Comparison of patellar versus hamstring tendon autografts in patients undergoing arthroscopic anterior cruciate ligament reconstruction: A 6?month follow?up of a randomized clinical trial

Abstract:
Background
Te purpose of this study was to compare the outcomes of anterior cruciate ligament (ACL) reconstruction using the patellar versus hamstring tendon (HT) autograft.
Materials And Methods
In this randomized clinical trial, ffty patients undergoing arthroscopic ACL reconstruction were randomized into two equal groups: Tose treated with either autogenous patellar tendon grafts (PT group) or HT group grafts. All patients were reviewed immediately after surgery, at 6 and 12 weeks after surgery, and then at 6 months using the International Knee Documentation Committee evaluation form. Infection, severity of pain (visual analog scale), duration of rehabilitation, and clinical and magnetic resonance imaging (MRI) fndings were assessed at the 6?month follow?up. Positive pivot shift and Lachman test were considered clinical signs and symptoms of treatment failure. In addition, the absence of the ACL or transverse ACL rather than the posterior oblique ligament is an MRI fnding that indicates treatment failure.
Result
Comparing changes in pain and range of motion (ROM) in patients frst and 6 months after therapy show that pain had been relief signifcantly (P
Conclusion
Considering the better outcomes of HT reconstructions for the two parameters of pain severity and rehabilitation period, we consider HTs to be the ideal graft choice for ACL reconstructions.
Language:
English
Published:
Journal of Research in Medical Sciences, Volume:22 Issue: 9, 2017 Sep
Page:
4
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