Higher rate of patellofemoral problems after anterior cruciate ligament reconstruction using hamstring autograft

Phatama, Krisna Yuarno and Darmawansa, Romy and Oktafandi, I Gusti Ngurah Arga Aldrian and Cendikiawan, Felix and Pribadi, Alva and Siahaan, Lasa Dhakka and Rhatomy, Sholahuddin and Mustamsir, Edi (2021) Higher rate of patellofemoral problems after anterior cruciate ligament reconstruction using hamstring autograft. Open Access Macedonian Journal of Medical Sciences, 9. 811 – 815. ISSN 18579655

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Abstract

BACKGROUND: Patellofemoral problems are not uncommon among post-anterior cruciate ligament (ACL) reconstruction patients. Hamstring autograft harvesting-related factor is one of the suspected causes. A lack of tibiofemoral internal rotation force due to strength deficit causes the patella tends to shift laterally. AIM: Peroneus longus tendon has been proposed as an alternative graft source due to its adequate tensile strength and minimal donor site morbidity to the knee biomechanics, including the patellofemoral joint. This tendon does not cross the knee joint and thus does not affect patellofemoral alignment and biomechanics. This study aims to compare patellofemoral problems between hamstring and peroneus longus autograft harvested patients following ACL reconstruction. MATERIALS AND METHODS: Thirty-one subjects who underwent primary single-bundle ACL reconstruction between September 2018 and September 2019 and met the inclusion criteria were grouped into the hamstring group (n = 16) and peroneus longus group (n = 15). Both groups were evaluated retrospectively. The follow-up assessment was conducted on the phase II rehabilitation program. The assessed variables were pain, crepitus, and the Indonesian-validated Kujala score. RESULTS: No significant differences in pain and crepitus were found between both groups. There were significant differences in the Kujala score between both groups (p < 0.001). The peroneus longus group reported an averagely higher score than the hamstring group. CONCLUSION: Single bundle ACL reconstruction using peroneus longus tendon autograft produces less patellofemoral symptoms and functional limitation than using hamstring tendon autograft. © 2021 Krisna Yuarno Phatama, Romy Darmawansa, I Gusti Ngurah Arga Aldrian Oktafandi, Felix Cendikiawan, Alva Pribadi, Lasa Dhakka Siahaan, Sholahuddin Rhatomy, Edi Mustamsir.

Item Type: Article
Additional Information: Cited by: 2; All Open Access, Gold Open Access
Uncontrolled Keywords: adolescent; adult; anterior cruciate ligament reconstruction; arthroscopy; Article; autograft; biomechanics; bone patellar tendon bone graft; clinical article; cohort analysis; donor site; female; hamstring muscle; hamstring tendon; human; knee instability; Kujala Anterior Knee Pain Scale; male; pain; patellofemoral joint; physical activity; retrospective study; scoring system; semitendinous muscle; tensile strength
Subjects: R Medicine > RF Otorhinolaryngology
Divisions: Faculty of Medicine, Public Health and Nursing > Public Health and Nutrition
Depositing User: Sri JUNANDI
Date Deposited: 28 Sep 2024 01:47
Last Modified: 28 Sep 2024 01:47
URI: https://ir.lib.ugm.ac.id/id/eprint/4516

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