scholarly journals A study on the functional outcome of arthroscopic anterior cruciate ligament reconstruction done with bone patellar tendon bone graft using the IKDC score

2016 ◽  
Vol 2 (4) ◽  
pp. 346
Author(s):  
Vineet Thomas Abraham ◽  
Krishnagopal R. ◽  
Vamsi Kondreddi ◽  
Swagat Mahapatra
Keyword(s):  
Standard Deviation ◽  
Bone Graft ◽  
Acl Reconstruction ◽  
Patellar Tendon ◽  
Subjective Assessment ◽  
Subjective Outcome ◽  
Bptb Graft ◽  
Ikdc Score ◽  
The Mean ◽  
Bone Patellar Tendon

<p class="abstract"><strong>Background:</strong> ACL injuries result in persistent recurrent instability and increased risk of meniscal tears and intra-articular damage, leading on to degenerative changes in the knee. There are many studies about ACL reconstruction using bone patellar tendon bone graft (BPTB) and its outcome, but there is not enough literature on the subjective assessment following reconstruction. We decided to do a study of the patient’s subjective outcome as per the International knee documentation committee score (IKDC) and other clinical parameters following ACL reconstruction using the BPTB graft.</p><p class="abstract"><strong>Methods:</strong> This was a prospective study consisting of 50 patients who presented with ACL injury and underwent arthroscopic ACL reconstruction using BPTB graft in our hospital in the period from May 2008 to July 2010.  Patients were followed at regular intervals at 4 weeks, 8 weeks, 3 months &amp; 6 months and 1 year. Patients were assessed at every visit with clinical tests and IKDC subjective assessment score.<strong></strong></p><p class="abstract"><strong>Results:</strong> 50 patients with ACL insufficiency underwent ACL reconstruction. Postoperative knee flexion improved; the mean flexion was 131.70 with standard deviation of 6.534, which was significant. The mean preoperative IKDC was 56.97 and standard deviation of 9.188 and postoperative IKDC score was 92.33 and standard deviation 5.198 which showed a marked improvement and was statistically significant. The complications included; 8 patents with anterior knee pain, 1 case of patellar fracture while harvesting graft, which healed with wiring and 2 patients, had re-rupture of ACL due to road traffic accident.</p><strong>Conclusions:</strong> ACL reconstruction with BPTB graft showed a significantly good subjective outcome on assessment using IKDC score. Isolated ACL reconstruction showed a better subjective outcome compared to the patients who had associated meniscal injury.

ACL reconstruction by bone-patellar tendon-bone graft: mechanical evaluation of the elastic modulus and failure modes

2003 ◽  
Vol 4 (2) ◽  
pp. 69-75
Author(s):  
M. Torre ◽  
F. Di Feo ◽  
G. De Angelis ◽  
I. Ruspantini ◽  
G. Frustagli ◽  
...  
Keyword(s):  
Elastic Modulus ◽  
Bone Graft ◽  
Acl Reconstruction ◽  
Patellar Tendon ◽  
Failure Modes ◽  
Bone Patellar Tendon

Chronological Changes in Anterior Knee Stability after Anatomical Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone and Hamstring Grafts

2019 ◽  
Author(s):  
Kohei Kawaguchi ◽  
Shuji Taketomi ◽  
Hiroshi Inui ◽  
Ryota Yamagami ◽  
Keiu Nakazato ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Acl Reconstruction ◽  
Patellar Tendon ◽  
Cruciate Ligament ◽  
Knee Stability ◽  
Bptb Graft ◽  
Anterior Cruciate ◽  
Double Bundle Acl Reconstruction ◽  
Anterior Knee ◽  
Bone Patellar Tendon

AbstractThe clinical outcomes of anterior cruciate ligament (ACL) reconstruction are typically evaluated at specific time points only. This study aimed to characterize the chronological changes in anterior knee stability after anatomical ACL reconstruction and to compare the anterior knee stability achieved with bone–patellar tendon–bone (BPTB) and hamstring tendon (HT) grafts. A total of 59 patients underwent anatomical rectangular tunnel ACL reconstruction using the BPTB graft and 23 patients underwent anatomical double-bundle ACL reconstruction using the HT graft. Anterior knee stability was quantitatively assessed using the KneeLax 3 arthrometer at 6 months, 1 year, and 2 years after surgery using side-to-side differences. The values for anterior knee stability using the BPTB graft were 0.3 mm after 6 months, 0.2 mm after 1 year, and 0.2 mm after 2 years, and no significant differences were observed during the postoperative study period. Meanwhile, the values for anterior knee stability using the HT graft were −0.3 mm after 6 months, 0.5 mm after 1 year, and 1.2 mm after 2 years, and anterior knee stability decreased chronologically from 6 months up to 2 years. Regarding anterior stability, the HT graft showed significant laxity compared with the BPTB graft only after 2 years. No chronological changes in anterior stability were observed from 6 months up to 2 years after ACL reconstruction using the BPTB graft, whereas anterior laxity developed during the same period after ACL reconstruction using the HT graft. This is a Level IV, therapeutic case series study.

