All-inside technique in ACL reconstruction: mid-term clinical outcomes and comparison with AM technique (Hamstrings and BpTB grafts)
| Autor: | Riccardo Giai Via, Alessandro Bistolfi, Luca Drocco, Luca Barberis, Marcello Capella, Andrea Pautasso, Alessandro Massè, Luigi Sabatini |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
All inside ACL reconstruction All-inside technique Antero-medial technique Bone-patellar tendon-bone Hamstrings Bone-Patellar Tendon-Bone Grafting Child Preschool Humans Infant Retrospective Studies Transplantation Autologous Anterior Cruciate Ligament Injuries Anterior Cruciate Ligament Reconstruction Hamstring Muscles Patellar Ligament 03 medical and health sciences Bone patellar tendon bone 0302 clinical medicine medicine Surgical skills Retrospective analysis Postoperative results Orthopedics and Sports Medicine Child Preschool 030222 orthopedics Transplantation business.industry Significant difference Level iv 030229 sport sciences Surgery Original Article business Autologous |
| Zdroj: | European Journal of Orthopaedic Surgery & Traumatology |
| Popis: | Purpose The aim of this study was to define the subjective and objective clinical results of all-inside surgical technique at a medium-term follow-up and to compare these results with those obtained from antero-medial (AM) ACL reconstruction technique using hamstrings (HS) or bone-patellar tendon-bone (BpTB) grafts to detect eventual superiority of one technique to another. Methods A retrospective analysis of routinely collected data was conducted. Inclusion criteria were ACL reconstruction through all-inside technique or AM technique with HS or BpTB performed between January 2015 and May 2018; age between 15 and 30 year old; minimum 24 months’ available follow-up. Exclusion criteria were contralateral ACL reconstruction; need for any other associated procedures during surgery. Clinical outcomes were assessed with KOOS, Lysholm, Tegner scores and KT-1000 device. Results According to the selection criteria, 157 patients were enrolled and divided subsequently into 3 groups: all-inside (51 patients), AM-HS (53 patients) and AM-BpTB (53 patients). A significant postoperative improvement of each score in all groups was detected. The mean KT-1000 was 3.1 ± 1.0 mm in all-inside group, while 3.3 ± 1.4 mm and 2.5 ± 0.4 mm in AM-HS and AM-BpTB groups, respectively. Comparing the results obtained, no statistically significant difference was found between the three techniques (p = 0.27). Statistically significant differences were highlighted in surgical duration: all-inside method was the longest (117′), followed by AM-BpTB surgery (101′) and AM-HS technique (87′). Conclusions The all-inside technique showed good postoperative results at medium-term follow-up. It could be a valuable solution for ACL reconstruction, especially in young patients due to its less invasiveness, despite surgical skills and time needed. Levels of evidence Level IV. |
| Databáze: | OpenAIRE |
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