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ACL rupture has a high morbidity in productive-age population. The increasing incidence and proper management has become a point of interest in the musculoskeletal sport injury. Choosing the best graft has become the main focus in searching for a better outcome regarding ACL reconstruction in these patient population. Currently, single bundle hamstring tendon (SBHT) autograft was preferred in Asian population compared to bone quadriceps tendon (BQT) autograft. However, there are some problems such as smaller size, as well as diameter, of SBHT. This study is focused on evaluation of the clinical outcome between BQT and SBHT in arthroscopic-assisted ACL reconstruction patients.
In this prospective cohort study, 30 subjects were divided into 2 groups (BQT and SBHT). Sampling was taken between February 2016-2017 (1 year) in one orthopaedic center. The instruments used for evaluation are rolimeter and PRO questionnaires (IKDC, Tegner-Lysholm, and KOOS) with data mining between 1 month, 3 months, and 6 months post operation.
To obtain a valid and accountable research data, the investigators collected the information based on 2 parameters and then crosschecked the results.
After clinical data was obtained, the investigators translate the results into a statistical data using SPSS ver.24 and simplified the data for national registry and academic purposes.
According to previous studies, and research hypothesis, functional outcome of patient undergoing arthroscopic-assisted ACL reconstruction is better in BQT group compared to SBHT group, both in subjective and objective parameters given.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BQT Group | Active Comparator | Procedure on this arm = bone quadriceps tendon reconstruction |
|
| SBHT Group | Other | Procedure on this arm = single-bundle hamstring tendon reconstruction |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bone Quadriceps Tendon (BQT) arthroscopic-assisted ACL reconstruction | Procedure | New intervention method deployed in Indonesia to gain better clinical outcome for ACL--deficient patients requiring surgical treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Changes (Improvement) of Rolimeter Measurement After Procedure |
| Measurement in 1 year after operation |
| Changes (Improvement) of PRO Questionnaire After Procedure |
| PRO was taken in a period of 1 year after surgical procedure |
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Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28273424 | Background | Cavaignac E, Coulin B, Tscholl P, Nik Mohd Fatmy N, Duthon V, Menetrey J. Is Quadriceps Tendon Autograft a Better Choice Than Hamstring Autograft for Anterior Cruciate Ligament Reconstruction? A Comparative Study With a Mean Follow-up of 3.6 Years. Am J Sports Med. 2017 May;45(6):1326-1332. doi: 10.1177/0363546516688665. Epub 2017 Mar 8. | |
| 27365373 |
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| ID | Term |
|---|---|
| D001265 | Athletic Injuries |
| D000070598 | Anterior Cruciate Ligament Injuries |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D007718 | Knee Injuries |
| D007869 | Leg Injuries |
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multi-site study 15 subjects on each group analysis
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| Single-Bundle Hamstring Tendon (SBHT) arthroscopic-assisted ACL reconstruction | Procedure | Comparator for New Reconstruction Technique |
|
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