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| Name | Class |
|---|---|
| Kasr Al-Ainy Hospitals | UNKNOWN |
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This prospective randomized controlled study compares outcomes of ACL reconstruction using bone-patellar tendon-bone (BPTB) versus hamstring tendon (HT) autografts in professional athletes.
The primary outcome is isokinetic muscle strength assessment. Secondary outcomes include IKDC score, return to athletic activity, and complication rates. Patients are followed for five years.
This randomized controlled trial evaluates BPTB versus HT autografts in professional athletes undergoing ACL reconstruction. Patients with isolated ACL rupture were randomly assigned to either graft.
All procedures and rehabilitation protocols were standardized. The primary outcome was isokinetic assessment of quadriceps and hamstring strength using a dynamometer. Secondary outcomes included IKDC score, return to sport, and complications.
Patients were followed for five years to assess functional recovery and long-term outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BPTB Group | Experimental | Participants undergoing ACL reconstruction using bone-patellar tendon-bone (BPTB) autograft. |
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| Hamstring Group | Active Comparator | Participants undergoing ACL reconstruction using hamstring tendon autograft (semitendinosus and gracilis). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BPTB ACL Reconstruction | Procedure | Arthroscopic anterior cruciate ligament reconstruction using bone-patellar tendon-bone autograft with interference screw fixation. |
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| Measure | Description | Time Frame |
|---|---|---|
| Isokinetic Quadriceps and Hamstring Muscle Strength | Isokinetic dynamometric assessment of quadriceps and hamstring muscle strength expressed as peak torque percentage relative to the contralateral limb using a standardized testing protocol. | 12 months postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| International Knee Documentation Committee (IKDC) Score | Patient-reported functional outcome measured using the IKDC subjective knee evaluation form. | 12 months postoperatively |
| Time to Return to Athletic Activity |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kasr Al-Ainy Hospital, Cairo University | Cairo | Cairo Governorate | Egypt |
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| ID | Term |
|---|---|
| D000070598 | Anterior Cruciate Ligament Injuries |
| ID | Term |
|---|---|
| D007718 | Knee Injuries |
| D007869 | Leg Injuries |
| D014947 | Wounds and Injuries |
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Participants were randomly assigned to two parallel groups undergoing ACL reconstruction using either BPTB or hamstring tendon autografts.
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| Hamstring ACL Reconstruction | Procedure | Arthroscopic anterior cruciate ligament reconstruction using semitendinosus and gracilis tendon autograft with appropriate fixation technique. |
|
Time required for patients to return to pre-injury level of athletic activity.
| Up to 12 months postoperatively |
| Postoperative Complications | Incidence of complications including infection, anterior knee pain, extension lag, stiffness, and graft re-rupture. | Up to 60 months postoperatively |
| Knee function using KOOS score | Patient-reported outcomes assessed using the Knee Injury and Osteoarthritis Outcome Score (KOOS), including subscales:
Scores reported on a 0-100 scale (higher scores indicate better function). | 60 months postoperatively |