Eur J Musculoskel Dis 2025 May-Aug;14(2):76-85
CLINICAL TRIAL
CLINICAL AND FUNCTIONAL COMPARISON OF BONE–PATELLAR TENDON–BONE AND HAMSTRING TENDON AUTOGRAFTS IN ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION: A RANDOMIZED CONTROLLED TRIAL
A. Elazab*, W. Reda, A.M. Soliman and A.M. Gad
Orthopedic Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
*Correspondence to:
Ashraf Elazab, M.D,
Orthopedic Surgery Department,
Faculty of Medicine,
Cairo University,
Cairo, Egypt.
e-mail: montocristo2009@gmail.com
| Received: 07 July, 2025 Accepted: 15 September, 2025
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ISSN 2975-044X (online) ISSN 2038-4106 (print) Copyright © by BIOLIFE 2025 This publication and/or article is for individual use only and may not be further reproduced without written permission from the copyright holder. Unauthorized reproduction may result in financial and other penalties. Disclosure: All authors report no conflicts of interest relevant to this article. |
ABSTRACT
The purpose of this study was to compare the clinical and functional outcomes of anterior cruciate ligament reconstruction (ACLR) using hamstring tendon (HT) and bone–patellar tendon–bone (BTB) autografts through a prospective randomized trial. Thirty-eight patients with isolated ACL injuries were randomized to undergo ACLR using either HT (n = 19) or BTB (n = 19) autografts. All procedures were performed using an anatomic single-bundle arthroscopic technique. Patients were evaluated preoperatively and at 12 months postoperatively using the IKDC score, rolimeter testing, Lachman and pivot shift tests, hop test, and range of motion. Both groups showed significant improvement in all parameters. The mean IKDC score was 82.6 ± 6.3 in the HT group and 83.2 ± 5.9 in the BTB group. No significant differences were found in knee stability, hop test results, or return-to-sport rates. No complications or graft failures occurred. ACLR using either autograft type yielded comparable outcomes. Graft choice should be individualized based on patient characteristics and surgeon preference.
KEYWORDS: ACL reconstruction, hamstring tendon, patellar tendon, autograft comparison, functional outcome, graft choice
