Comparison of arthroscopic reconstruction of anterior cruciate ligament using either 4 bundles hamstring tendon autograft or anterior tibial tendon allograft
WANG Zejin
HUANG Jiongfeng
HUANG Bingsheng
LI Pingyue
HUANG Huayang
Abstract：Objective To investigate the clinical effects of arthroscopic reconstruction of anterior cruciate ligament (ACL) using either 4 bundles hamstring tendon autograft or anterior tibial tendon allograft. Methods From September 2010 to June 2013, clinical data of 42 patients with ACL rupture underwent arthroscopic reconstruction in Guangzhou Panyu Central Hospital, were analyzed retrospectively. According to different kinds of grafts, the patients were divided into autograft group (n = 22, using 4 bundles hamstring tendon autograft) and allograft group (n = 20, using anterior tibial tendon allograft). Differences of operative time, fever time and wound healing time were compared between two groups; Lysholm knee joint scores, International Knee Documentation Committee (IKDC) scores were recorded to evaluate knee joint function, and the stability of knee joint was examined by KT-2000 arthrometer. Results Compared with allograft group, operative time was longer, and fever time was shorter in autograft group, the differences had statistical significance (P <0.05). The average follow-up was (27 ± 3) months in autograft group and (27 ± 4) months in allograft group. During the follow-up, there were no complications of graft breakage, loosening, deep vein thrombosis of the lower extremity, and non-healing wounds. At the last follow-up, Lysholm scores, IKDC grading and KT-2000 forward distance were all improved compared with preoperative ones (P<0.05), while there were no statistical differences between two groups (P >0.05). Conclusion Using 4 bundles hamstring tendon autograft and anterior tendon allograft will make no significant difference in clinical outcome, as a result, the latter could be a good substitute for patients whose tendon autograft is not sufficient for arthroscopic reconstruction of ACL.
Keywords：ArthroscopyAnterior cruciate ligamentKnee injuriesTransplantationhomologousautologousHamstring tendonAnterior tibial tendon
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 17-23 )