Acceso usuarios
Ashraf Mohamed Attia Elazab, Walid Reda, Alaa Eldein Mohey Eldein Soliman, Ahmed Mahmoud Gad
The purpose of this study was to compare the clinical and functional outcomes of anterior cruciate ligament reconstruction (ACLR) using hamstring tendon (HT) and bone–patellar tendon–bone (BTB) autografts through a prospective randomized trial. Thirty-eight patients with isolated ACL injuries were randomized to undergo ACLR using either HT (n = 19) or BTB (n = 19) autografts. All procedures were performed using an anatomic single-bundle arthroscopic technique. Patients were evaluated preoperatively and at 12 months postoperatively using the IKDC score, Rolimeter testing, Lachman and pivot shift tests, hop test, and range of motion. Both groups showed significant improvement in all parameters. The mean IKDC score was 82.6 ± 6.3 in the HT group and 83.2 ± 5.9 in the BTB group. No significant differences were found in knee stability, hop test results, or return-to-sport rates. No complications or graft failures occurred. ACLR using either autograft type yielded comparable outcomes. Graft choice should be individualized based on patient characteristics and surgeon preference.
