Surgical Outcome of Arthroscopic ACL Reconstruction: Comparison between Hamstring Graft Versus Patellar Bone Tendon Bone Graft

BACKGROUND Anterior cruciate ligament (ACL) tear is the most common serious ligamentous injury to the knee joint. The ACL is the primary stabilizer against anterior translation of the tibia on the femur and is important in counteracting rotation and valgus stress. The goals of the ACL reconstruction are to restore stability to the knee, allow the patient to return to normal activities, including sports, and to delay the onset of osteoarthritis with associated recurrent injuries to the articular cartilage and loss of meniscal functions. The bone-patellar tendon-bone graft and the hamstring tendon graft are the two most commonly used autografts for reconstruction. OBJECTIVESThis study is to compare the results of arthroscopically assisted ACL Reconstruction using Bone-Patellar-Bone and Hamstring grafts in young individuals. METHODS During a period of 3 years of study 40 cases of adult patients with ACL tear were operated and surgical outcomes of Arthroscopically assisted ACL Reconstruction using Bone-Patellar-Bone and Hamstring grafts were compared according to IKDC Scoring method. In all the above test the. p value of less than 0.05 was accepted as indicating statistical significance. RESULTS Results of our study clearly showed that both bone-patellar tendon-bone and hamstring tendon grafts could effectively improve knee stability and functions after anterior cruciate ligament reconstructionin long run. At follow-up evaluation, both groups had similar subjective outcomes but patellar-bone-tendon-bone graft provided early stability allowing patients return to activity with some graft site morbidity.