Anterior cruciate ligament reconstruction with semitendinosus graft provided similar stability and knee function and fewer problems with kneeling compared with the bone-patellar tendon-bone graft.

摘要

Question: In patients having an anterior cruciate ligament (ACL) reconstruction procedure, how do bone-patellar tendon-bone (BPTB) and semiten-dinosus (ST) grafts compare with regard to long-term knee function, graft-related morbidity, and health-related quality of life (HRQOL)?Design: Randomized (allocation concealed), un-blinded, controlled trial with a mean follow-up of 8.4 years.Setting: 2 centers in Stockholm, Sweden.Patients: 164 patients (age range, fifteen to forty-five years) had a single-leg ACL insufficiency, with the trauma occurring at least two months before surgery, no previous ACL reconstruction in the involved knee, and no concomitant posterior cruciate ligament insufficiency. Of 180 patients randomized in the original trial with 2-year end points, 164 patients were included in this longer-term follow-up study; 153 patients (85%) (mean age, 34 years; 58% men) completed follow-up.