ACL Reconstruction With BPTB Graft Using an Oblique Incision Reduces the Incidence of Anterior Knee Pain- Mid Term Follow-up Study

Volume 5 | Issue 2 | September-December 2020 | Page 02-06 | Divya Bandari, David V. Rajan, Santosh Sahanand

Author: Divya Bandari [1], David V. Rajan[1], Santosh Sahanand [1]

[1] Department of Orthopaedics, Gandhi Medical College/Hospital, Musheerabad, Hyderabad, Telangana, India.
[2] Ortho-One Orthopaedic Speciality centre, Hyderabad, Telangana, India.

Address of Correspondence:
Dr. Divya Bandari,
Assistant Proffesor, Gandhi Medical College/Hospital 1-6-129 , Opp. kausalya nivas , near Bharat seva samaj
Musheerabad, Hyderabad, Telangana, India. 500020
E-mail: divi.bandari15@gmail.com

Abstract

Introduction: A BPTB graft is the preferred choice of graft fixation, especially for young athletes who are involved in contact sports. However, there have been limited studies to determine and quantify the degree and characteristics of anterior knee pain and differentiate it from kneeling pain as a separate entity.
Study type: Prospective Study
Materials and methods: In our study we have followed 60 patients 30 each of BPTB and STG graft ACL reconstruction from 2013 to 2016 visiting Ortho one orthopaedic speciality centre with a minimum follow up period of 2 years and assessed the anterior knee pain and kneeling pain in terms of difficulty with the help of IKDC score and also quantified them with the help of VAS scores. We divided Anterior knee pain and Kneeling pain into no pain(VAS 0), mild pain (VAS 1-3), moderate pain(VAS 4-7) and severe pain (VAS 8-10).
Results: On quantifying the pain using the VAS score for anterior knee pain the BPTB and STG group showed no patients with severe pain (8 to 10) at the end of 12 and 24 months. Moderate pain (4 to 7) at 12 months was seen in 12 patients each (40%) and at 24 months in 5 patients (15%) in BPTB group and 4 patients (13.3%) in STG group. There was statistically no diff between both groups at 1 and 2 years follow up. (>0.05)Our study showed less incidence and severity than previously published studies.
Conclusion: The results of the present study showed a trend toward better subjective results with the use of a small oblique incision for the harvest of BPTB graft for ACL reconstruction.
Keywords: Anterior cruciate ligament; Bone patellar tendon bone; semitendinosus; Gracilis; Prospective; Pain; Quantification.

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