THE INFLUENCE OF HAMSTRING AUTOGRAFT DIAMETER ON PATIENT-REPORTED FUNCTIONAL SCORES FOLLOWING ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION



Sholahuddin Rhatomy(1*), Muhammad Widjaya(2), Said Ghazali(3), Riky Setyawan(4), Nicolaas C. Budhiparama(5)

(1) Sport and Adult Reconstructive Division, Orthopaedics and Traumatology Department, Dr. Soeradji Tirtonegoro General Hospital, Indonesia/ Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Soeradji Tirtonegoro Sport Center and Research Unit, Soeradji Tirtonegoro Hospital, Indonesia
(3) Soeradji Tirtonegoro Sport Center and Research Unit, Soeradji Tirtonegoro Hospital, Indonesia
(4) Soeradji Tirtonegoro Sport Center and Research Unit, Soeradji Tirtonegoro Hospital, Indonesia/ Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(5) Nicolaas Institute of Constructive Orthopaedics Research and Education Foundation for Arthroplasty & Sports Medicine, Medistra Hospital, Jakarta
(*) Corresponding Author

Abstract


Background- Anterior Cruciate Ligament (ACL) reconstruction using hamstring tendon autograft is a common procedure in orthopedic surgery to treat ACL rupture. Graft diameter is very important in successfulness of ACL reconstruction. The purpose of this study is to evaluate the influence of hamstring autograft diameter on patient-reported functional scores following ACL reconstruction.
Methods - The diameter of grafts were collected retrospectively from medical records of the patients who underwent primary ACL reconstruction with hamstring autograft in Soeradji Tirtonegoro Hospital. Patients were divided into two groups; group 1 with graft diameter ≤8mm, and group 2 with graft diameter >8mm. The patient-reported functional scores data; International Knee Documentation Committee (IKDC) score and Knee Injury and Osteoarthritis Outcome Score (KOOS) were collected by phone call interview from the patients after more than 6 months post-reconstruction. The comparison between graft diameter and patient-reported functional scores was determined by non-parametric independent test. Significance was defined at p<0.05.
Results - From the database, 32 patients fulfilled the inclusion and exclusion criteria. Sixteen patients underwent ACL reconstruction with hamstring graft diameter ≤8mm and the rest with graft diameter >8mm. The comparison showed significant difference in KOOS and IKDC score between the 2 groups of graft diameter. Patients that underwent ACL reconstruction with graft diameter >8mm had higher KOOS and IKDC score compared to graft diameter ≤8mm (p<0.05).
Conclusion – ACL reconstruction with increased hamstring autograft diameter >8 mm associated with better patient-reported functional scores in 6 months follow-up after ACL reconstruction.





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Journal of the Medical Sciences (Berkala Ilmu Kedokteran) by  Universitas Gadjah Mada is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Based on a work at http://jurnal.ugm.ac.id/bik/.