Hossam Shehata Abd El Rahman Ali, <br/><br/>
Quadriceps vs. hamstring tendon auto graft in ACL reconstruction. compare clinical and functional / 
 دراسه مقارنه لنتائج اعاده بناء الرباط الصليبي الامامي للركبه باستخدام رقعه ذاتيه من اوتار العضله الخلفيه او العضله الاماميه للفخذ  
by Hossam Shehata Abd El Rahman Ali ; Supervision Prof.Dr. Alaa El-din Mohy El-din Solyman, Prof. Ahmed Rizk Mohamed Sayed, Prof. Ahmed Mahmoud Mohamed Gad. 
 - 139 pages :   illustrations ;  25 cm. +   CD. 
<br/><br/>Thesis (Ph.D)-Cairo University, 2025. 
<br/><br/>Bibliography: pages 130-139. 
<br/><br/> Objective: the aim of this prospective study is to compare functional and clinical outcomes for using either hamstring (HT) or quadriceps (QT) as an auto graft for anterior cruciate ligament reconstruction (ACLR) using press fit technique.<br/>Method: 40 patients were divided into 2 groups (20 patients for each group) with at least 6-month post-operative follow up. The same surgical technique for all patients was performed using press fit technique for graft fixation. Pre- and post-operative clinical assessment using subjective IKDC, IKDC examination form and lysholm scores for all patients to assess post-operative improvement regarding ROM and knee stability. Pre-operative MRI was done for all study members to confirm ACL injury and to address any associated ligamentous or meniscal injuries. 6-month post-operative CT scan was performed for all members of study to confirm bone plug healing into tunnel.<br/>Results: it was found that QT auto graft has slightly higher clinical and functional outcomes as HT auto graft according to post-operative IKDC subjective form (87 ±9.9) for HT group vs. (87.9±6.6) for QT group. According to post-operative lysholm score it was (93 ±7) for HT group vs. (93 ±8) for QT group. Clinically about 100 % of HT group had post-operative nearly normal knee examination vs. 95% of QT group.<br/>Conclusion: using QT auto graft for primary ACLR give similar clinical and functional outcome as HT auto graft. Also, it was found that press fit technique for graft fixation is a good reliable technique with low cost and more biological than hardware using techniques.  وقد تمت هذه الدراسة على عينه من المرضي تبلغ 40 مريضا مقسمين الى مجموعتين<br/>يبلغ عدد كل مجموعه منهما 20 مريضا بعد اجراء الاختبارات و الفحوصات اللازمة و طبقا<br/>لمعايير محددة مسبقا لاختيار المرضى . خضعت المجموعة الاولى لإعادة بناء الرباط الصليبي باستخدام اوتار العضلة الخلفية للفخذ وخضعت الأخرى لنفس الجراحة باستخدام جزء من وتر العضلة الأمامية للفخذ مع جزء من عظمه الرضفة باستخدام طريقه حشر الرقعة العظمية الذاتية لتثبيت الرباط البديل. وتمت مقارنه نتائج المجموعتين قبل وبعد الجراحة من خلال مجموعه من الاستقصاءات و الاختبارات المعدة لتقييم حالات اصابات مفصل الركبة والتي تم استخدامها قبل وبعد الجراحة . 
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<br/><br/><br/>Text in English and abstract in Arabic & English. 
<br/><br/><label>Subjects--Topical Terms: </label><br/>Anterior cruciate ligament<br/>الرباط الصليبي 
<br/><br/><label>Subjects--Index Terms: </label>Anterior Cruciate ligament  hamstring-quadriceps  reconstruction  press fit 
<br/><br/><label>Dewey Class. No.: </label>617.582