TY - JOUR
T1 - Functional outcome of implant-free bone-patellar tendon autograft versus hamstring autograft in arthroscopic anterior cruciate ligament reconstruction
T2 - A prospective study
AU - Tua Lubis, Andri Maruli
AU - Budimansyah, Muhammad
AU - Made Febry Siswanto, I. Gusti
AU - Yanuarso, Yanuarso
AU - Marsetio, Aldo Fransiskus
N1 - Funding Information:
The authors would like to thank the Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia and Gatot Soebroto Army Hospital, Jakarta, for providing facilities. Author AL, MB, IS YY conceived and designed the study, performed all examinations, acquired, analyzed and interpreted the patient data, and draft the publication work. Author AL also serves as the corresponding author. Author AM analyzed and interpreted the patient data, and draft the publication work. All authors read and approved the final manuscript.
Publisher Copyright:
© 2021 The Authors
PY - 2021/3
Y1 - 2021/3
N2 - Introduction: The use of implant in anterior cruciate ligament (ACL) reconstruction has been associated with several drawbacks including graft injury, implant osteolysis, implant migration and soft tissue irritation. Implant-free ACL reconstruction surgery offers additional benefits of cost-effective, improved graft incorporation and ease of revision surgery. Our study aimed to compare the functional outcome of ACL reconstruction by using bone-patellar tendon autograft with press-fit fixation technique and hamstring autografts with implant. Methods: A prospective cohort study design was used. Between March 2013 and March 2014, 12 patients underwent patella tendon-bone graft fixated by press-fit fixation technique (implant-free), while 24 patients underwent ACL reconstruction using implant-fixated hamstring tendon graft. Objective functional outcome was measured by using rolimeter, and subjective functional outcome was measured according to the functional score of IKDC, Tegner-Lysholm and KOOS. Results: Both techniques have shown no significant difference in terms of functional outcome, whether assessed by rolimeter measurement, IKDC score, Tegner-Lysholm, KOOS score between implant group and implant-free group, preoperatively and postoperatively. Discussion: Our study results are in line with several other studies with various follow-up time and systematic review. With the right technique, graft harvesting of patella tendon-tibial tuberosity bone block can be successfully performed, and associated donor site morbidity can be avoided. Conclusion: Patients who underwent ACL reconstruction using implant-free technique by press-fit fixation had comparable outcome with ACL reconstruction with implant, objectively and subjectively. This technique should be further revisited and reevaluated.
AB - Introduction: The use of implant in anterior cruciate ligament (ACL) reconstruction has been associated with several drawbacks including graft injury, implant osteolysis, implant migration and soft tissue irritation. Implant-free ACL reconstruction surgery offers additional benefits of cost-effective, improved graft incorporation and ease of revision surgery. Our study aimed to compare the functional outcome of ACL reconstruction by using bone-patellar tendon autograft with press-fit fixation technique and hamstring autografts with implant. Methods: A prospective cohort study design was used. Between March 2013 and March 2014, 12 patients underwent patella tendon-bone graft fixated by press-fit fixation technique (implant-free), while 24 patients underwent ACL reconstruction using implant-fixated hamstring tendon graft. Objective functional outcome was measured by using rolimeter, and subjective functional outcome was measured according to the functional score of IKDC, Tegner-Lysholm and KOOS. Results: Both techniques have shown no significant difference in terms of functional outcome, whether assessed by rolimeter measurement, IKDC score, Tegner-Lysholm, KOOS score between implant group and implant-free group, preoperatively and postoperatively. Discussion: Our study results are in line with several other studies with various follow-up time and systematic review. With the right technique, graft harvesting of patella tendon-tibial tuberosity bone block can be successfully performed, and associated donor site morbidity can be avoided. Conclusion: Patients who underwent ACL reconstruction using implant-free technique by press-fit fixation had comparable outcome with ACL reconstruction with implant, objectively and subjectively. This technique should be further revisited and reevaluated.
KW - Anterior cruciate ligament
KW - Anterior cruciate ligament injury
KW - Bone-patellar tendon
KW - Implant-free ACL reconstruction
KW - Press-fit fixation
UR - http://www.scopus.com/inward/record.url?scp=85101786286&partnerID=8YFLogxK
U2 - 10.1016/j.amsu.2021.102184
DO - 10.1016/j.amsu.2021.102184
M3 - Article
AN - SCOPUS:85101786286
SN - 2049-0801
VL - 63
JO - Annals of Medicine and Surgery
JF - Annals of Medicine and Surgery
M1 - 102184
ER -