IJOCP | April 2014 | Volume 1 | Issue 2 | Page 18
Conference: Poona Orthopaedic Society Annual Conference POSAC- 2014, India [Click for Full details]  

Authors:  Dr Parag Sancheti, Dr Atul Patil, Dr Ashok Shyam


Abstract                                                                                                                 

Purpose: Comparative assessment of clinical and functional outcomes between four fold and six fold hamstring graft for ACL reconstruction.

Material and Method: Prospective comparative study of 100 patients with isolated ACL injury was done. 40 patients underwent reconstruction by 4 fold graft and 60 patients were operated with 6 fold graft. Final assessment was done after all patients finished one year follow up and included assessment of knee pain, knee range of motion, laxity, hamstrings and quadriceps muscle strength evaluation Lysholm score, IKDC score and grade for stability and VAS score for pain.

Result: The average diameter of six fold and 4 fold graft were 9.73±0.5mm and 8.11±0.3 mm (8 – 9 mm) respectively. Knee range on motion and pain VAS were similar in both groups. In 4 fold group 27.50 % were having grade 1 anterior drawer test 22.50% were having grade 1 Lachman test and 17.50 % had grade 1 pivot shift test as compared to 6 fold group 6.66 % had grade 1 anterior drawer test, 11.66 % had grade 1 lachman test, and 3.33 % had grade 1 pivot shift test respectively which was statistically significant (p-value <0.05). Lysholm and IKDC Score and grade were better in 6 fold group.

Conclusion: 6 fold hamstring graft offer better clinical stability and functional capability as compared to 4 fold grafts. This is by virtue of the increased thickness of the graft that is able to occupy more surface area of the ACL foot prints. Level of Evidence: IV.


How to Cite this Abstract
Sancheti P, Patil A, Shyam A. ‘Six fold vs four fold ACL recontruction. Does thickness matter in clinical outcome? ‘. I J Orthopaedic Conference Proceedings April 2014;1(2):18.