Allograft Anterior Cruciate Ligament Reconstruction in the Young, Active Patient: Tegner Activity Level and Failure Rate

Barrett, Gene R.; Luber, Kurre T.; Replogle, William H.; Manley, Josie

doi:10.1016/j.arthro.2010.05.014

Cited by 117 publications

(98 citation statements)

References 44 publications

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“…Therefore, if the patient goes back to high-activity sports too early, it might increase the load of the allograft, which has not yet completed remodelling, and then affect the results at the follow-up. We justify 12 months postoperatively as the time to go back to sports based on the experience of anterior cruciate ligament (ACL) reconstruction and the healing characteristics of allografts [7,27,28]. Although Jung et al did not report the time when their patients returned to sports, one patient in our study went back to fiercely competitive sports at five months after the operation and a fair result with a mild anterior drawer test was found.…”

Section: Discussionmentioning

confidence: 71%

Anatomical reconstruction of the lateral ligaments of the ankle with semitendinosus allograft

Hua

Chen

Jin³

et al. 2012

International Orthopaedics (SICOT)

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Purpose The purpose of our study is to evaluate the clinical results of anatomical reconstruction of the lateral ligaments with semitendinosus allograft. Methods Thirty-six patients with chronic lateral instability underwent anatomical reconstruction of the lateral ligaments of the ankle with semitendinosus allograft. The American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale score (AOFAS score) and the Karlsson score were used to evaluate the clinical results before and after surgery. Results A total of 35 patients (97.2 %) (36 ankles) were followed up for a mean of 37.9 months. The mean AOFAS score improved from 42.3±4.9 points preoperatively to 90.4± 6.7 postoperatively. The mean Karlsson score improved from 38.5±3.2 preoperatively to 90.1±7.8 postoperatively.Conclusions Anatomical reconstruction of the lateral ligaments with semitendinosus allograft achieves a satisfactory surgical outcome for chronic ankle instability.Ankle sprains are reported to be the most common sports injury and account for 10∼15 % of sports-related injuries [1][2][3]. Although the majority of the patients have successful results after conservative treatment, up to 20-40 % have mechanical instability requiring operative intervention [4,5].There are various operative procedures to treat chronic lateral ankle instability. If the patient has a weak remnant of the lateral ligament, generalised joint laxity or previous failed operation for lateral ankle instability, anatomical lateral ligament reconstruction is always suggested [6].Several kinds of graft are used for the anatomical ligament reconstruction. Compared to the autograft, an allograft has the advantages of no donor site morbidity, shorter operation time and less postoperative pain [7]. Furthermore, with the improvement of the sterilisation technique, some potential complications, for example, the potential for disease transmission, osteolytic reactions, etc., have been markedly decreased [7,8]. Up to now, there have been few reports about the use of allograft for lateral ankle ligament reconstruction. We use a semitendinosus allograft in lateral ankle ligament reconstruction and propose that anatomical reconstruction of the lateral ligaments with this allograft can achieve a satisfactory surgical outcome for chronic ankle instability.

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Section: Discussionmentioning

confidence: 71%

Anatomical reconstruction of the lateral ligaments of the ankle with semitendinosus allograft

Hua

Chen

Jin³

et al. 2012

International Orthopaedics (SICOT)

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“…Whilst Bourke et al did not find a difference in graft rupture rates between patellar tendon and hamstring tendon grafts, allograft patellar tendon grafts have been associated with higher failure rates than autogenous patellar tendon grafts, particularly in young and active patients [6,21].…”

Section: Discussionmentioning

confidence: 99%

Return to sport following anterior cruciate ligament reconstruction

Feller

Webster

2012

International Orthopaedics (SICOT)

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“…However, some studies report a higher failure rate using allograft material compared with autograft material of the same type for ACL reconstruction in those younger than age 25. 9,10 Other studies suggest the issue is not the graft material but differing activity levels 11 or graft processing. 2 Allograft preparation can have a significant effect on outcome.…”

mentioning

confidence: 97%

Revision Rates After Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Allograft or Autograft in a Population 25 Years Old and Younger

Barber

Cowden

Sanders

2014

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Allograft Anterior Cruciate Ligament Reconstruction in the Young, Active Patient: Tegner Activity Level and Failure Rate

Cited by 117 publications

References 44 publications

Anatomical reconstruction of the lateral ligaments of the ankle with semitendinosus allograft

Anatomical reconstruction of the lateral ligaments of the ankle with semitendinosus allograft

Return to sport following anterior cruciate ligament reconstruction

Revision Rates After Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Allograft or Autograft in a Population 25 Years Old and Younger

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