graft and Hamstring graft, with improvement in most sub scores of the KOOS scoring system and the Kujala score, After one year follow-up no statistical significance between the 2 groups. 25 In our study only Hamstring tendon grafts were used and showed improvement in all the subscales of KOOS after 1 year of follow up.…”

Section: Discussionmentioning

confidence: 59%

Evaluation of Arthroscopic Anterior Cruciate Ligament Reconstruction Using Quadruple Hamstring Tendon Graft

Sudheer¹,

Jayaprakash²,

P³

2019

jebmh

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BACKGROUND The anterior cruciate ligament (ACL) tear is the most common ligamentous injury to the knee joint. To reconstruct the tear in ACL the grafts and the fixation techniques used to vary with different surgeons. The commonest ones used are Quadruple Hamstring Tendon Graft (QHTG) and Bone Patellar Bone Tendon Graft (BPBT). The autografts using quadruple hamstring tendon is preferred by many surgeons. The functional outcome of the Quadruple Hamstring Tendon Graft is evaluated using Knee Injury and Osteoarthritis Outcome Score (KOOS Scoring system) etc. The anterior cruciate ligament repaired and reconstructed arthroscopically using the QHTG are included in this study. This study aims at the results and outcome of anterior cruciate ligament reconstruction (ACLR) using KOOS scoring system. The instrument used for the measurement should be standardized, sensitive to clinical change, concise and convenient for both the patients and the clinicians for evaluations. To enable data collection from patients speaking different languages and living in different cultures, questionnaires should undergo linguistic and cross-cultural translation processes and psychometric properties should be assessed in clinical studies. METHODS Study Design-Prospective observational study. Study Population-Patients with ACL injury with or without meniscal injury, attending Amala Institute of Medical Sciences and underwent arthroscopic ACLR, from January 2017-October 2017 were included in this study. The functional outcome of their knee surgeries was evaluated by following them up both pre-operatively and for 12 months post-operatively, till October 2018. Sample Size-A total number of 51 patients with ACL injury with or without meniscal injury who underwent ACLR. RESULTS No patients were lost during follow up. The data suggests good functional outcome according to the KOOS Scoring. At the end of one year, they showed significant improvement with the KOOS score, thus enabling them to return to near normal function. CONCLUSIONS It was found that arthroscopic ACLR using QHTG enabled the patients to achieve excellent knee function and stability. The complications in this procedure were minimal.

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“…Some studies without parameters for these demographics have shown comparable results in outcomes with each graft choice. 4,5,7,9 However, other studies have shown that in high school and…”

Section: See Related Article On Page 2279mentioning

confidence: 95%

“…2,3 However, a primary limitation of studies with large sample sizes that compare outcomes with different grafts for ACLR is their poor generalizability to specific patient populations. The clinical outcomes following ACLR with BPTB and HT autograft have been well reported at the mid-to long-term follow-up, [4][5][6][7] although further investigation of the application of these grafts in specific patient populations, particularly young athletes and female patients, is needed to determine their clinical efficacy in different contexts.…”

Section: See Related Article On Page 2279mentioning

confidence: 99%

Editorial Commentary: Patellar Tendon or Hamstring: Which Kind of Anterior Cruciate Ligament Patient Are You?

Belk

McCarty

2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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The role of graft selection on clinical and functional outcomes following anterior cruciate ligament (ACL) reconstruction has gained significant attention in the orthopaedic sports medicine community in recent years. Boneepatellar tendonebone (BPTB) and semitendinosus/gracilis hamstring tendon (HT) autografts are 2 of the most commonly used grafts, given their low failure rates, predictable outcomes, and ability to incorporate appropriately at the graft site. However, multiple studies have recently shown each of these graft options to have some potentially lessdesirable characteristics in regards to outcomes in specific patient populations. More specifically, in 14-to 25-year-old athletes, HT autografts have been shown to result in decreased rotational stability, decreased return to sport rates, and increased graft failure rates. On the other hand, BPTB autografts can require a prolonged recovery period and have been associated with increased postoperative pain and long-term kneeling pain. HT and BPTB grafts are both excellent grafts; however, it is important to understand the differences in clinical and functional outcomes between these graft options for ACL reconstruction. The characteristics of the graft need to be considered and individualized for each patient who is being treated for an ACL injury.

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Comparison of hamstring and patellar tendon grafts in anterior cruciate ligament reconstruction: A prospective randomized study

Cited by 19 publications

References 18 publications

No Difference in Outcome of Anterior Cruciate Ligament Reconstruction with “Bone–patellar Tendon-bone versus Semitendinosus-gracilis Graft with Preserved Insertion:” A Randomized Clinical Trial

No Difference in Outcome of Anterior Cruciate Ligament Reconstruction with “Bone–patellar Tendon-bone versus Semitendinosus-gracilis Graft with Preserved Insertion:” A Randomized Clinical Trial

Evaluation of Arthroscopic Anterior Cruciate Ligament Reconstruction Using Quadruple Hamstring Tendon Graft

Editorial Commentary: Patellar Tendon or Hamstring: Which Kind of Anterior Cruciate Ligament Patient Are You?

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