Open Access and Peer-reviewed
Home Journal Issues Guide for Authors Editorial Board Aims & Scope About Journal News & Announcements


Original Research 


Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction

Naveed Ali Shair, Muhammad Abubakar, Abdullah Tariq, Khurram Shehzad, Rana Shahid Waseem, Muhammad Hanif Mian.

Abstract
Objective: To compare the bone-patellar tendon-bone (BPTB) graft and semitendinous-gracilis (STG) tendon graft approaches in terms of post-surgery knee stability, knee functions, graft-site related morbidities and range of motion (ROM) among patients undergoing arthroscopically assisted anterior cruciate ligament (ACL) reconstruction.
Methodology: This prospective, open label, comparative trial was conducted at Department of Orthopedic Surgery, Lahore General Hospital, Lahore, from January 2019 to July 2020. A total of 60 patients (30 in BPTB group and 30 in STG group) undergoing single incision arthroscopically assisted ACL reconstruction adopting either BPTB or hamstring auto graft without extra articular augmentation were enrolled.
Results: Mean age of patients was 28.58+6.18 years. Majority of the patients, 39(65.0%) had their left side affected. Daily living activities were the most frequent 32(53.3%) mode of injury. No statistically significant difference was noted among patients in terms of clinical stability, ROM and general symptoms except patellofemoral pain at 6 months (PTB=26.7% vs STG=3%, p=0.0114) and graft site morbidity at 1 year (PTB=16.7% vs. STG=0%, p=0.0200).
Conclusion: Hamstring tendon and patellar tendon graft approaches were found to have similar outcomes in terms of clinical stability, ROM and pain. Hamstring tendon approach had significantly less chance of graft site morbidity as well as anterior knee pain during follow up.

Key words: Anterior cruciate ligament, bone-patellar tendon-bone graft, semitendinous-gracilis tendon graft.


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Naveed Ali Shair
Articles by Muhammad Abubakar
Articles by Abdullah Tariq
Articles by Khurram Shehzad
Articles by Rana Shahid Waseem
Articles by Muhammad Hanif Mian
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Shair NA, Abubakar M, Tariq A, Shehzad K, Waseem RS, Mian MH. Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction. RMJ. 2021; 46(1): 94-97.


Web Style

Shair NA, Abubakar M, Tariq A, Shehzad K, Waseem RS, Mian MH. Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction. http://www.rmj.org.pk/?mno=23330 [Access: March 20, 2021].


AMA (American Medical Association) Style

Shair NA, Abubakar M, Tariq A, Shehzad K, Waseem RS, Mian MH. Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction. RMJ. 2021; 46(1): 94-97.



Vancouver/ICMJE Style

Shair NA, Abubakar M, Tariq A, Shehzad K, Waseem RS, Mian MH. Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction. RMJ. (2021), [cited March 20, 2021]; 46(1): 94-97.



Harvard Style

Shair, N. A., Abubakar, . M., Tariq, . A., Shehzad, . K., Waseem, . R. S. & Mian, . M. H. (2021) Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction. RMJ, 46 (1), 94-97.



Turabian Style

Shair, Naveed Ali, Muhammad Abubakar, Abdullah Tariq, Khurram Shehzad, Rana Shahid Waseem, and Muhammad Hanif Mian. 2021. Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction. Rawal Medical Journal, 46 (1), 94-97.



Chicago Style

Shair, Naveed Ali, Muhammad Abubakar, Abdullah Tariq, Khurram Shehzad, Rana Shahid Waseem, and Muhammad Hanif Mian. "Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction." Rawal Medical Journal 46 (2021), 94-97.



MLA (The Modern Language Association) Style

Shair, Naveed Ali, Muhammad Abubakar, Abdullah Tariq, Khurram Shehzad, Rana Shahid Waseem, and Muhammad Hanif Mian. "Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction." Rawal Medical Journal 46.1 (2021), 94-97. Print.



APA (American Psychological Association) Style

Shair, N. A., Abubakar, . M., Tariq, . A., Shehzad, . K., Waseem, . R. S. & Mian, . M. H. (2021) Comparison of bone-patellar tendon-bone graft and semitendinous-gracilis tendon graft among patients undergoing arthroscopically assisted anterior cruciate ligament reconstruction. Rawal Medical Journal, 46 (1), 94-97.








AUTHOR LOGIN

REVIEWER LOGIN

Indexed
&
Abstracted


Indexed in WHO Index Medicus IMEMR, Emromedex, Pakmedinet, ExtraMED,  Scopus and Web of Science

                     Approved by the Higher Education Commission of Pakistan 


ABOUT JOURNAL
POLICIES
STATEMENTS

This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access.

The articles in Rawal Medical Journal are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.