Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
BTB autograft is biomechanically stronger than quadrupled hamstring autograft
4%
71/1628
BTB autograft shows less evidence of post-operative pivot shift
1%
22/1628
Quadrupled hamstring autograft shows lower rate of graft failure
3%
50/1628
BTB shows higher incidence of anterior knee pain
90%
1463/1628
Quadrupled hamstring autograft shows lower incidence of knee hardware removal
0%
8/1628
Select Answer to see Preferred Response
Anterior knee pain is one of the most common concerns following ACL reconstruction using a bone- patellar tendon- bone (BTB) autograft. In 2003, Freedman et al performed a meta-analysis comparing the results of BTB vs hamstring autografts in ACL reconstructions. Their findings showed that patients with BTB reconstructions had a lower rate of graft failure, better stability on KT-1000 (<3mm difference to contralateral knee), and patient satisfaction than in the hamstring group. The hamstring group had slightly higher incidence of hardware removal. The BTB group also showed higher rate of manipulation with or without lysis of adhesions, along with increased incidence of anterior knee pain (17% vs 12%). In cases of postoperative anterior knee pain after BTB ACL reconstruction, physical therapy with a focus on muscle strengthening is recommended with the goal of reaching strength symmetric to the nonoperative side. Bone grafting the patella donor site is also thought to potentially help.
3.6
(15)
Please Login to add comment