Evidence map›Paper›PMID 40495425›Full record

ArticleAnnals of African medicine2026

Functional and Clinical Outcomes of Transtibial versus Transportal Techniques in Arthroscopic Anterior Cruciate Ligament Reconstruction Using a Quadrupled Hamstring Graft: The South Indian Experience.

B Sunil, Vikram G K Bhat, Vanamali B Seetharam, S P Abhishek, Satish Babu, Naman Mittal, Prafulla N Gadwal

Abstract readComparative Study
In one paragraph

Article in Annals of African medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

B SunilDepartment of Orthopaedics, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India.
Vikram G K BhatDepartment of Orthopaedics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Vanamali B SeetharamDepartment of Orthopaedics, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India.
S P AbhishekDepartment of Orthopaedics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Satish BabuDepartment of Orthopaedics, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India.
Naman MittalDepartment of Orthopaedics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Prafulla N GadwalDepartment of Orthopaedics, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextThere has been an increase in the incidence of ligament injuries of the knee owing to sporting events and traffic accidents. Anterior cruciate ligament (ACL) is the most common ligament injury of the knee. According to the literature, 85% of the tears noted are complete. The commonly used technique in reconstruction is the transtibial technique. Still, studies have shown a nonanatomical placement of the femoral tunnel resulting in rotational instability of the knee. This study was undertaken to compare and analyze the two techniques and also to evaluate the outcome of each approach to further enhance the effectiveness of the modality of treatment of ACL tears.

aimsThe aim of this study was to compare and analyze the functional and clinical outcomes of transtibial versus transportal techniques (TPs) in arthroscopic ACL reconstruction using a quadrupled hamstring graft. SETTINGS AND

designThis was a tertiary care hospital and prospective study design. SUBJECTS AND

methodsFifty patients with complete ACL tears with or without meniscal injury were included in the study. Patients were then followed up to 1 year and assessed using clinical examination and functional scoring systems. STATISTICAL ANALYSIS USED: Categorical variables were expressed in terms of percentage and proportion. Continuous variables were expressed in terms of mean and standard deviation and data were analyzed using descriptive statistics.

resultsThe age of the patients included in the study averaged 30.96 ± 7.48. At 1-year follow-up, the average of the International Knee Documentation Committee scoring in transportal and transtibial groups were found to be 84.04 ± 4.64 and 76.72 ± 6.54, respectively. The average Lysholm scoring in transportal and transtibial groups were found to be 83.92 ± 4.82 and 78.56 ± 6.47, respectively.

conclusionsSignificant statistical differences in functional and clinical outcomes were noted among the two groups based on clinical assessment and functional scoring systems at 1-year follow-up. It can be inferred from the study that the TP has a better outcome following reconstruction surgery.

Indexed as

Anterior Cruciate LigamentAnterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionArthroscopyHamstring TendonsAdolescentAdultFemaleHumansIndiaKnee JointMaleProspective StudiesTibiaTreatment OutcomeYoung AdultAnterior cruciate ligamentarthroscopicarthroscopiegreffe ischio-jambièrehamstring graftLigament croisé antérieurtransporttransportaltranstibial

Identifiers

PMID40495425
PMCPMC12872123

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