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Comparison of functional outcomes of arthroscopic ACL reconstruction using quadruple hamstring graft and quadriceps tendon grafts- A prospective study

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Original Article

Author Details : Ashish Kumar, Sanjiv Kumar*, Rahul Chauhan, Deepak Kumar

Volume : 5, Issue : 2, Year : 2019

Article Page : 149-153

https://doi.org/10.18231/j.ijos.2019.028

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Abstract

Introduction: Selection of graft for primary anterior cruciate ligament reconstruction have long been a topic of controversy. Among the vast range of graft options, hamstring autograft is most commonly used and quadriceps tendon autograft is less common.
Purpose: To compare the functional outcomes in quadriceps tendon graft and quadruple hamstring graft in primary anterior cruciate ligament reconstruction.
Materials and Methods: Thirty patients with post traumatic anterior cruciate ligament injury were taken into study. All 30 patients were randomised and two group were made. Group H Included 15 patients in which ACL reconstruction was done using quadruple hamstring graft and Group Q included 15 patients in which ACL reconstruction was done using quadriceps tendon graft. All patients were prospectively analysed. In post-operative period all patients were treated with standardized rehabilitation protocol and were evaluated at 6 weeks, 3 months and 6months by Lysholm knee score, quadriceps weakness, extension lag, quadriceps wasting, anterior drawer test, Lachman test and pivot shift test and compared.

Results: Mean difference in extensor lag between both groups was 1.07(p value 4.48), - 0.22(p value 3.59) and - 0.32(p value 2.28) at first, second and third follow-up but was not significant. Mean difference in quadriceps strength between both groups was 4.10(p value 0.172), 2.04(p value 0.955) and - 2.46(p value 0.218) at first, second and third follow-up but was not significant. Mean difference in quadriceps wasting between both groups was - 0.29(p value 0.380), - 0.33(p value 0.349) and - 0.26(p value 0.217) at first, second and third follow-up but was not significant. Mean difference in Lysholm knee score between both groups was 4.10(p value 0.172), 2.04(p value 0.955) and - 2.46 (p value 0.218) at first, second and third follow up but was not significant. No significant difference was found in both groups.
Conclusion: All the patients in whom ACL reconstruction were done showed good results irrespective of the choice of graft. The results showed no clinically significant difference at different follow-ups. Considering the small number of the study of short follow up, we recommend the study at larger scale for longer follow up to evaluate the results of both the procedures.

Keywords: Anterior collateral ligament reconstruction, Hamstring graft, Quadriceps graft.

How to cite : Kumar A, Kumar S, Chauhan R, Kumar D , Comparison of functional outcomes of arthroscopic ACL reconstruction using quadruple hamstring graft and quadriceps tendon grafts- A prospective study. Indian J Orthop Surg 2019;5(2):149-153

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