Autograft and Nonirradiated Allograft for Anterior Cruciate Ligament Reconstruction Demonstrate Similar Clinical Outcomes and Graft Failure Rates: An Updated Systematic Review

Dhillon, Jaydeep; Kraeutler, Matthew J.; Belk, John W.; McCarty, Eric C.; McCulloch, Patrick C.; Scillia, Anthony J.

doi:10.1016/j.asmr.2022.04.008

Cited by 14 publications

(13 citation statements)

References 51 publications

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“…Freshly frozen allografts were demonstrated in this study to be a viable alternative for ACL restoration. Autografts and nonirradiated allografts for primary ACL reconstruction showed equal patient-reported clinical results and graft failure rates in the study by Dhillon et al (24). In terms of knee laxity, this study was found to be more successful in the autograft group compared to the allograft group (19).…”

Section: Discussionmentioning

confidence: 52%

Allogreft ve Otogreft Kullanılarak Ön Çapraz Bağ Rekonstrüksiyonu Yapılan Hastaların Klinik Karşılaştırması

ALTUNKILIÇ

Arı

Şahin

et al. 2022

Düzce Tıp Fakültesi Dergisi

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Aim: The purpose of this study was to examine the clinical results of individuals who underwent an autograft or allograft repair of the anterior cruciate ligament (ACL). Material and Methods: Retrospective analysis was done on the patient files of patients who underwent ACL reconstruction between 2014 and 2020 using semitendinosus-gracilis tendon autografts (SGT-A) and tibialis anterior tendon allografts (TAT-A). In this study, the data of 30 patients in each group were included. Knee laxity tests, the Lysholm knee grading system, the Tegner activity score, and the International Knee Documentation Committee (IKDC) score were used to compare patient results. Results: While there was no significant difference in the Tegner activity score between the preoperative and the final measurement (p=0.241), the IKDC scores and the Lysholm knee ratings changed statistically significantly between the preoperative measurement and the last control visit (p=0.020, and p=0.038, respectively) for both groups in this study. The SGT-A group’s Lysholm knee score had a preoperative value of 60.97% and a final control value of 90.48%. The preoperative Lysholm knee score for the TAT-A group was 61.31%, and the final control value was 95.03%. The anterior drawer and Lachman test findings showed statistically significant intergroup (autograft and allograft) alterations in both the autograft and allograft groups (both p<0.001). Conclusion: In terms of knee function and laxity, this study achieved a better clinical outcome in the allograft group compared to the autograft group.

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Section: Discussionmentioning

confidence: 52%

Allogreft ve Otogreft Kullanılarak Ön Çapraz Bağ Rekonstrüksiyonu Yapılan Hastaların Klinik Karşılaştırması

ALTUNKILIÇ

Arı

Şahin

et al. 2022

Düzce Tıp Fakültesi Dergisi

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“…While allografts were historically associated with inferior clinical and patient reported outcomes, recent studies using non-irradiated and non-chemically treated allografts produce comparable patient satisfaction rates and PROs to autografts [ 11 , 24 , 36 , 59 , 128 , 135 ].…”

Section: Introductionmentioning

confidence: 99%

“…In more recent studies comparing non-irradiated or fresh frozen allograft to autograft, these higher failure rates have not been consistently reported [ 11 , 24 , 26 , 68 , 135 ]. Notably, the literature suggests that allografts are now predominantly used in older and less active patients, two well-known factors that lower graft failure rates [ 26 , 85 , 103 ].…”

Section: Introductionmentioning

confidence: 99%

“…[ 58 ]. Thus, although several systematic reviews and meta-analyses comparing autograft to non-irradiated or fresh frozen allograft have reported no significant differences in failure rates in older patients [ 24 , 134 , 136 ], the use of allograft in young and active individuals remains unacceptably high and is therefore not recommended in this age group [ 18 , 50 , 58 , 63 , 72 , 126 ].…”

