Arthroscopic reconstruction of anterior cruciate ligament: 4-strand versus 5-strand hamstring autograft
INTRODUCTION: In present study, we aimed to compare the functional outcome after 4-strand versus 5-strand hamstring autograft for anterior crucial ligament reconstruction using Tegner Lysholm score. MATERIALS AND METHODS: Study included 70 cases (35 in each group) of complete anterior cruciate ligam...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Orthopaedics and Spine |
| Subjects: | |
| Online Access: | http://www.joas.org.in/article.asp?issn=2666-7150;year=2022;volume=10;issue=2;spage=73;epage=77;aulast=Goyal |
| _version_ | 1797866456558338048 |
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| author | Chetan Goyal Surinder Singh Ajrawat Joseph J B Mal Bhuwan Sharma |
| author_facet | Chetan Goyal Surinder Singh Ajrawat Joseph J B Mal Bhuwan Sharma |
| author_sort | Chetan Goyal |
| collection | DOAJ |
| description | INTRODUCTION: In present study, we aimed to compare the functional outcome after 4-strand versus 5-strand hamstring autograft for anterior crucial ligament reconstruction using Tegner Lysholm score. MATERIALS AND METHODS: Study included 70 cases (35 in each group) of complete anterior cruciate ligament tear confirmed radiologically on MRI. After doing anterior cruciate ligament reconstruction with 4- and 5-strand hamstrings autograft, the patients were assessed for the functional outcome using Tegner Lysholm score at post-operative interval of 3, 6 and 9 months. Data were analyzed using SPSS software version 21. RESULTS: Tegner Lysholm score at baseline was 41.63 and 42.01 in 4- and 5-strand group which increased progressively to 93.45 and 85.13 at the end of 9 months. The improvement was significantly more in 5-strand group (P < 0.05). Overall, at the end of follow-up, excellent results were seen in 71.4% versus 60% patients while good to fair results were seen in 20% versus 28.6% and 8.6% versus 8.6% patients in 4- and 5-strand groups, respectively. Poor outcome in terms of revision surgery was required in one case (2.9%) of 4-strand group. CONCLUSION: Study concluded that single 5-strand graft offers good functional outcome in cases of anterior crucial ligament reconstruction. A 5-strand hamstring graft provides an increase in diameter than 4-strand graft, which leads to stronger graft and reduced revision rate. It is especially useful in the cases of undersized hamstring graft or stability issues. |
| first_indexed | 2024-04-09T23:24:26Z |
| format | Article |
| id | doaj.art-bb523cab5eba4b3b8b1f1c3e4db4b25e |
| institution | Directory Open Access Journal |
| issn | 2666-7150 |
| language | English |
| last_indexed | 2024-04-09T23:24:26Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Orthopaedics and Spine |
| spelling | doaj.art-bb523cab5eba4b3b8b1f1c3e4db4b25e2023-03-21T11:21:02ZengWolters Kluwer Medknow PublicationsJournal of Orthopaedics and Spine2666-71502022-01-01102737710.4103/JOASP.JOASP_13_22Arthroscopic reconstruction of anterior cruciate ligament: 4-strand versus 5-strand hamstring autograftChetan GoyalSurinder Singh AjrawatJoseph J B MalBhuwan SharmaINTRODUCTION: In present study, we aimed to compare the functional outcome after 4-strand versus 5-strand hamstring autograft for anterior crucial ligament reconstruction using Tegner Lysholm score. MATERIALS AND METHODS: Study included 70 cases (35 in each group) of complete anterior cruciate ligament tear confirmed radiologically on MRI. After doing anterior cruciate ligament reconstruction with 4- and 5-strand hamstrings autograft, the patients were assessed for the functional outcome using Tegner Lysholm score at post-operative interval of 3, 6 and 9 months. Data were analyzed using SPSS software version 21. RESULTS: Tegner Lysholm score at baseline was 41.63 and 42.01 in 4- and 5-strand group which increased progressively to 93.45 and 85.13 at the end of 9 months. The improvement was significantly more in 5-strand group (P < 0.05). Overall, at the end of follow-up, excellent results were seen in 71.4% versus 60% patients while good to fair results were seen in 20% versus 28.6% and 8.6% versus 8.6% patients in 4- and 5-strand groups, respectively. Poor outcome in terms of revision surgery was required in one case (2.9%) of 4-strand group. CONCLUSION: Study concluded that single 5-strand graft offers good functional outcome in cases of anterior crucial ligament reconstruction. A 5-strand hamstring graft provides an increase in diameter than 4-strand graft, which leads to stronger graft and reduced revision rate. It is especially useful in the cases of undersized hamstring graft or stability issues.http://www.joas.org.in/article.asp?issn=2666-7150;year=2022;volume=10;issue=2;spage=73;epage=77;aulast=Goyalanterior cruciate ligamentarthroscopic repairhamstring 4-strand grafthamstring 5-strand grafthamstring autografttegner lysholm score |
| spellingShingle | Chetan Goyal Surinder Singh Ajrawat Joseph J B Mal Bhuwan Sharma Arthroscopic reconstruction of anterior cruciate ligament: 4-strand versus 5-strand hamstring autograft Journal of Orthopaedics and Spine anterior cruciate ligament arthroscopic repair hamstring 4-strand graft hamstring 5-strand graft hamstring autograft tegner lysholm score |
| title | Arthroscopic reconstruction of anterior cruciate ligament: 4-strand versus 5-strand hamstring autograft |
| title_full | Arthroscopic reconstruction of anterior cruciate ligament: 4-strand versus 5-strand hamstring autograft |
| title_fullStr | Arthroscopic reconstruction of anterior cruciate ligament: 4-strand versus 5-strand hamstring autograft |
| title_full_unstemmed | Arthroscopic reconstruction of anterior cruciate ligament: 4-strand versus 5-strand hamstring autograft |
| title_short | Arthroscopic reconstruction of anterior cruciate ligament: 4-strand versus 5-strand hamstring autograft |
| title_sort | arthroscopic reconstruction of anterior cruciate ligament 4 strand versus 5 strand hamstring autograft |
| topic | anterior cruciate ligament arthroscopic repair hamstring 4-strand graft hamstring 5-strand graft hamstring autograft tegner lysholm score |
| url | http://www.joas.org.in/article.asp?issn=2666-7150;year=2022;volume=10;issue=2;spage=73;epage=77;aulast=Goyal |
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