Comparative Study Between 6 versus 4 Bands Hamstring Autografts for Anterior Cruciate Ligament Reconstruction | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 171, Volume 100, Issue 1, July 2025, Page 3738-3746 PDF (730.5 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2025.448750 | ||||
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| Abstract | ||||
| Background: Active people frequently sustain anterior cruciate ligament (ACL) injuries, which frequently need surgical repair for functional recovery. Hamstring tendon autografts are widely used, with variations in graft preparation techniques influencing outcomes. Objective: To compare the functional outcome after reconstruction of ACL by six band hamstrings versus four band hamstring autografts. Patients and methods: This study is a controlled randomized prospective study, that was conducted at Menoufia University Hospitals from March 2021 to December 2023. Twenty patients underwent ACL reconstruction using 6-band hamstring tendon autograft and twenty patients underwent ACL reconstruction using 4-band hamstring autograft with a minimum 12 months follow up period. Results: The 6-band and the 4-band hamstring tendon (HT) graft groups both showed significant improvement in functional outcome following ACL reconstruction. Within the 6-band HT group, the Lysholm score increased from preoperative mean of 63.1 to 95.9 at postoperative, while within the 4-band group it increased from 64.3 to 96.6. Similarly, the IKDC score increased from 62.9 to 96.70 in the 6-band group and from 64.50 to 96.25 in the 4-band group, indicating comparable improvements in patient-reported outcomes and knee function with both grafting techniques. Conclusion: Both graft groups are valid options for ACL reconstruction with comparable results with no significant difference between both groups regarding clinical and functional results especially when we need to increase graft size. | ||||
| Keywords | ||||
| ACL reconstruction; Functional outcome; Hamstring tendon; IKDC; Lysholm knee score; Tendon autograft | ||||
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