Comparison of Allograft Versus Autograft Anterior Cruciate Ligament Reconstruction Graft Survival in an Active Adolescent Cohort

Abstract

Graft type and postoperative knee laxity were identified as significant predictors of graft survival. On the basis of this large retrospective cohort, we recommend the use of autogenous grafts in children and adolescents undergoing primary, transphyseal ACL reconstruction. Patients who demonstrate increased translation during a postoperative Lachman test should be carefully followed because of concerns for subsequent graft failure.

Autograft superior to both irradiated and non-irradiated allograft for primary ACL reconstruction: a systematic review

“…This risk appears to be magnified with the use of allografts. In patients under 18 years of age, Ellis found a 10 times higher rate of failure in the irradiated allograft patella tendon group (3.4% vs 35%)37 and Engelman a 2.5 times higher failure rate in the irradiated soft tissue allograft group (11.4% vs 29%) 38. Kane found similar results in an under 25 cohort with non-irradiated, non-chemically treated allografts 20.…”

Revision pediatric anterior cruciate ligament reconstruction after failure of iliotibial band technique treated with all-epiphyseal technique in a prepubescent with Ehlers–Danlos syndrome: a case report

“…Graft failure rates in skeletally immature patients following ACL reconstruction were reported at 8.2% [27]. This failure rate is increased in young patients if allograft is used for the primary reconstruction [14].…”

“…These pediatric ACL reconstruction techniques can be broadly categorized as extraphyseal, transphyseal, and epiphyseal; they have been shown to restore stability to the knee joint while resulting in a tolerably low incidence of growth disruption [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26]. Although the predominant pediatric population studied includes Tanner stages 2-3, each category of technique has demonstrated efficacy and minimized growth disturbance in the younger subset of Tanner stages 1 [10,14,17,20,[24][25][26][27].…”

Soft tissue allograft for primary anterior cruciate ligament reconstruction

“…10 Increase in athletic activity in people to maintain adequate fitness levels is pushing more and more people into sports and thus is leading to an increase in sports related injuires. 11 However, in our study in the Indian scenario all the cases were because of road traffic accidents (two wheeler accidents).…”

“…10 Our grafts (6 tendoachillis grafts, 6 tibialis posterior and 3 tibialis anterior) were harvested under strict aseptic precautions after proper donor screening and processed under same protocol and hence the graft processing bias was handled.…”