Title: BPT bone versus Quadruple Hamstring Tendon Graft for Reconstruction of ACL injury based on the Clinical Outcome of the Patients
Authors: Dr ABM Zakir Uddin, Dr Farzana Rabee Choudhury, Dr Abu Bakar Siddique, Dr Md Abul Hasnat, Dr Md Mizanur Rahman, Dr Md Shafiqul Islam
DOI: https://dx.doi.org/10.18535/jmscr/v7i10.78
Abstract
Introduction: The knee is the most frequently injured joint because of its anatomic structure, its exposure to external forces and the functional demands placed on it. Knee injuries are often severely disabling unless diagnosed promptly and treated efficiently, and as such, the joint that is used to carry and to propel merits care on every account.
Objective: The present study is conducted to make a comparison of BPT bone versus quadruple hamstring tendon graft for reconstruction of ACL injury based on the clinical outcome of the patients.
Methodology: The study was carried out at National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Sere-Banglanagar, Dhaka, Bangladesh, during the period from January 2006 to December 2007. A total of 19 patients meeting the above selection criteria were selected consecutively from the study population. The patients were divided into two groups (Group-I and Group-II), group-I consisting of ten (10) patients and group-I consisting of nine (9) patients based on the different treatment plans.
Results: Clinical evaluation 6 month after surgery showed no significantly deferent result between two groups, but slight better result in contest of knee flexion and lower thigh atrophy in the hamstring tendon group.
Conclusion: It is concluded that in the light of harvest site morbidity and post-operative stiffness associated with the patellar tendon graft, many surgeons look at other choices.
Keywords: BPT, ACL, Quadruple Hamstring Tendon Graft, Clinical Outcome.