Comparative Study of Functional Outcome of Hamstring Verses Bptb Graft in Acl Reconstruction
Year: 2024
Type: article
Study design: Observational Study
Abstract: Anterior cruciate ligament (ACL) injuries are among the most common knee injuries requiring surgical intervention. The choice of graft for ACL reconstruction—hamstring or bone-patellar tendon-bone (BPTB)—remains debatable due to differences in functional outcomes and complications. Objective: To compare the functional outcomes of ACL reconstruction using hamstring and BPTB grafts regarding knee stability, range of motion (ROM), patient satisfaction, and complication rates. Methods: This retrospective study included 150 patients who underwent ACL reconstruction, divided into two groups: 75 received hamstring grafts (Group A), and 75 received BPTB grafts (Group B). Clinical evaluations and patient-reported outcomes were assessed at 6 and 12 months post-surgery. Statistical analysis was performed using SPSS software, with a p-value <0.05 considered significant. Results: Knee stability was achieved in 90% of patients in the hamstring group and 94% in the BPTB group. Group A demonstrated better ROM recovery (130° ± 5 vs. 125° ± 5) and a lower complication rate (12% vs. 25%). Patient satisfaction was higher in the hamstring group (92% vs. 85%), while return-to-sport rates were slightly higher in the BPTB group (82% vs. 78%). Anterior knee pain was more prevalent in the BPTB group (28% vs. 10%). Conclusion: Both grafts are effective for ACL reconstruction, but each has distinct advantages and limitations. The BPTB graft offers superior initial stability and return-to-sport rates but is associated with higher complications. The hamstring graft provides better ROM, fewer complications, and higher patient satisfaction, making it a preferred choice for smoother rehabilitation. Graft selection should be individualized based on patient needs and activity levels.
Authors: N ULLAH, B KHAN, AM HUSSAIN, M SHOIB, KK KAKAR, SU KAKAR
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4404645954