Autograft-Only and Allograft-Augmented Hamstring Autograft Have Similar Failure Rates After Anterior Cruciate Ligament Reconstruction.
| Autor: | Adams BG; A. Feagin, Jr. Sports Medicine Fellowship, Keller Army Community Hospital, West Point, New York, U.S.A., Nowak MJ; Madigan Army Medical Center, Tacoma, Washington, U.S.A., Egan AC; Madigan Army Medical Center, Tacoma, Washington, U.S.A., Donohue MA; A. Feagin, Jr. Sports Medicine Fellowship, Keller Army Community Hospital, West Point, New York, U.S.A., Galvin JW; Madigan Army Medical Center, Tacoma, Washington, U.S.A., Arrington ED; UT Southwestern Medical Center, Dallas, Texas, U.S.A. |
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| Jazyk: | angličtina |
| Zdroj: | Arthroscopy, sports medicine, and rehabilitation [Arthrosc Sports Med Rehabil] 2023 May 27; Vol. 5 (3), pp. e725-e730. Date of Electronic Publication: 2023 May 27 (Print Publication: 2023). |
| DOI: | 10.1016/j.asmr.2023.03.015 |
| Abstrakt: | Purpose: To compare failure rates and clinical outcomes after hamstring autograft anterior cruciate ligament (ACL) reconstruction with and without allograft augmentation by a single surgeon otherwise using the same surgical technique. Methods: This was a retrospective analysis with prospectively collected patient-reported outcomes of primary hamstring autograft ACL reconstruction with and without allograft augmentation performed in a military population by a single surgeon. The primary outcome measure was graft failure, defined as graft rupture confirmed by use of magnetic resonance imaging scans and/or revision ACL reconstruction. The secondary outcome measure was the postoperative Knee Injury and Osteoarthritis Outcome Score. Results: This study included 112 patients with a mean follow-up period of 65.3 months. In patients with a graft diameter of 8 mm or greater, there was no difference in failure rates (9.4% for autograft only vs 6.3% for hybrid, P = .59). There was a higher failure rate in patients in the autograft-only group with a graft diameter of less than 8 mm (29.4%) when compared with the hybrid graft group (6.3%, P = .008). There were no hybrid grafts less than 8 mm in diameter. There were no differences in the Knee Injury and Osteoarthritis Outcome Score between groups as long as the graft diameter was 8 mm or greater. Conclusions: In patients undergoing hamstring ACL reconstruction, there was no significant difference in graft failure rates or outcome scores between autograft only and autograft with allograft augmentation as long as grafts were 8 mm or greater. High failure rates were seen when the graft diameter was less than 8 mm. Level of Evidence: Level III, retrospective cohort study. |
| Databáze: | MEDLINE |
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