Frequency of anterior knee pain following anterior cruciate ligament reconstruction with bone-tendon-bone autograft
DOI:
https://doi.org/10.58814/01208845.8Keywords:
Anterior Cruciate Ligament, Anterior Cruciate Ligament reconstruction, Patellofemoral Pain, Bone-Patellar Tendon-Bone autograftsAbstract
Introduction. Anterior cruciate ligament (ACL) injury is a common condition worldwide, and one of the surgical techniques used to treat it is arthroscopic reconstruction with bone-tendon-bone (BTB) autograft. However, this technique can result in complications such as anterior knee pain, but its prevalence in Colombia is currently unknown.
Objective. To establish the frequency of anterior knee pain after ACL reconstruction using BTB autograft in patients operated on over a 4-year period at the Hospital San José in Bogotá, Colombia.
Methodology. Descriptive study performed in patients diagnosed with ACL injury and taken to ACL reconstruction surgery using BTB autograft between January 2014 and December 2017. A telephone survey and a clinical assessment were performed to characterize pain in patients presenting with this symptom. Data are described using absolute and relative frequencies, as well as medians and ranges.
Results. A total of 257 patients were included, most of whom were male (87.5%) and young adults (42.4%). The prevalence of anterior knee pain was 11.6%. Moreover, none of the patients operated on in 2014 had anterior knee pain at the time of assessment (at 4 or more years of follow-up).
Conclusions. ACL reconstruction using BTB autograft is a surgical technique that offers outstanding outcomes in terms of functional scales and knee stability. The frequency of anterior knee pain was lower than reported in other studies and was more frequently located at the donor site (lower pole of the patella and anterior tibial tuberosity).
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