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Graft tunnel integration occurs early in the tibial tunnel compared with the femoral tunnel after anterior cruciate ligament reconstruction with preserved insertion hamstring tendon graft

Authors :
Ravi Gupta
Sandeep Singh
Anil Kapoor
Ashwani soni
Ravinder Kaur
Narinder Kaur
Source :
Knee Surgery & Related Research, Vol 33, Iss 1, Pp 1-7 (2021)
Publication Year :
2021
Publisher :
BMC, 2021.

Abstract

Abstract Background Preservation of hamstring tendon insertion at the time of anterior cruciate ligament (ACL) reconstruction is a well-known technique; however, its effect on graft integration is not well studied. The present study was conducted to study the graft integration inside the tibial and femoral tunnels, respectively, after ACL reconstruction using hamstring tendon graft with preserved insertion. Methods Twenty-five professional athletes who underwent ACL reconstruction using hamstring tendon graft with preserved tibia insertion were enrolled in the study. Functional outcomes were checked at final follow-up using Lysholm score and Tegner activity scale. Magnetic resonance imaging (MRI) was done at 8 months and 14 months follow-up to study the graft tunnel integration of the ACL graft at both tibial and femoral tunnels. Results The mean Fibrous interzone (FI) score (tibial tunnel) decreased from 2.61 (1–5) at 8 months to 2.04 (1–4) at 14 months follow-up (p = 0.02). The mean FI score (femoral side) decreased from 3.04 (2–5) at 8 months to 2.57 (2–4) at 14 months (p = 0.02). Conclusions Graft integration occurs early in the tibial tunnel as compared with the femur tunnel with preserved insertion hamstring tendon autograft. Trial registration CTRI/2019/07/020320 [registered on 22/07/2019]; http://www.ctri.nic.in/Clinicaltrials/pdf_generate.php?trialid=33884&EncHid=&modid=&compid=%27,%2733884det%27

Details

Language :
English
ISSN :
22342451
Volume :
33
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Knee Surgery & Related Research
Publication Type :
Academic Journal
Accession number :
edsdoj.87d67c7548cd4f7fb092f64423a9c75c
Document Type :
article
Full Text :
https://doi.org/10.1186/s43019-021-00119-x