ARTHROSCOPIC RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT: COMPARISON OF FUNCTIONAL OUTCOME BETWEEN BONE PATELLAR TENDON BONE AND HAMSTRING TENDON GRAFT

Abstract

Introduction: Anterior cruciate ligaments (ACL) Reconstruction have undergone series of evolution over the past 30 years to improve the biomechanics of knee joint. In 1970's surgery was done to repaire the torn ends of the ligaments. After that, repaire of ACLusing auto graft was done in 1980's using arthrotomy (open procedure). Aims: To compare between Patellar tendon graft and Hamstring graft in arthroscopic ACL reconstruction on the basis of clinical and functional outcome. Materials and Methods: The present study was an Institutional based analytical epidemiological study with longitudinal design study. This Study was conducted from 12 months at Department of Orthopedics, Bankura Sammilani Medical College and Bankura. Result:In our study, We have studied 40 cases of ACLtear, amongst the 20 cases operated by Hamstring graft, 3(30%) patients were found to have ACLtear on the right side and 7(70%) were found to have tear on left side. Amongst the 20 cases operated by bone patellar tendon, 6(60%) were found to have right sided tear and 4(40%) were found to have left sided tear. Conclusion: We found that, mechanical advantage rests with the bone patellar tendon as in previous studies the bone to bone integration is much better when compared to hamstring grafts. Micheal Hnuesstated in this study that the bone patellar tendon has higher post operative activity levels than hamstring grafts.