Clinical Outcomes of Arthroscopically Assisted Bone-patellar Tendon-bone Versus Double-Bundle Hamstrings ACL Reconstruction

Abstract

Objective: The aim of this study was to compare the clinical results of arthroscopic assisted ACL reconstruction using bone-patellar-tendon-bone (BPTB) graft and hamstrings, double bundle (DB) graft in term of postoperative knee stability, knee functional scale.

Methods: Forty two patients, 19 in BPTB group and 23 in DB group, were reviewed. Both groups were similar pre-operative data except associate meniscal injury. The average follow-up time was 11 months.

Results: This study found that there was no significant difference in post-operative knee stability tested by Lachman test and Pivot-shift test between both groups. The median post-operative knee functional scores, Lysholm score (95 in the BPTB group versus 90 in the DB group, p > 0.05) and IKDC score, were no significant difference between both groups. Both groups had significantly improved knee stability and knee functions (Lysholm and IKDC scores), post-operatively.

Conclusions: Arthroscopic assisted anterior cruciate ligament reconstruction used bone-patellar-tendon bone graft and hamstrings, double bundle graft resulted in significantly improved knee stability and function, similarly.

Keywords: anterior cruciate ligament reconstruction, Bone-patellar tendon-bone, Double bundle