Effects of Graft Selection In Arthroscopic Anterior Cruciate Ligament Reconstruction On Clinical Results: Mid-Term Functional Results.

İngilizce (OpenAlex)

Midterm Functional ResultsT he increase in the rate of participation in sports as am- ateurs, professionals, or as a hobby, has increased the frequency of sports injuries.The anterior cruciate ligament (ACL), which is frequently affected in sports injuries, plays an important role in the stability of the knee.If there is a loss of function of the ACL, which does not have self-healing potential, it can lead to osteoarthritis, pain, and loss of mobility, and a decrease in quality of life.[1] Standard surgical treatment after injuries causing loss of function of the ACL is reconstruction.There is no consensus in the literature regarding the ideal surgical procedure for ACL reconstruction.One issue is the choice of graft to be used for reconstruction.The ideal graft should be able to reconstruct the complex anatomy of the ACL, have the biomechanical properties of the ACL, allow for strong and safe placement, adapt quickly to the biological location,Objectives: This study is a comparison of the midterm clinical results of patients who underwent anterior cruciate ligament (ACL) reconstruction using an allograft and those who had an autograft procedure.Methods: The results of 70 patients who underwent ACL reconstruction with an anterior tibial tendon (ATT) allograft (n=18) or a hamstring (HT) autograft (n=52) were evaluated retrospectively.At the last follow-up, International Knee Documentation Committee (IKDC) and Tegner-Lysholm scores were used to assess functional status, as well as results of the Lachman test, the anterior drawer test, and the pivot-shift test.Results: There was no significant difference between the 2 groups in terms of age, gender, length of time before operation, graft thickness, or femoral tunnel length (p>0.05).The results were satisfactory in both groups in the postoperative period in terms of the length of time until a return to sports, IKDC score, Tegner-Lysholm score, range of motion, quadriceps circumference, and laxity, with no significant difference between the groups (p>0.05). Conclusion:The results of this study suggested that midterm clinical outcomes of ACL reconstruction with an ATT allograft or an HT autograft are similar when the correct technique is used according to the appropriate indications by an experienced surgeon and a successful rehabilitation program implemented after the operation.