BPTB Versus Hamstring Autografts in ACL Reconstruction Among Professional Athletes

Cairo University65 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Anterior Cruciate Ligament Injury

Interventions

BPTB ACL ReconstructionPROCEDURE

Arthroscopic anterior cruciate ligament reconstruction using bone-patellar tendon-bone autograft with interference screw fixation.

Hamstring ACL ReconstructionPROCEDURE

Arthroscopic anterior cruciate ligament reconstruction using semitendinosus and gracilis tendon autograft with appropriate fixation technique.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 35 Years

Medical Language ↔ Plain English

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

Locations (1)

Kasr Al-Ainy Hospital, Cairo University

Cairo, Cairo Governorate, Egypt

Outcomes

Primary Outcomes

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.

Time frame: 12 months postoperatively

Secondary Outcomes

International Knee Documentation Committee (IKDC) Score

Patient-reported functional outcome measured using the IKDC subjective knee evaluation form.

Time frame: 12 months postoperatively

Time to Return to Athletic Activity

Time required for patients to return to pre-injury level of athletic activity.

Time frame: Up to 12 months postoperatively

Postoperative Complications

Incidence of complications including infection, anterior knee pain, extension lag, stiffness, and graft re-rupture.

Time frame: 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: * Pain * Symptoms * Sport and Recreation * Quality of Life Scores reported on a 0-100 scale (higher scores indicate better function).

Time frame: 60 months postoperatively

Data from ClinicalTrials.gov

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