Section: Introductionmentioning

confidence: 99%

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Current trends in graft choice for primary anterior cruciate ligament reconstruction – part II: In‐vivo kinematics, patient reported outcomes, re‐rupture rates, strength recovery, return to sports and complications

et al. 2023

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Postoperative patient satisfaction after anterior cruciate ligament reconstruction (ACL-R) is influenced mainly by the degree of pain, the need for reoperation, and functional performance in daily activities and sports. Graft choice has shown to have an influence on postoperative outcomes after ACL-R. While patient reported outcomes measurements do not differ between graft options, evidence shows that normal knee kinematics is not fully restored after ACL-R with an increase in postoperative anterior tibial translation (ATT). Postoperative graft rupture rates seem to favor bone-patella-tendon-bone (BPTB) and quadriceps tendon (QT) autografts over HT or allografts. While return to sports rates seem comparable between different graft types, postoperative extensor strength is reduced in patients with BPTB and QT whereas flexion strength is weakened in patients with HT. Postoperative donor site morbidity is highest in BPTB but comparable between HT and QT. With all graft options having advantages and drawbacks, graft choice must be individualized and chosen in accordance with the patient.

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“…This maybe the main reason for common use of the instrument in studies evaluating rehabilitation protocols and types of ACL surgery outcomes. (12)(13)(14)(15)(16)(17) to best of our knowledge, the CKRS has been translated to Italian(18) and Brazilian-Portuguese serving as a validated basis to compare results between studies. (19) Modi ed CKRS (MCKRS), a brief 8-item questionnaire which is commonly implemented and discouraged.…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation and measurement properties of the Persian version of the Modified Cincinnati Knee Rating System (MCKRS)

Mirghaderi,

Sajjadi,

Omid

et al. 2023

Preprint

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Background The Modified Cincinnati Knee Rating system (MCKRS), a brief 8-item subjective survey which provides information on the symptom and functional limitations induced by daily activities and sports and assesses patient’s satisfaction. Purpose to examine cross-sectional adaptation and validation of the Persian translation of modified CKRS. Methods Original MCKRS was translated to Persian forward and backward according to international standard guidelines. We utilized Cronbach’s alpha test, and the spearman ρ coefficient for test-retest reliability. we assessed reliability of questionnaire using Cronbach’s alpha and the spearman ρ coefficient, for test-retest reliability. A total of 101 patients completed Persian version of MKCRS and other relevant scales including: HSS-ACL satisfaction, visual analogue scale (VAS), Tegner activity score (TAS), Cincinnati and Lysholm scores. Results using Persian version of modified version of CKRS, the internal consistency (Cronbach’s alpha) was 0.9 (if item deleted: 0.81–0.86); the construct validity (Pearson’s r) varied between − 0.50 (for VAS pain) and 0.79 (for Lysholm); the reliability (intraclass correlation coefficient) varied between 0.82–0.97; in addition, no ceiling or floor effect was present. Conclusion The Persian Modified Cincinnati knee rating system has adequate measurement properties and is considered a valid and reliable instrument which can identify clinical outcomes after ACLR surgery

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Autograft and Nonirradiated Allograft for Anterior Cruciate Ligament Reconstruction Demonstrate Similar Clinical Outcomes and Graft Failure Rates: An Updated Systematic Review

Cited by 14 publications

References 51 publications

Allogreft ve Otogreft Kullanılarak Ön Çapraz Bağ Rekonstrüksiyonu Yapılan Hastaların Klinik Karşılaştırması

Allogreft ve Otogreft Kullanılarak Ön Çapraz Bağ Rekonstrüksiyonu Yapılan Hastaların Klinik Karşılaştırması

Current trends in graft choice for primary anterior cruciate ligament reconstruction – part II: In‐vivo kinematics, patient reported outcomes, re‐rupture rates, strength recovery, return to sports and complications

Cross-cultural adaptation and measurement properties of the Persian version of the Modified Cincinnati Knee Rating System (MCKRS)

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