Functional outcome of anterior cruciate ligament (ACL) reconstruction: comparison of bone-patella tendon-bone (BPTB) vs. Hamstring graft

Introduction: This is a cross-sectional study to evaluate the functional outcome of ACL Reconstruction between BPTB and hamstring graft who underwent ACL Reconstruction between January to June 2012 at our institution. Methods: Functional IKDC scoring was done pre-operatively, at 6 months and one yea...

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Main Authors: Jaya Raj, Jeffrey, Nik Mohd Najmi, Nik Mohd Fatmy, Hamdanc, Mohammad Amirrudin, Che Ahmad, Aminudin, Zulkifly, Ahmad Hafiz
Format: Article
Language:English
Published: Kulliyyah of Medicine, IIUM, Kuantan 2016
Subjects:
Online Access:http://irep.iium.edu.my/54809/
http://irep.iium.edu.my/54809/1/MRS2016-ABSTRACT-BOOK-19.pdf
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author Jaya Raj, Jeffrey
Nik Mohd Najmi, Nik Mohd Fatmy
Hamdanc, Mohammad Amirrudin
Che Ahmad, Aminudin
Zulkifly, Ahmad Hafiz
author_facet Jaya Raj, Jeffrey
Nik Mohd Najmi, Nik Mohd Fatmy
Hamdanc, Mohammad Amirrudin
Che Ahmad, Aminudin
Zulkifly, Ahmad Hafiz
author_sort Jaya Raj, Jeffrey
building IIUM Repository
collection Online Access
description Introduction: This is a cross-sectional study to evaluate the functional outcome of ACL Reconstruction between BPTB and hamstring graft who underwent ACL Reconstruction between January to June 2012 at our institution. Methods: Functional IKDC scoring was done pre-operatively, at 6 months and one year. Arthrometric measurements were taken using KT-2000. Lysholm score and SF-36 were assessed at one year. Resuts: All patients are male, mean age is 29 (21 to 37 years old). 21.4% patients from patella BPTB group and 13% of hamstring group had anterior knee pain. 50% of patients from both groups complained of numbness over operative site. Average time return to pre-injury sports activity for BPTB group was 7.9 months, whereas for hamstring group was 8.3 months. KT-2000 measurements revealed an average side to side laxity difference average of 6.6mm in BPTB group and 7.9mm in hamstring group. Pivot shift were negative at 6 months in all patients. IKDC knee scoring significantly improved from grade C or D to grade B in 82% of BPTB group and 63% in hamstring group one year post operatively. There were no difference between both groups in terms of SF-36, Lysholm score and knee range of motion. Conclusions: There are no difference in functional outcome and lysholm knee score between the two groups although there is a discrepancy of IKDC score and arthrometric measurement at one year. Although both groups have moderate anterior laxity after one year, but they are asymptomatic and able to go back to preinjury sports activities.
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spelling iium-548092017-07-17T06:57:30Z http://irep.iium.edu.my/54809/ Functional outcome of anterior cruciate ligament (ACL) reconstruction: comparison of bone-patella tendon-bone (BPTB) vs. Hamstring graft Jaya Raj, Jeffrey Nik Mohd Najmi, Nik Mohd Fatmy Hamdanc, Mohammad Amirrudin Che Ahmad, Aminudin Zulkifly, Ahmad Hafiz RD701 Orthopedics Introduction: This is a cross-sectional study to evaluate the functional outcome of ACL Reconstruction between BPTB and hamstring graft who underwent ACL Reconstruction between January to June 2012 at our institution. Methods: Functional IKDC scoring was done pre-operatively, at 6 months and one year. Arthrometric measurements were taken using KT-2000. Lysholm score and SF-36 were assessed at one year. Resuts: All patients are male, mean age is 29 (21 to 37 years old). 21.4% patients from patella BPTB group and 13% of hamstring group had anterior knee pain. 50% of patients from both groups complained of numbness over operative site. Average time return to pre-injury sports activity for BPTB group was 7.9 months, whereas for hamstring group was 8.3 months. KT-2000 measurements revealed an average side to side laxity difference average of 6.6mm in BPTB group and 7.9mm in hamstring group. Pivot shift were negative at 6 months in all patients. IKDC knee scoring significantly improved from grade C or D to grade B in 82% of BPTB group and 63% in hamstring group one year post operatively. There were no difference between both groups in terms of SF-36, Lysholm score and knee range of motion. Conclusions: There are no difference in functional outcome and lysholm knee score between the two groups although there is a discrepancy of IKDC score and arthrometric measurement at one year. Although both groups have moderate anterior laxity after one year, but they are asymptomatic and able to go back to preinjury sports activities. Kulliyyah of Medicine, IIUM, Kuantan 2016-12 Article PeerReviewed application/pdf en http://irep.iium.edu.my/54809/1/MRS2016-ABSTRACT-BOOK-19.pdf Jaya Raj, Jeffrey and Nik Mohd Najmi, Nik Mohd Fatmy and Hamdanc, Mohammad Amirrudin and Che Ahmad, Aminudin and Zulkifly, Ahmad Hafiz (2016) Functional outcome of anterior cruciate ligament (ACL) reconstruction: comparison of bone-patella tendon-bone (BPTB) vs. Hamstring graft. The International Medical Journal Malaysia, 15 (Supplement Issue). p. 19. http://iiumedic.net/imjm/v1/vol-15-supplement-issue/
spellingShingle RD701 Orthopedics
Jaya Raj, Jeffrey
Nik Mohd Najmi, Nik Mohd Fatmy
Hamdanc, Mohammad Amirrudin
Che Ahmad, Aminudin
Zulkifly, Ahmad Hafiz
Functional outcome of anterior cruciate ligament (ACL) reconstruction: comparison of bone-patella tendon-bone (BPTB) vs. Hamstring graft
title Functional outcome of anterior cruciate ligament (ACL) reconstruction: comparison of bone-patella tendon-bone (BPTB) vs. Hamstring graft
title_full Functional outcome of anterior cruciate ligament (ACL) reconstruction: comparison of bone-patella tendon-bone (BPTB) vs. Hamstring graft
title_fullStr Functional outcome of anterior cruciate ligament (ACL) reconstruction: comparison of bone-patella tendon-bone (BPTB) vs. Hamstring graft
title_full_unstemmed Functional outcome of anterior cruciate ligament (ACL) reconstruction: comparison of bone-patella tendon-bone (BPTB) vs. Hamstring graft
title_short Functional outcome of anterior cruciate ligament (ACL) reconstruction: comparison of bone-patella tendon-bone (BPTB) vs. Hamstring graft
title_sort functional outcome of anterior cruciate ligament (acl) reconstruction: comparison of bone-patella tendon-bone (bptb) vs. hamstring graft
topic RD701 Orthopedics
url http://irep.iium.edu.my/54809/
http://irep.iium.edu.my/54809/
http://irep.iium.edu.my/54809/1/MRS2016-ABSTRACT-BOOK-19.pdf