Comparison of clinical outcomes and second-look arthroscopic findings after ACL reconstruction using a hamstring autograft or a tibialis allograft

Abstract

I.

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

“…Yoo reported sensory nerve injury in four autograft patients and two allograft patients 40. Mardani-Kivi reported eight patients in the autograft group with numbness and paraestheias at the 2 month mark, with one persisting at the final visit 41…”

Evaluation parameters of graft maturation on second-look arthroscopy following anterior cruciate ligament reconstruction: a systematic review

“…Most studies had retrospective, non-randomized designs. There were only five randomized controlled trials or prospective cohort studies (levels of evidence I and II) [7,8,14,17,18], probably because of the invasive nature of second-look arthroscopy. Eleven of the remaining 23 studies were retrospective comparative studies (level of evidence III) and 12 studies were case series (level of evidence IV).…”

“…Kinugasa et al [8] classified it according to the synovial coverage percentage-more than 80% as good, less than 50% as poor, and intermediate as fair-while Kim et al [11] used values of 75%, 25-75%, and 25%, respectively. Among the studies that classified synovial coverage into two categories, Otsubo et al [23] referred to more than 50% of synovial coverage as normal, but Yoo et al [14] considered more than 20% of synovial coverage as good. Some studies used two [14,22,24] or four categories [9,33,34] to evaluate the synovial coverage of the graft.…”

“…Also, it doesn't result in different outcomes depending on the site from where the tissue is taken. For these reasons, many studies have evaluated graft maturation with gross findings seen in the secondlook arthroscopy until recently [10][11][12][13][14].…”

Long‐term outcome of an intra‐articular allograft technique for treatment of spontaneous cranial cruciate ligament rupture in the dog

“…The preferred method of anterior cruciate ligament (ACL) repair in humans involves the placement of an intra‐articular allograft or autograft at the ACL origin and insertion points, although the ideal methods to harvest and fix the graft remain controversial . Complications with this approach include revision surgery (3%‐5% of patients) and progressive osteoarthritis (7%‐39% of cases) . By contrast, postoperative meniscal injury is detected in up to 30% of dogs and radiographic progression of osteoarthritis occur in all operated dogs by 2 years after surgery .…”