Hamstring grafts prove more effective in ACL knee reconstruction, study says

Feb 19, 2011

Patients receiving anterior cruciate ligament (ACL) knee reconstruction with a hamstring tendon graft rather than a knee tendon graft were less likely to suffer from pain and mobility issues15 years after surgery, say researchers presenting a study today at the American Orthopaedic Society for Sports Medicine's Specialty Day in San Diego, California (February 19).

"While we have seen excellent results in terms of knee symptoms and function with both graft types, comparing the two definitely showed differences, "said Leo Pinczewski, MD, lead researcher and surgeon with the North Sydney Orthopaedic and Center in Wollstonecraft, Australia. "Patients with a hamstring graft reported less and discomfort and demonstrated a higher activity level."

Surgeons performing ACL aim to eliminate instability and quickly return patients to pre-injury function levels. Since ACL ruptures are relatively common, especially in , surgical procedures are routinely performed.

This study adds to Pinczewski's most recent work exploring the overall success rate of ACL knee reconstruction in athletes after 15 years. "We know that these surgeries work, but this information helps us determine which approaches can be most effective. Getting athletes back on the field is certainly important, but long term success rates are crucial as well," said Pinczewski.

The study followed 180 knee reconstruction patients, with 90 (48 men and 42 women between the ages of 15-42 years) receiving a patellar tendon (PT) graft and the other 90 (47 men and 43 women between the ages of 13-52 years) receiving a hamstring tendon (HT) graft. After 15 years, 80 percent of the PT group and 73 percent of the HT group were assessed based on their symptoms of pain, swelling and knee mobility.

The HT group demonstrated significantly higher activity levels, with 77 percent performing at least strenuous activities, compared to 62 percent being able to perform strenuous activity in the PT group. In evaluating pain when kneeling, 42 percent of the PT group patients reported moderate or greater pain, while 26 percent of the HT group reported pain. The PT group also showed worse outcomes in tests for motion loss and osteoarthritis.

Reasons for increased osteoarthritis in the hamstring tendon graft were uncertain and recommended for further investigation.

Explore further: Dengue fever strikes models in Japan

Provided by American Orthopaedic Society for Sports Medicine

4 /5 (2 votes)
add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Travel restrictions could worsen Ebola crisis: experts

3 minutes ago

Travel restrictions could worsen West Africa's Ebola epidemic, limiting medical and food supplies and keeping out much-needed doctors, virologists said Tuesday as the disease continued its deadly spread.

World 'losing the battle' to contain Ebola: MSF

43 minutes ago

International medical agency Medecins sans Frontieres said Tuesday the world was "losing the battle" to contain Ebola and called for a global biological disaster response to get aid and personnel to west Africa.

Mutating Ebola viruses not as scary as evolving ones

1 hour ago

My social media accounts today are cluttered with stories about "mutating" Ebola viruses. The usually excellent ScienceAlert, for example, rather breathlessly informs us "The Ebola virus is mutating faster in humans than in animal hosts ...

War between bacteria and phages benefits humans

1 hour ago

In the battle between our immune systems and cholera bacteria, humans may have an unknown ally in bacteria-killing viruses known as phages. In a new study, researchers from Tufts University, Massachusetts ...

Ebola kills 31 people in DR Congo: WHO

3 hours ago

An outbreak of the Ebola virus in the Democratic Republic of Congo has killed 31 people and the epidemic remains contained in a remote northwestern region, UN the World Health Organization (WHO) said Tuesday.

User comments : 0