scholarly journals Anatomical rectangular tunnel ACL reconstruction with a bone-patellar tendon-bone graft: its concept, indication and efficacy

2019 ◽  
Vol 4 ◽  
pp. 12-12
Author(s):  
Konsei Shino ◽  
Tatsuo Mae ◽  
Ryohei Uchida ◽  
Hiroyuki Yokoi ◽  
Tomoki Ohori ◽  
...  
Keyword(s):  
Bone Graft ◽  
Acl Reconstruction ◽  
Patellar Tendon ◽  
Rectangular Tunnel ◽  
Bone Patellar Tendon

Follow-up Evaluation 2 Years After ACL Reconstruction With Bone???Patellar Tendon???Bone Graft Shows That Excessive Tibial Rotation Persists

2006 ◽  
Vol 16 (2) ◽  
pp. 111-116 ◽  
Author(s):  
Stavros Ristanis ◽  
Nicholas Stergiou ◽  
Kostas Patras ◽  
Elias Tsepis ◽  
Constantina Moraiti ◽  
...  
Keyword(s):  
Bone Graft ◽  
Acl Reconstruction ◽  
Patellar Tendon ◽  
Tibial Rotation ◽  
Bone Patellar Tendon

Significant anterior enlargement of femoral tunnel aperture after hamstring ACL reconstruction, compared to bone–patellar tendon–bone graft

2018 ◽  
Vol 27 (2) ◽  
pp. 461-470 ◽  
Author(s):  
Hiroshi Amano ◽  
Yoshinari Tanaka ◽  
Keisuke Kita ◽  
Ryohei Uchida ◽  
Yuta Tachibana ◽  
...  
Keyword(s):  
Bone Graft ◽  
Acl Reconstruction ◽  
Patellar Tendon ◽  
Femoral Tunnel ◽  
Bone Patellar Tendon

COMPARATIVE STUDY OF ARTHROSCOPIC ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING BONE PATELLAR TENDON BONE GRAFT AND HAMSTRING GRAFT

2019 ◽  
pp. 1-5
Author(s):  
Shivananda S. ◽  
Nikhil Das ◽  
Anudeep. N. Naik ◽  
Jai Aditya Jhamb* ◽  
Anil K Nair
Keyword(s):  
Bone Graft ◽  
Acl Reconstruction ◽  
Patellar Tendon ◽  
Cruciate Ligament ◽  
Statistical Significance ◽  
Medical Science ◽  
Tendon Graft ◽  
Hamstring Graft ◽  
Patellar Tendon Graft ◽  
Bone Patellar Tendon

INTRODUCTION: ACL reconstruction is probably the most common procedure of the knee in adults in recent times, and the choice of graft to be used for it is the most important decision to be made during the surgery.Although several methods of ACL reconstruction exist,the 2 most common procedures done are BTB reconstruction using an autograft of the middle third of the patellar tendon and reconstruction using a (HT) graft. PURPOSE: The purpose of this study was to evaluate the midterm functional outcome of ACL reconstruction using the bone-patellar tendon-bone graft and hamstring graft. MATERIALS AND METHODS: The study was conducted in the Department of Orthopaedics,Kempegowda institute of medical science and research centre.A total of 40 cases were operated out of whom 20 were operated using arthroscopic ACL reconstruction using Hamstring graft and other 20 underwent ACLR using Patellar tendon graft.Patients in our study were assessed by IKDC,Tegners and Lysholm operative scores. RESULTS- The mean age of the patients in our study was around 29 years. Around 70% of our patients were operated within 6 months from the time of injury after achieving complete flexion. Evaluation using IKDC, Lyshom and tegner scoring system showed hamstring graft having statistical significance when compared with BPTB graft, but the difference between the groups was not clinically appreciable. CONCLUSIONS: ACL reconstruction by either hamstring tendon graft or bone patellar tendon graft gives equally satisfactory results.But complications in the form of anterior knee pain were noted in BPTB group

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