Clinical Outcome of Anterior Cruciate Ligament Reconstruction Using Hamstring Tendon Autograft versus Tibialis Tendon Allograft Allograft

Abstract

Abstract: Objectives: The present study aimed to examine the clinical outcome of anterior cruciate Ligament (ACL) reconstruction using hamstring tendon autograft versus tibialis tendon Allograft. Materials/Patients and Methods: Local institutional review board approval (Code number 930971) was obtained before the commencement of the study. Thereafter, the patients who had undergone anatomical arthroscopic ACL reconstruction with hamstring tendon autograft and allograft tibialis were retrospectively reviewed. A number of 82 eligible Patients in autograft and 100 patients in the allograft group who met inclusion criteria were examined regarding knee stability by clinical examinations and KT-2000 arthrometer from 2008-2014. Results: Anterior drawer test was reported negative in 23.18% of patients in autograft and 23% of patients in the allograft group which was not statistically meaningful (P=0.870). The mean follow-up time was reported as 36.34 and 38.34 months in autograft and allograft groups, respectively. Final score of Knee Injury and Osteoarthritis Outcome Score (KOOS) in autograft and allograft groups was measured at 70.87±19.76 and 71.83%, respectively. In addition, the mean Lysholm score in autograft And allograft groups was reported to be 90±4.77 and 3.3±92, respectively. Moreover, Mean International Knee Documentation Committee (IKDC) score in the autograft and Allograft groups was estimated as 85±14.11 and 7.03±9, respectively. Furthermore, the Mean Kujala score in autograft and allograft groups was measured at 79±3.07 and 3.75±81, respectively. Conclusions: Apart from the mainstay treatment which is the surgical technique, the Use of quadrupled hamstring tendon autograft and tibialis allograft would yield dramatic Results in ACL reconstruction both subjectively and objectively. Moreover, the use of Hamstring tendon autograft and tibialis allograft is reported to have similar medical Results.