Hamstring vs bone-pat.tendon-bone - Callum Clark 10/10/2000
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Brief
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Noyes JBJS (Am) 1984
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Authors
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F R Noyes, D L Butler, E S Grood, R F Zernicke, M S Hefzy (Ohio)
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Title
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Biomechanical Analysis of Human Ligament Grafts used in Knee- Ligament Repairs and Reconstructions
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Reference
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JBJS 66-A: 344-352, 1984
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Summary
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Biomechanics laboratory study of 10 types of "young" cadaveric graft. Found maximum load of BPTB 160% of normal ACL, SEMI-T 70%, Gracilis 49%. Cautionary note about "gripping" problem with tendon. Only one of many factors
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Critique
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Seminal paper, on which dogma of strength of BPTB was based. ?clinical relevance
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Brief
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Corry Am J Sports Med 1999
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Authors
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I S Corry, J M Webb, A J Clingelleffer, L A Pinczewski (Sydney)
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Title
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Arthroscopic reconstruction of the ACL - a comparison of patellar tendon autograft and 4 strand hamstring tendon aotograft
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Reference
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Am J Sports Med 27(3) : 444-54, 1999
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Summary
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Prospective study with 90 patients in each group, after eliminations for concurrent injury. Drop-out rate of 14%.Found results same for both, with increased measured laxity, decreased thigh atrophy, less kneeling pain in HT group
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Critique
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Good attempt at objective study, although still not PRCT. Recent results at BOA...
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Brief
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O'Neill JBJS 1996
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Authors
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D B O'Neill (Texas)
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Title
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Arthroscopically assisted Reconstruction of the ACL - A PRCT of 3 techniques
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Reference
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JBJS 78 - A : 803-813, 1996
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Summary
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Randomised, but flawed by small numbers, concurrent injuries, techniques used. Found No significant difference between 2-strand HT and BPTB, but BPTB better in return to sport and KT-2000
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Critique
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Slightly out-dated study
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