[Anterior cruciate ligament injuries: does surgical treatment with autograft versus allograft option affect the clinical results?].

Abstract

BACKGROUND:

We investigated the clinical outcome of anterior cruciate ligament (ACL) reconstructions with allograft or autograft.

METHODS:

We retrospectively evaluated 82 patients who underwent arthroscopic ACL reconstruction with anterior tibial tendon (ATT) allograft (n = 52) or quadrupled hamstring tendon (QHT) autograft (n = 30). The patients were assessed using the IKDC (International Knee Documentation Committee) and Lysholm knee scores and functional (one leg hop) and laxity (pivot-shift, Lachman, anterior drawer) tests.

RESULTS:

The two groups were similar with respect to age and sex distribution, operated side, preoperative period and associated injuries (p > 0.05). Results were satisfactory in both groups, but there was no statistically significant difference between the groups with respect to IKDC and Lysholm scores, functionality and ligament laxity (p > 0.05). However, effusions were more frequent in the QHT group compared to the ATT group.

CONCLUSION:

Our results suggest that differences in graft options for ACL reconstruction have no effect on the clinical outcome. Allografts with to-be-developed solutions to immune response may be a good alternative in ACL reconstruction.

• Authors: Ahmet Aslan, Ozgür Ozer, Metin Lütfi Baydar, Hüseyin Yorgancigil, Remzi Arif Ozerdemoğlu, Nevres Hürriyet Aydoğan
• Journal: Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES (Ulus Travma Acil Cerrahi Derg) Vol. 18 Issue 2 Pg. 153-61 (Mar 2012) ISSN: 1306-696X [Print] Turkey
• Vernacular Title: On capraz bağ yaralanmalari: otogreft ve allogreft seçenekleriyle cerrahi tedavi klinik sonuçlari etkiler mi?
• PMID: 22792822 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Anterior Cruciate Ligament (surgery)
• Anterior Cruciate Ligament Injuries
• Arthroscopy (methods)
• Female
• Humans
• Male
• Middle Aged
• Retrospective Studies
• Tendons (transplantation)
• Transplantation, Autologous
• Transplantation, Homologous
• Treatment Outcome
• Young Adult