Failure Rate and Clinical Outcomes of Anterior Cruciate Ligament Reconstruction Using Autograft Hamstring Versus a Hybrid Graft

Leo, Brian M.; Krill, Michael K.; Barksdale, Leticia; Alvarez-Pinzon, Andres M.

doi:10.1016/j.arthro.2016.04.016

Cited by 42 publications

(17 citation statements)

References 40 publications

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“…Foster et al, 9 in their review of level 1 and 2 studies, calculated graft failure rates of 4.7% and 8.2% for autograft and allograft tissues, respectively. 13 , 15 , 17 , 18 , 22 , 29 , 30 They concluded that there was no statistical difference in these failure rates. Likewise, Carey et al 5 found no significant difference in failure rates in their systematic review of level 3 and 4 studies of various graft selections.…”

Section: Discussionmentioning

confidence: 99%

“…Anterior cruciate ligament (ACL) reconstruction (ACLR) is one of the most commonly and successfully performed procedures in orthopaedic sports medicine, with 60% to 80% rates of return to play among high-level competitive athletes 4 , 5 , 24 – 26 , 28 , 31 and clinical failure rates between 3% and 6%. 6 , 13 , 15 , 17 , 18 , 29 , 30 Although rates of return to play and clinical failure are the most broadly published benchmarks used to gauge the success of ACLR, these numbers fail to tell the complete story. During the preoperative discussion prior to ACLR, patients are often interested in data regarding incidence and risk factors for revision, reoperation, concomitant abnormality, and future contralateral ACL injury.…”

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confidence: 99%

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Thirty-Year Experience With ACL Reconstruction Using Patellar Tendon: A Critical Evaluation of Revision and Reoperation

Riff

Luchetti

Weber

et al. 2017

Orthopaedic Journal of Sports Medicine

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Background:During the preoperative discussion prior to anterior cruciate ligament reconstruction (ACLR), patients are often interested in data regarding rates of revision reconstruction, reoperation, concomitant pathologic changes, and future contralateral ACL injury.Purpose:To analyze a single surgeon’s experience with primary and revision ACLR over a 30-year interval, focusing on incidence and risk factors for revision and reoperation.Study Design:Case series; Level of evidence, 4.Methods:Patients who underwent ACLR from 1986 to 2016 were identified from a prospectively maintained database. Covariates of interest included age, sex, time, and graft selection. Outcomes of interest included revision and reoperation rates.Results:A total of 2450 ACLRs (mean patient age, 29 years; 58% male) were reviewed. Among primary ACLRs performed (n = 2225), 68% entailed bone–patellar tendon–bone (BTB) autograft and 30% entailed BTB allograft. Patients undergoing ACLR with autograft and allograft had a mean age of 22 and 37 years, respectively. The rate of revision ACLR was 1.8% and 3.5% for primary and revision cases, respectively. An increased rate of revision was noted among females compared with males (2.6% vs 1.2%) and among allografts compared with autografts (2.7% vs 1.3%). Low-dose irradiation did not affect allograft revision rates. The nonrevision reoperation rate following primary ACLR was 12%. The nonrevision reoperation rate was lower among primary cases reconstructed with allograft than autograft (9% vs 13%). Seventeen percent of cases involved concomitant meniscal repair and, among these, 13% required revision meniscal surgery. The rate of contralateral ACLR was 5.3%Conclusion:This information is useful in the informed consent process, for perioperative decision making regarding graft choice, and for identifying patients who are at risk for injuring the uninvolved knee.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Thirty-Year Experience With ACL Reconstruction Using Patellar Tendon: A Critical Evaluation of Revision and Reoperation

Riff

Luchetti

Weber

et al. 2017

Orthopaedic Journal of Sports Medicine

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show abstract

“…Foster et al, 9 in their review of level 1 and 2 studies, calculated graft failure rates of 4.7% and 8.2% for autograft and allograft tissues, respectively. 13,15,17,18,22,29,30 They…”

Section: Discussionmentioning

confidence: 99%

Thirty-year Experience with ACL reconstruction using Patellar Tendon: A Critical Evaluation of Revision and Reoperation

Riff¹,

Luchetti²,

Weber³

et al. 2017

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“… 5) The use of allograft tissue in young athletic patients, especially in those less than 25 years of age, has recently been questioned because of documented failure rates as high as 23% compared to 6% for autograft. 6) …”

mentioning

confidence: 99%

A Comparative Study of Clinical Outcomes and Second-Look Arthroscopic Findings between Remnant-Preserving Tibialis Tendon Allograft and Hamstring Tendon Autograft in Anterior Cruciate Ligament Reconstruction: Matched-Pair Design

2017

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BackgroundThis study aimed to compare stability, functional outcome, and second-look arthroscopic findings after anterior cruciate ligament reconstruction between remnant-preserving tibialis tendon allograft and remnant-sacrificing hamstring tendon autograft.MethodsWe matched two groups (remnant-preserving tibialis tendon allograft group and hamstring tendon autograft group) in terms of demographic characteristics, associated injury, and knee characteristics. Each group consisted of 25 patients.ResultsOperation time was longer in the remnant-preserving tibialis tendon allograft group, but there was no significant intergroup difference in stability, clinical outcome, and second-look arthroscopic findings.ConclusionsWhen an autograft is not feasible in anterior cruciate ligament reconstruction, the remnant-preserving technique can produce comparable results in terms of restoration of function, stability of the knee, and degree of synovium coverage at second-look arthroscopy compared to remnant-sacrificing hamstring autograft.

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Failure Rate and Clinical Outcomes of Anterior Cruciate Ligament Reconstruction Using Autograft Hamstring Versus a Hybrid Graft

Cited by 42 publications

References 40 publications

Thirty-Year Experience With ACL Reconstruction Using Patellar Tendon: A Critical Evaluation of Revision and Reoperation

Thirty-Year Experience With ACL Reconstruction Using Patellar Tendon: A Critical Evaluation of Revision and Reoperation

Thirty-year Experience with ACL reconstruction using Patellar Tendon: A Critical Evaluation of Revision and Reoperation

A Comparative Study of Clinical Outcomes and Second-Look Arthroscopic Findings between Remnant-Preserving Tibialis Tendon Allograft and Hamstring Tendon Autograft in Anterior Cruciate Ligament Reconstruction: Matched-Pair Design

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