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Double-bundle hamstring tendon

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Nguyễn Gia Hào

Academic year: 2023

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Mohtadi et al. (2019) DOI: 10.2106/JBJS.18.01322

A Randomized Clinical Trial Comparing Patellar Tendon, Hamstring Tendon, and Double-Bundle ACL Reconstructions. Patient-Reported and Clinical Outcomes at 5-Year Follow-up

© 2019 Journal of Bone & Joint Surgery, Inc. (JBJS)

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Comparison of Five-Year Outcomes Following Three ACL Reconstruction Techniques

Double-bundle hamstring tendon

(DB) Single-bundle

hamstring tendon (HT)

Patellar tendon (PT)

Study evaluated the 5-year outcomes of

315 patients treated for complete ACL ruptures using…

All three groups showed improved 5-year ACL-QOL scores, but no differences between

groups at 5 years

PT group reported more moderate to severe kneeling pain, while more traumatic ACL reinjuries occurred in the HT and DB groups

Primary outcome: Anterior Cruciate Ligament- Quality of Life (ACL-QOL) score

PT HT DB

85.00

75.00

65.00

55.00

45.00

35.00

25.00

0 3 6 12 24 60

Mea n A CL -Q OL Scor e

Months

Secondary outcomes PT HT DB

87% 82% 75%

12% 16% 22%

10% 4% 2%

4% 15% 16%

% of patients with a normal or nearly normal IKDC grade

Pivot shift (of ≥2) Kneeling pain Traumatic reinjury

Disease-specific quality of life at 5 years is not different, but PT reconstruction is recommended for younger patients

with a high risk of reinjury

Anterior cruciate

ligament (ACL)

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