Abstract
INTRODUCTION
The aim of this study was to compare the effectiveness of tibialis anterior allografting and hamstring tendon autografting reconstruction surgery after anterior cruciate ligament (ACL) injury in adult patients.
METHODS
This study was designed as a cross-sectional and retrospective study. Preoperative and postoperative functional parameters of patients who underwent ACL reconstruction surgery with hamstring autograft and tibialis anterior allograft methods due to ACL rupture were compared. Cross-pin and screw-staple were used for femur and tibia fixations, respectively. Lysholm knee scoring scale (LKSS) and Tegner activity level scale (TALS) were used for the outcome measures.
RESULTS
A total of 121 patients (100 males, 21 females) with a mean age of 32.74±7.82 years (ranging from 19 to 52 years) were included. Pain and giving way phenomenon were the most common symptoms. There was a significant difference between the preoperative (32.7 ± 7.8) and postoperative (64.08 ± 7.8) LKSS values of all patients (p <0.001). A significant difference was found between the preoperative (2.37±1.2) and postoperative (5.52±1.4) TALSvaluesof all patients (p<0.001). Compared with preoperative and postoperative LKSS and TALS scores, the increase in the allograft group was more prominent (LKSS: 30.27±4.8 vs. 24.43±2.8, TALS: 3.32±1.1 vs. 2.84±0.8). Complications were observed in 5 patients (4.1%), and all of them were successfully treated.
DISCUSSION AND CONCLUSION
In the light of our study, both hamstring autograft method and allograft method seem to be effective in improving LKSS and TALS inpatients who underwent ACL reconstruction surgery. However, the improvement in the allograft group is more prominent than that of in the autograft group.