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KMID : 0828620070110020104
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Journal of Korean Arthroscopy Society
2007 Volume.11 No. 2 p.104 ~ p.110
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Comparison of Clinical Outcomes in ACL Reconstruction using auto-Hamstring Tendon and allo-Tibialis Anterior Tendon
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Kim Jae-Hwa
Lee Yun-Seok
Rhee Seung-Yong
Jung Joo-Hwan
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Abstract
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Purpose: The purpose of this study is comparison of clinical outcomes in ACL reconstruction between auto-hamstring tendon and allo-tibialis anterior tendon.
Materials and Methods: In this prospective study, we included 60 subjects who underwent ACL reconstruction using 30 hamstring autograft (mainly, national health insurance) and 30 tibialis anterior allograft (including MVA and industrial injuries) between May 2003 and June 2005 by a single surgeon, with a minimum follow-up of 12 months. Outcome measurements were the range of motion, the Lachman test, the IKDC score, the Lysholm score, KT-1000 arthrometer and one-leg hop test.
Results: For all the cases, the range of motion was above 135 degrees. The Lachman test, KT-1000 arthrometer and one-leg hop test showed no significant difference between two groups. The IKDC score of auto-hamstring group(87.840±2.106) was significantly higher than that of allo-tibialis anterior group(85.273±2.782). The Lysholm score of auto-hamstring group(88.067±2.586) was also significantly higher than that of allo-tibialis anterior group(85.300±3.030).
Conclusion: The results of ACL reconstruction using the auto-hamstring tendon and allo-tibialis anterior tendon showed no significant difference in objective items but auto-hamstring group showed better results in subjective scoring. This difference may result from individual factors such as economic problem, secondary gain.
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KEYWORD
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Anterior cruciate ligament, Auto-hamstring tendon, Allo-tibialis anterior tendon, Clinical outcomes
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