Clinical outcomes and second-look arthroscopic findings of anterior cruciate ligament reconstruction with autograft, hybrid graft, and allograft

Autor: Shijun Gao, Yang Hu, Tong Li, Peng Xie, Juyuan Gu, Xiaozuo Zheng, Yu-e Feng
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Adult
Male
musculoskeletal diseases
medicine.medical_specialty
Graft failure
lcsh:Diseases of the musculoskeletal system
Anterior cruciate ligament reconstruction
Anterior cruciate ligament
medicine.medical_treatment
03 medical and health sciences
Arthroscopy
Young Adult
0302 clinical medicine
Allograft
lcsh:Orthopedic surgery
Autograft
medicine
Humans
Orthopedics and Sports Medicine
Autografts
Retrospective Studies
030222 orthopedics
Second-look
medicine.diagnostic_test
Anterior Cruciate Ligament Reconstruction
business.industry
030229 sport sciences
Allografts
musculoskeletal system
Tibialis anterior tendon
Hybrid
Surgery
lcsh:RD701-811
medicine.anatomical_structure
Treatment Outcome
surgical procedures
operative
Tegner Activity Score
Orthopedic surgery
Female
Reconstruction
lcsh:RC925-935
business
Hamstring
Research Article
Zdroj: Journal of Orthopaedic Surgery and Research, Vol 14, Iss 1, Pp 1-8 (2019)
Journal of Orthopaedic Surgery and Research
DOI: 10.1186/s13018-019-1439-8
Popis: Background There is no consensus as to the choice of grafts for primary anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to compare the clinical and second-look arthroscopic outcomes after ACL reconstruction by use of autograft, hybrid graft, and γ-irradiated allograft. Methods Ninety-seven patients who underwent second-look arthroscopy after ACL reconstruction with autografts (28 patients, hamstring autograft), hybrid grafts (32 patients, hamstring autograft augmented with γ-irradiated tibialis anterior tendon allograft), or γ-irradiated allografts (37 patients, tibialis anterior tendons) were included in this study. The clinical outcomes were compared by using Lysholm score, International Knee Documentation Committee (IKDC) score, and Tegner activity score, and the side-to-side differences of KT-1000 measurement. Second-look arthroscopic findings were compared in terms of synovial coverage and graft tension. Results There were no statistical significances among the three groups in Lysholm score, IKDC score, or Tegner activity score (P > 0.05). The KT-1000 examination showed more anterior laxity in the γ-irradiated allograft group than in the autograft or hybrid graft groups (P = 0.006, and P = 0.013, respectively). Two patients in the autograft group, 2 patients in the hybrid graft group and 4 patients in the allograft group were evaluated as graft failure on second-look arthroscopy. The synovial coverage was superior in the autograft group than that in the hybrid graft group or the allograft group (P = 0.013 and P = 0.010, respectively), and was comparable between the hybrid graft group and allograft group (P = 0.876). With regard to graft tension, the autograft group and hybrid group were comparable (P = 0.883) but showed better results than the allograft group (P = 0.011 and P = 0.007, respectively). Conclusion The hamstring autografts and hybrid grafts used for ACL reconstruction produced equal efficacy but provided better knee stability than allografts. In addition, the hamstring autografts showed better synovial coverage than the other two graft types.
Databáze: OpenAIRE
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