J Korean Knee Soc.  2000 Dec;12(2):166-171.

Clinical Results of Anterior Cruciate Ligament Reconstruction: Bone-Paterllar-Tendon-Bone vs Hamstring Tendon Autograft

• Song EK
• Seol JY
• Yoon TR

Abstract

PURPOSE: To compare the clinical and radiologic results of the anterior cruciate ligament(ACL) recon- struction between bone-patellar tendon-bone autograft and doubled semitendinosus and gracilis autograft.
MATERIALS AND METHODS
45 patients out of 235 ACL reconstructions with bone-patellar tendon- bone(BPTB) autograft and 47 patients out of 178 ACL reconstructions with doubled semitendinosus and gracilis were included in this study. Average follow-up period were 19 months in BPTB autograft and 17 months in doubled semitendinosus and gracilis autograft. There were no differences in preoperative parameters(age, sex, instability).
RESULTS
There were no significant differences between two groups with respect to functional result(Lysholm knee score), degree of laxity and range of motion at final follow-up. However, the parap- atellar complications, especially anterior knee pain after long distance walking or exercise, and quadriceps weakness were less occurred in doubled semitendinosus and gracilis autograft than in BPTB autograft.
CONCLUSION
ACL reconstruction with doubled semitendinosus and gracilis autograft is a good alternative choice in reducing parapatellar complications and in achieving functional stability of knee joint.

Keyword

ACL Reconstruction; Doubled semitendinosus and gracilis autograft; Bone-patellar tendon- bone autograft

MeSH Terms

Anterior Cruciate Ligament Reconstruction*
Anterior Cruciate Ligament*
Autografts*
Follow-Up Studies
Humans
Knee
Knee Joint
Range of Motion, Articular
Tendons*
Walking