Kneeling Assessment After Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Autograft Versus Hamstring Autograft
Background: ACL reconstruction surgeries is a common surgery that aim to provide stability and return functionality post ACL injury. Commonly, bone patellar tendon-bone (BPTB) and hamstring tendon autografts are used for the reconstruction. The choice of optimal autograft remains debatable to achieve satisfactory outcomes for various activities after reconstruction, including kneeling as widely needed, especially in prayers among Muslims. Kneeling with considerable ranges of motion and the
... motion and the minimum level of pain is still under rigorous investigations to choose proper autograft.Purpose: Hereby, we compare kneeling outcomes post-operatively using bone-patellar tendon-bone autografts with hamstring autografts for ACL reconstruction.Methods: A retrospective cohort study; Level of evidence (III) has enrolled. Adult patients underwent primary ACL reconstruction using either BPTB or HS autografts after they consented at a single institution with a minimum of 1-year as follow-up post-operatively were reviewed for assessment of the surgery's outcomes in regards of kneeling pain and subjective assessment measures using International Knee Documentation Committee (IKDC) evaluation system.Results: A total of Thirty-two males were met our inclusion criteria. Analysis of data provided that 12 patients were in the BPTB group and 20 patients in the HS group. All patients show ACL rupture was sustained during participation in the athletic activity. After a follow-up of 1-year, there was no statistically significant difference between scores of two groups when comparing patient-reported outcome measures, with mean IKDC scores of 68.5 and 62.55 in the BPTB and HS groups, respectively. Interestingly, insignificant statistical differences observed in both groups regarding kneeling pain in the BPTB group when compared with the HS group.Conclusion: The findings of our study have shown that Arthroscopic ACL reconstruction using either hamstring autograft or bone patellar tendon autograft ends with equally reasonable satisfactory outcomes, with an insignificant difference in kneeling pain between both groups.