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Ege Journal of Medicine
2019, Cilt 58, Sayı 1, Sayfa(lar) 039-045
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Comparison of long-term clinical, radiological and donor site morbidity results of the arthroscopic anterior cruciate ligament reconstruction by using bone-patellar tendon-bone autograft or four-semitendinosus autograft
Anıl Murat Öztürk, Emin Taşkıran
Ege Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İzmir, Türkiye
Keywords: Anterior cruciate ligament, arthroscopy, patellar tendon, semitendinosus tendon

Aim: We aimed to evaluate and compare among multiple variables the radiological, clinical results and donor site morbidity of long-term follow-up of two groups of patients who underwent arthroscopic anterior cruciate ligament reconstruction by using bone-patellar tendon-bone autograft or four semitendinosus autografts after anterior cruciate ligament injury.

Materials and Methods: Eighty-one patients who underwent arthroscopic anterior cruciate ligament reconstruction surgery between January 1994 and December 2002 in the Orthopedics and Traumatology Department of Ege University Faculty of Medicine were retrospectively evaluated. Patients were divided into two groups using bone-patellar tendon-bone (PT) or quadruple semitendinosus (ST) autograft. Preoperative data were obtained from hospital records. At the last visit, clinical examinations and Cybex and KT-1000 measurements were performed. From the X-rays, tibial and femoral tunnel locations, patellar height and osteoarthritis status were evaluated.

Results: Post operative knee pain, patella baja, neeling pain on hard ground were found higher in PT group than ST group. Loss of sensation in front of knee was found high in PT group. Radiologic grade 2 was found to be higher in patients operated in chronic period and in patients whose meniscus was excited instead of repair.

Conclusion: Clinical and functional comparisons of arthroscopic reconstruction with ST or PT autografts provide adequate functional stability with both autograft materials. Consistent with donor site morbidity, anterior knee problems are more prevalent in the PT group.


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