Prospective Comparison of Auto and Allograft Hamstring Tendon Constructs for ACL Reconstruction

Edgar, Cory; Zimmer, Scott; Jones, Hugh P.; Schepsis, Anthony A.

doi:10.1007/s11999-008-0305-5

Cited by 97 publications

(109 citation statements)

References 47 publications

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“…Graft failure rate was quoted at 5.45% and all were due to new significant knee trauma. Edgar et al [35] compared 47 patients after allograft ACL reconstruction with autograft with 48 mo average follow-up. They reported IKDC grades A or B in 82.6% of patients with subjective scores of 86.8%, which were similar to autograft.…”

Section: Graft Choicementioning

confidence: 99%

Anterior cruciate ligament reconstruction best practice: A review of graft choice

Shaerf

Pastides

Sarraf

et al. 2014

WJO

123

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There is much literature about differing grafts used in anterior cruciate ligament (ACL) reconstruction. Much of this is of poor quality and of a low evidence base. We review and summarise the literature looking at the four main classes of grafts used in ACL reconstruction; bone-patella tendon-bone, hamstrings, allograft and synthetic grafts. Each graft has the evidence for its use reviewed and then compared, where possible, to the others. We conclude that although there is no clear "best" graft, there are clear differences between the differing graft choices. Surgeon's need to be aware of the evidence behind these differences, in order to have appropriate discussions with their patients, so as to come to an informed choice of graft type to best suit each individual patient and their requirements.

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Section: Graft Choicementioning

confidence: 99%

Anterior cruciate ligament reconstruction best practice: A review of graft choice

Shaerf

Pastides

Sarraf

et al. 2014

WJO

123

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“…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).…”

Section: Discussionmentioning

confidence: 58%

“…sprinters, wrestlers, gymnasts, martial arts practitioners). 3 Furthermore, hamstring strength has been shown to be protective of ACL reconstruction by way of the ACL-hamstring reflex arc. Harvesting the semitendinosus and gracilis tendons result in disruption of this arc and a decrease in the protective effect of the hamstrings on the ACL.…”

Section: Introductionmentioning

confidence: 99%

Soft tissue allograft for primary anterior cruciate ligament reconstruction

et al. 2017

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Background: Arthroscopic ACL reconstruction has become one of the most commonly performed arthroscopic surgeries. Inspite of extensive research on available autograft options, controversy still persists regarding the ideal graft. Allograft tendons usage in orthopedic operations has increased because of its advantages. This study was conducted to assess the functional outcome in patients undergoing ACL reconstruction with soft tissue allografts.Methods: 15 patients with Anterior Cruciate Ligament injury presenting from 2012-2014 who underwent Arthroscopic ACL reconstruction with soft tissue allograft were the subjects of this Prospective study. Assessment of the involved knee was performed to obtain subjective measures of the clinical outcomes of the ACL reconstruction. All patients were followed up at regular intervals of 3 weeks, 6 weeks, 12 weeks, 6 months and 2 years.Results: At the final follow up, the patients had an average Lysholm knee score of 85.60, Tegner score of 7.24 and IKDC score of 85.28. Knee flexion of >1200 was achieved in >80% of patients and minimal laxity in 60% patients but no functional disability in any of them. No graft failures were noted. Conclusions: Contrary to the fear of graft failure and complications associated with allograft construct for primary ACL reconstruction, allografts yield the same clinical outcome as autografts with the advantages of reduced operative time, no donor site morbidity, preservation of native hamstring tendons, faster and comfortable rehabilitation. Allografts are a good alternative to autografts for primary ACL reconstruction.

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“…Thus, these can be considered to be good alternatives in reconstructing this ligament (19)(20)(21) . Sensory abnormalities during the postoperative period following ACL reconstruction, due to lesions of the infrapatellar branch of the saphenous nerve that are caused while harvesting graft material from the flexor tendon, may affect up to 74% of the patients (22) .…”

Section: Resultsmentioning

confidence: 99%

Lesão do ligamento cruzado anterior: tratamento e reabilitação. Perspectivas e tendências atuais

Arliani¹,

Astur²,

Kanas³

et al. 2012

Rev. bras. ortop.

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Objective: The aim of this study was to evaluate the procedures used by knee surgeons in Brazil for treating and rehabilitating anterior cruciate ligament injuries. Methods: A questionnaire consisting of 21 closed questions was developed, addressing topics relating to treatment and rehabilitation after anterior cruciate ligament reconstruction. The questionnaire was applied to Brazilian knee surgeons during the three days of the 42 nd Brazilian Congress of Orthopedics and Traumatology in 2010. Results: A total of 226 surgeons filled out the questionnaire completely. The most commonly used types of graft were hamstrings tendons and the central third of the ipsilateral patellar tendon, which were used by 82.3% and 53.5% of the sample, respectively. The technique of reconstruction with a single transtibial band was the first preference and was Rev Bras Ortop. 2012;47(2):191-96 used by 66.4% of the participants. A period of 1 to 4 weeks between injury and surgical procedure was considered ideal by most participants (52.65%). Complaints from patients that the knee was 'giving way' or unstable and presence of a positive pivot shift maneuver were the most decisive factors considered in making the decision to operate the patient. Patient satisfaction and absence of complaints of instability during the postoperative period were the criteria deemed to be most important for the surgery to be considered a success. Conclusions: There are clearly evolving trends in treating and rehabilitating the anterior cruciate ligament in Brazil. However, more prospective controlled studies are needed in order to evaluate the clinical and scientific benefits of these trends.

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Prospective Comparison of Auto and Allograft Hamstring Tendon Constructs for ACL Reconstruction

Abstract: Level II, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

Cited by 97 publications

References 47 publications

Anterior cruciate ligament reconstruction best practice: A review of graft choice

Anterior cruciate ligament reconstruction best practice: A review of graft choice

Soft tissue allograft for primary anterior cruciate ligament reconstruction

Lesão do ligamento cruzado anterior: tratamento e reabilitação. Perspectivas e tendências atuais

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