Anterior knee pain in ACL reconstruction with BPTB graft - Is it a myth? Comparative outcome analysis with hamstring graft in 1,250 patients

采用髌腱骨移植进行前交叉韧带重建术后出现膝前疼痛——这真的是个误区吗?一项纳入1250例患者的研究,比较了采用髌腱骨移植和采用腘绳肌腱移植的疗效。

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Abstract

Anterior Knee Pain(AKP) has been quoted as the main disadvantage of Bone Patellar Tendon Bone (BPTB)graft in Anterior Cruciate Ligament Reconstruction (ACLR). We overcome the problem by harvesting BPTB graft by mini-open mobile window technique. OBJECTIVES: To investigate postoperative incidence of AKP with BPTB graft in comparison with hamstring graft during primary ACLR. METHODS: Total of 1737 patients underwent ACLR in the study period of which 1250 met eligibility criteria (622-BPTB graft, , 628-Hamstring graft). RESULTS: Incidence of AKP, Lysholm score and IKDC score were analysed and found no statistically significant difference at 18-month followup. CONCLUSION: BPTB graft harvested by mini-open mobile window technique has a low incidence of AKP as of hamstring graft.

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