Less Subsequent Revision Anterior Cruciate Ligament Reconstruction Following Primary Bone–Patellar Tendon–Bone Anterior Cruciate Ligament Reconstruction with Suture Tape Augmentation—A Retrospective Comparative Therapeutic Trial With 5-Year Follow-Up

Daniel, Adam V.; Smith, Patrick A.

doi:10.1016/j.arthro.2024.01.019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

2024

DOI: 10.1016/j.arthro.2024.01.019

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Less Subsequent Revision Anterior Cruciate Ligament Reconstruction Following Primary Bone–Patellar Tendon–Bone Anterior Cruciate Ligament Reconstruction with Suture Tape Augmentation—A Retrospective Comparative Therapeutic Trial With 5-Year Follow-Up

Adam V. Daniel,

Patrick A. Smith

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Cited by 5 publications

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Association of suture augmentation with graft failure and clinical outcomes following anterior cruciate ligament reconstruction: A systematic review and meta‐analysis of comparative studies with a minimum 2‐year follow‐up

Gao,

Shi,

Zhang

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeTo compare graft failure, nonrevision reoperation, complication, patient‐reported outcome measures (PROMs) and return to sports (RTS) between patients who underwent anterior cruciate ligament reconstruction (ACLR) with and without suture augmentation (SA).MethodsA systematic search was performed on PubMed, Cochrane, Embase and Web of Science databases from the inception of databases to 18 April 2024, according to Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines. Studies comparing clinical outcomes of SA‐ and standard ACLR with a minimum 2‐year follow‐up were included. Data extraction and quality appraisal were performed by two researchers independently.ResultsEight retrospective cohort studies were included, with a total of 408 patients receiving SA‐ACLR and 443 patients receiving standard ACLR. A meta‐analysis of graft failure demonstrated a 62% relative risk reduction (RR [risk ratio], 0.38 [95% confidence interval {CI}, 0.19–0.73]; p = .004) in those receiving SA‐ACLR compared with standard ACLR. An age‐related heterogeneity in graft failure reduction was detected in the subgroup analysis, which was more pronounced in studies with mean ages of <20 years compared with ≥20 years (p = .05; I2 = 73.9%). No significant difference was observed in nonrevision reoperation or complication rates. No clinically relevant difference was observed in PROMs. SA‐ACLR was associated with a significantly higher RTS rate compared with the standard ACLR (RR, 1.12 [95% CI, 1.00–1.24]; p = .04), whereas no significant difference was observed in time to RTS.ConclusionSA‐ACLR is associated with a reduced graft failure rate and increased RTS rate compared with standard ACLR without additional reoperations or complications. However, confidence in the evidence is limited by substantial heterogeneity. Future studies with a higher level of evidence are warranted to validate the benefit of SA and to determine the indication for different risk populations.Level of EvidenceLevel III.

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Association of suture augmentation with graft failure and clinical outcomes following anterior cruciate ligament reconstruction: A systematic review and meta‐analysis of comparative studies with a minimum 2‐year follow‐up

Gao,

Shi,

Zhang

et al. 2024

Knee surg. sports traumatol. arthrosc.

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Editorial Commentary: Routine Use of Suture Tape Augmentation for Primary Anterior Cruciate Ligament Reconstruction Surgery Is Not Justified

Ferrel,

Conley,

Johnson

2024

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Editorial Commentary: Early Outcomes of Suture Tape Augmentation in Quadriceps Tendon Autograft Anterior Cruciate Ligament Reconstruction Are Promising but Require Long-term Proof

Rupp,

Winkler,

Willinger

et al. 2025

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Less Subsequent Revision Anterior Cruciate Ligament Reconstruction Following Primary Bone–Patellar Tendon–Bone Anterior Cruciate Ligament Reconstruction with Suture Tape Augmentation—A Retrospective Comparative Therapeutic Trial With 5-Year Follow-Up

Cited by 5 publications

References 48 publications

Association of suture augmentation with graft failure and clinical outcomes following anterior cruciate ligament reconstruction: A systematic review and meta‐analysis of comparative studies with a minimum 2‐year follow‐up

Association of suture augmentation with graft failure and clinical outcomes following anterior cruciate ligament reconstruction: A systematic review and meta‐analysis of comparative studies with a minimum 2‐year follow‐up

Editorial Commentary: Routine Use of Suture Tape Augmentation for Primary Anterior Cruciate Ligament Reconstruction Surgery Is Not Justified

Editorial Commentary: Early Outcomes of Suture Tape Augmentation in Quadriceps Tendon Autograft Anterior Cruciate Ligament Reconstruction Are Promising but Require Long-term Proof

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