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Friday, June 23rd, 2017
Table of Contents

1 Introduction
5 PMID
 [F] Diseases Research  / PubMed Research Articles  /
Superior return to sports rate after patellar tendon autograft over patellar tendon allograft in revision anterior cruciate ligament reconstruction.

PubMed

 

Resource

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA 2017 Jun 18; ()

Authors

Keizer MNJ1; Hoogeslag RAG2; van Raay JJAM3; Otten E4; Brouwer RW5;

Author Information
  • 1Center for Human Movement Science, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
  • 2Centre for Orthopaedic Surgery OCON, Hengelo, The Netherlands.
  • 3Department of Orthopaedic Surgery, Martini Hospital Groningen, Van Swietenplein 1, 9728 NT, Groningen, The Netherlands.
  • 4Center for Human Movement Science, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
  • 5Department of Orthopaedic Surgery, Martini Hospital Groningen, Van Swietenplein 1, 9728 NT, Groningen, The Netherlands. R.W.Brouwer@mzh.nl.

Abstract

PURPOSE: After revision anterior cruciate ligament reconstruction (ACLR), the rate of return to the pre-injury type of sport (RTS type) is low and graft choice might be an important factor. The aim of this study was to determine whether there is a difference in outcome after revision ACLR using a patellar tendon allograft compared to an ipsilateral patellar tendon autograft. It was hypothesized that the rate of RTS type using an ipsilateral patellar tendon autograft will be superior to using patellar tendon allograft.

METHODS: The design is a retrospective cohort study. Inclusion criteria were patients who underwent revision ACLR with a minimum follow-up of 1 year after revision using a patellar allograft or ipsilateral autograft. Primary study parameter was rate of RTS type. Secondary study parameters were RTS level, subscores of the KOOS, the IKDCsubjective, the Tegner score and reasons for no RTS.

RESULTS: Eighty-two patients participated in this study (36 allografts and 46 autografts). In patients with a minimum follow-up of 1 year, rate of RTS type was 51.4% for the patellar tendon allograft and 62.8% for the patellar tendon autograft group (n.s.). In patients with a minimum follow-up rate of 2 years, rate of RTS type was 43.3 versus 75.0%, respectively (p = 0.027). No differences in secondary study parameters were found. In patients with a minimum follow-up of 1 year, rate of RTS type was significantly higher (p = 0.025) for patients without anxiety compared to patients who were anxious to perform certain movements.

CONCLUSION: After a minimum follow-up of 2 years, rate of RTS type is in favour of using an ipsilateral patellar tendon autograft when compared to using a patellar tendon allograft in patients undergoing revision ACLR; after a minimum follow-up of 1 year, no significant difference was found. In revision ACLR, the results of this study might influence graft choice in favour of autologous graft when the use of an allograft or autograft patellar tendon is considered.

LEVEL OF EVIDENCE: III.



PMID

28624854

Others

Publication Type: Journal Article


This article is licensed under the the National Library of Medicine License. It uses material from the PubMed National Library of Medicine Data.


Last Modified:   2016-03-27


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