BPTB Versus Hamstring Autografts in ACL Reconstruction Among Professional Athletes

Bone-Patellar Tendon-Bone Versus Hamstring Tendon Autografts in ACL Reconstruction Among Professional Athletes: A Prospective Randomized Controlled Study With Mid-term Follow-up

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.

Inclusion Criteria:

• Professional athletes actively engaged in competitive sports
• Age between 18 and 35 years
• Primary isolated anterior cruciate ligament (ACL) rupture confirmed clinically and by MRI
• Indicated for arthroscopic ACL reconstruction
• Willingness to participate and provide informed consent

Exclusion Criteria:

• Multiligamentous knee injuries
• Previous ACL reconstruction on the affected knee
• Lower limb malalignment
• Advanced chondral lesions requiring additional surgical procedures
• Associated fractures around the knee
• Inability to comply with follow-up protocol