Anterior Cruciate Ligament Reconstruction With Autografts Compared With Non-irradiated, Non-chemically Treated Allografts

Lamblin, C.; Waterman, Brian R.; Lubowitz, James H.

doi:10.1016/j.arthro.2013.01.022

Cited by 57 publications

(49 citation statements)

References 51 publications

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“…Also the integration between bone and bone (in the case of a BPTB graft) or bone and ligament (in case of a hamstring graft) can affect the initial stability of the reconstruction and therefore make it unsafe to perform aggressive physical exercises. Despite these differences between allografts and autografts, the most recent meta-analyses, when irradiated allografts were excluded, did not find significant differences in term of clinical scores, stability and failures (24). Furthermore, another systematic review did not report noticeable differences in time to return to sport based on the type of graft, with most of the studies reporting values of 6-9 months (25).…”

Section: Type Of Graftmentioning

confidence: 99%

Return to sport after ACL reconstruction: how, when and why? A narrative review of current evidence

Zaffagnini

Grassi

Serra

et al. 2015

jts

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Allowing a patient to return to sport and unrestricted physical activity after ACL injury and reconstruction is one of the most challenging and difficult decisions an orthopaedic surgeon has to make. Indeed, many factors have to be taken into account before it can be considered safe for a patients to load a reconstructed knee. The current literature contains plenty of studies aimed at evaluating return to sport, and the factors that may affect or predict this outcome, e.g. intrinsic factors like genetics, biology, type of lesion, anatomical features, motivation and psychology, and extrinsic factors such as graft type, surgical technique, rehabilitation protocols, and biological support. It is possible that awareness of these issues could help the clinician to optimise outcomes, and possibly avoid failures too, although as yet no universal criteria for resuming sport have been produced.

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Section: Type Of Graftmentioning

confidence: 99%

Return to sport after ACL reconstruction: how, when and why? A narrative review of current evidence

Zaffagnini

Grassi

Serra

et al. 2015

jts

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“…Previous studies have found similar clinical results between allograft and autograft. [10][11][12] The purpose of this study was to compare the results of patients who underwent ACL reconstruction with autograft, girradiated allograft, or hybrid graft in a prospective randomized study with a minimum clinical follow-up period of 5 years.…”

mentioning

confidence: 99%

“…Furthermore, allografts might significantly change the initial biomechanical properties after g-irradiation; whether the changes in biomechanical properties affect the clinical outcomes of ACL reconstruction with g-irradiated allograft still remains controversial. [7][8][9][10][11][12] The erythrocyte sedimentation rate (ESR) and Creaction protein (CRP) level are the most useful routine laboratory screening tests for diagnosing potential infection after surgery and determining the response to treatment. Previous studies have found similar clinical results between allograft and autograft.…”

mentioning

confidence: 99%

A Prospective Randomized Study of Anterior Cruciate Ligament Reconstruction With Autograft, γ-Irradiated Allograft, and Hybrid Graft

Wang

et al. 2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…Potential disadvantages of allograft tissue include disease transmission, autoimmune response, delayed or incomplete biological incorporation and increased costs. In a recent systematic review, the authors compared the results of ACL reconstruction with autografts and nonirradiated, non-chemically treated allografts 7 . The authors found that no statistically significant differences existed between autografts and non-chemically processed non-irradiated allografts in Lysholm scores, International Knee Documentation Committee (IKDC) scores, Lachman examinations, pivot-shift testing, KT-1000 measurements or failure rates.…”

Section: Antero-medial Portal Vs Transtibial Femoral Tunnel Drillingmentioning

confidence: 99%

Single bundle anatomic anterior cruciate ligament reconstruction: Indications, technique and results

Bonasia¹,

Dettoni²,

Bruzzone³

et al. 2013

OA Sports Medicine

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IntroductionAnterior cruciate ligament (ACL) is a common injury and more than 100,000 ACL reconstruction procedures are performed in the United States every year. Although widely accepted and investigated, ACL reconstruction still continues to evolve and many technical issues are under debate. They mainly include: 1) graft selection, 2) surgical technique (double versus single bundle) and 3) femoral tunnel drilling in single bundle ACL reconstruction. In this review, the authors describe the indications, surgical technique and results of anatomic ACL reconstruction. The controversies are also discussed, through a recent literature review. Methodology After an ACL tear, three possible treatment options are available: 1) conservative treatment, 2) acute ACL reconstruction (within the first six weeks) and 3) chronic reconstruction. Patient's age, profession and activity level need to be carefully evaluated to correctly plan the treatment. Conclusion To achieve good results and high satisfaction rates, correct treatment has to be tailored to meet the patient's needs, profession, activity level, age and sports. Considering the literature review, many issues regarding ACL reconstruction are still under debate and need to be clarified with high quality studies.

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Anterior Cruciate Ligament Reconstruction With Autografts Compared With Non-irradiated, Non-chemically Treated Allografts

Cited by 57 publications

References 51 publications

Return to sport after ACL reconstruction: how, when and why? A narrative review of current evidence

Return to sport after ACL reconstruction: how, when and why? A narrative review of current evidence

A Prospective Randomized Study of Anterior Cruciate Ligament Reconstruction With Autograft, γ-Irradiated Allograft, and Hybrid Graft

Single bundle anatomic anterior cruciate ligament reconstruction: Indications, technique and results

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