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BPTB autograft was harvested in all patients which is documented to have satisfactory results in terms of subjective and objective evaluation1.
Patients frequently complain of anterior knee pain after ACL reconstruction, especially with BPTB autograft, however, only 3 (5.76%) of our patients reported the symptom.
The present study of Arthroscopic guided Anterior Cruciate Ligament Reconstruction using BPTB graft and Quadrupled hamstring graft was done during the period of November 2012 to October 2014, at Andhra Medical College and King George Hospital, Visakhapatnam.
There is no significant difference between outcomes of BPTB and Hamstrings graft.
The BPTB and HS grafts are by far the most commonly used autografts, and both have a good clinical track record.
In terms of clinical outcomes, Freedman and associates showed in a systematic review that the BPTB autograft had a lower failure rate (1.9%) than the HS autograft (4.9%) in ACL reconstructions.
"BPTB autografts have a high incidence of knee pain and discomfort that does not go away," said Guillermo Ameer, professor of biomedical engineering at Northwestern University's McCormick School of Engineering and professor of surgery at the Feinberg School of Medicine.
The single-bundle BPTB technique is typically performed under a general anaesthetic, with the patient supine.
There were 49 men in the BPTB group and 29 in HT group.
One patient (3%) required an allograft revision 2 years after primary ACLR with BPTB autograft.
(13) The residual strength of the extensor mechanism is less impaired by central QTA harvest than by harvest of a BPTB graft.
It is the most commonly used fixation device for BPTB grafts; however, its use with soft-tissue grafts remains a subject of study.
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