Houston Methodist. Leading Medicine

Knee News

Patellar Tendon or Hamstring Tendon to Repair ACL? Still a Toss-Up

Researchers from several large medical groups did a meta-analysis of anterior cruciate ligament (ACL) tears. They looked to see which treatment method works better: bone-patellar tendon-bone (BPTB) or hamstring tendon (HT) graft.

They found 11 reports that met the standards of this study. Problems and
benefits of each treatment type were reviewed and compared. Both methods work well. Knee pain from the donor-site of BPTB (front of knee) has led to an increased use of the HT graft. The ability to kneel without pain makes the HT graft popular.

On the other hand patients with a chronically unstable knee may prefer the BPTP. This graft has a high amount of strength and stiffness. It seems to be more stable over time. Young athletic patients are able to get back on the field or in play faster with the BPTB.

The authors conclude that each patient must decide which method is best for him or her. Personal goals can be used to decide which method will best help the patient meet those goals.

John P. Goldblatt, MD, et al. Reconstruction of the Anterior Cruciate Ligament: Meta-Analysis of Patellar Tendon versus Hamstring Tendon Autograft. In Arthroscopy. July 2005. Vol. 21. No. 7. Pp. 791-803.


*Disclaimer:* The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
All content provided by eORTHOPOD® is a registered trademark of Medical Multimedia Group, L.L.C.. Content is the sole property of Medical Multimedia Group, LLC and used herein by permission.

Our Specialties

Where Does It Hurt?

Our Locations

  Follow Us

Follow us on Facebook Follow us on YouTube
Follow us on Twitter