Is There a Difference in Graft Motion for Bone-Tendon-Bone and Hamstring Autograft ACL Reconstruction at 6 Weeks and 1 Year?

Irvine, James N.; Arner, Justin W.; Thorhauer, Eric; Abebe, Ermias; D’Auria, Jennifer; Schreiber, Verena; Harner, Christopher D.; Tashman, Scott

doi:10.1177/0363546516651436

Cited by 23 publications

(18 citation statements)

References 56 publications

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“…This could, in particular, be the case for patients receiving hamstring tendon grafts, as they are believed to need a longer time for graft-to-bone healing. 12 , 25 …”

Section: Discussionmentioning

confidence: 99%

Failed Meniscal Repairs After Anterior Cruciate Ligament Reconstruction Increases Risk of Revision Surgery

Vindfeld

Strand

Solheim

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Failed anterior cruciate ligament (ACL) reconstruction (ACLR) can lead to reduced quality of life because of recurrent episodes of instability, restrictions in level of activity, and development of osteoarthritis. A profound knowledge of the causes of a failed surgery can ultimately help improve graft survival rates. Purpose: To investigate the patient-related risks of inferior outcomes leading to revision surgery after ACLR. Study Design: Case-control study; Level of evidence, 3. Methods: From a prospective cohort of primary ACLRs performed at a single center, patients who required later revision surgery were matched with a control group of uneventful primary ACLRs. Patient characteristics, data from the preoperative examinations, KT-1000 arthrometer laxity testing, Tegner activity scale, International Knee Documentation Committee subjective score, Knee injury and Osteoarthritis Outcome Score, and perioperative data from the initial surgery were included. Results: A total of 100 revision cases and 100 matched controls, with a median follow-up time of 11 years, were included in the study. Those who had undergone revision surgery were younger at the time of reconstruction and had a shorter time from injury to surgery than their matched controls ( P = .006). The control group—of uneventful ACLRs—had a higher incidence of meniscal repair at reconstruction ( P = .024). Also, the revision group more frequently experienced later failure of the previous meniscal repair ( P = .004). Surgeon experience was not found to affect the risk of revision ACL surgery. Those who had undergone ACL revision surgery had more frequently received a hamstring tendon graft size of <8 mm ( P = .018) compared with the controls. Conclusion: The current study demonstrated that failed meniscal repair and a hamstring tendon graft size of <8 mm were associated with primary ACLR failure. Also, younger age at the time of surgery and shorter time from injury to surgery were found to affect the risk of undergoing revision ACL surgery.

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“…This could, in particular, be the case for patients receiving hamstring tendon grafts, as they are believed to need a longer time for graft-to-bone healing. 12 , 25 …”

Section: Discussionmentioning

confidence: 99%

Failed Meniscal Repairs After Anterior Cruciate Ligament Reconstruction Increases Risk of Revision Surgery

Vindfeld

Strand

Solheim

et al. 2020

Orthopaedic Journal of Sports Medicine

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“…Bone-to-bone healing has been demonstrated to be fast and reliable in ACL reconstruction. 25 There is little information available on meniscus-to-bone healing; thus, our group opted to switch to bony fixation. If in the future the meniscal allograft root fails to heal, it could potentially translate into a biomechanical meniscal root like injury behavior and be equivalent to an absent meniscus.…”

Section: Discussionmentioning

confidence: 99%

All-Arthroscopic Meniscal Allograft Transplantation Technique with Bone Plugs and Preloaded Sutures

Samitier

Vinagre

Alentorn-Geli

et al. 2020

Arthroscopy Techniques

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The meniscus is an essential structure for the knee functioning and survival. Meniscectomy is the most common surgical procedure in orthopaedic surgery. Following total or subtotal meniscectomy, meniscal allograft transplantation (MAT) should be considered in symptomatic active young patients. Several MAT techniques have been described in the literature as an attempt to restore normal knee kinematics and potentially decrease the risk of developing knee osteoarthritis. The purpose of this article is to describe in detail an efficient and reproducible all-arthroscopic MAT technique with bone plugs and preloaded sutures.

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“…12,16,18 Similarly, a clinical study in which radio-opaque markers were implanted in soft tissue and BTB grafts showed that small amounts of graft-tunnel motion persist even 1 year after ACL reconstruction; however, these findings do not correlate with knee kinematics or patient outcomes. 11 These studies suggest that biomechanical data cannot always be correlated with clinical metrics of stability. Further clinical studies comparing adjustable-loop cortical buttons and interference screw fixation using BTB grafts are warranted.…”

Section: Discussionmentioning

confidence: 99%

“…15 This finding likely explains the equivalent clinical outcomes of soft tissue adjustable-loop and fixed-length devices. 4,11 Nonetheless, biomechanical validation of adjustable-loop cortical buttons for femoral fixation of BTB grafts is clearly needed.…”

mentioning

confidence: 99%

Adjustable-Loop Femoral Cortical Suspensory Fixation for Patellar Tendon Anterior Cruciate Ligament Reconstruction: A Time Zero Biomechanical Comparison With Interference Screw Fixation

et al. 2018

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Is There a Difference in Graft Motion for Bone-Tendon-Bone and Hamstring Autograft ACL Reconstruction at 6 Weeks and 1 Year?

Abstract: These study results may have significant implications for graft choice, rehabilitation strategies, and timing for return to sports.

Cited by 23 publications

References 56 publications

Failed Meniscal Repairs After Anterior Cruciate Ligament Reconstruction Increases Risk of Revision Surgery

Failed Meniscal Repairs After Anterior Cruciate Ligament Reconstruction Increases Risk of Revision Surgery

All-Arthroscopic Meniscal Allograft Transplantation Technique with Bone Plugs and Preloaded Sutures

Adjustable-Loop Femoral Cortical Suspensory Fixation for Patellar Tendon Anterior Cruciate Ligament Reconstruction: A Time Zero Biomechanical Comparison With Interference Screw Fixation

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