Do graft diameter or patient age influence the results of ACL reconstruction?

Marchand, Jean Baptiste; Ruiz, Nicolás; Coupry, Augustin; Bowen, Mark K.; Robert, H.

doi:10.1007/s00167-015-3608-6

Cited by 24 publications

(29 citation statements)

References 39 publications

(74 reference statements)

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“… 22 , 23 Several studies have also reported a higher graft failure rate in young and more active patients. 7 , 24 , 25 However, only graft size was shown to be an independent predictor of graft failure in our logistic regression analysis. We noted in our series that 76% of female patients and 36% of male patients had graft at risk for failure based on size (<8 mm in diameter).…”

Section: Discussionmentioning

confidence: 60%

Influence of hamstring autograft diameter on graft failure rate in Chinese population after anterior cruciate ligament reconstruction

Tang

Wan

Lee

et al. 2020

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

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Background There has been limited literature regarding the influence of hamstring autograft diameter on the outcome of anterior cruciate ligament (ACL) reconstruction in Asian population. This study was undertaken to investigate the failure rate after ACL reconstruction among Chinese patients treated with hamstring tendon autografts of different diameters. Our hypothesis was that an increase in hamstring tendon autograft diameter would reduce the risk of graft failure. Methods A retrospective review of 394 consecutive patients who underwent ACL reconstruction using quadrupled semitendinous and gracillis autografts from 2009 to 2018 at our centre was performed. Logistic regression analysis was used to determine the relationship between graft failure rate and predictor variables, including hamstring graft diameter, gender and age. Results Hamstring graft diameter of 8.0 mm or more was found to be associated with significant reduction of risk in graft failure rate (P = 0.001, Relative Risk 0.19). No significant association was found between graft failure rate and gender or age. Conclusion Hamstring graft diameter 8.0 mm or greater is associated with decreased graft failure rate and revision rate in our local Chinese population.

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Section: Discussionmentioning

confidence: 60%

Influence of hamstring autograft diameter on graft failure rate in Chinese population after anterior cruciate ligament reconstruction

Tang

Wan

Lee

et al. 2020

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

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“…The same year, Marchand et al 23 reported on the laximetric outcomes (using GNRB® [Genourob, Laval, France] as a measurement tool) of 88 hamstring ACL reconstruction patients operated using a four-strand isolated ST or a doubled ST-G 4-strand graft with an average follow-up of 26 months. The diameter of the central portion of the graft prepared was measured using a calibrator.…”

Section: The Relationship Of Graft Size With Acl Reconstruction Failumentioning

confidence: 99%

“…There are obviously other factors that should be considered, especially age 18 , 19 , 23 (probably the most important risk factor for revision). Therefore, a larger graft size should not be taken as the unique single goal in ACL reconstruction.…”

Section: Summary and Recommendations From The Evidencementioning

confidence: 99%

Hamstring autograft size importance in anterior cruciate ligament repair surgery

Figueroa

Espregueira-Mendes

2018

EFORT Open Reviews

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Graft size in hamstring autograft anterior cruciate ligament (ACL) surgery is an important factor directly related to failure. Most of the evidence in the field suggests that the size of the graft in hamstring autograft ACL reconstruction matters when the surgeon is trying to avoid failures.The exact graft diameter needed to avoid failures is not absolutely clear and could depend on other factors, but newer studies suggest than even increases of 0.5 mm up to a graft size of 10 mm are beneficial for the patient. There is still no evidence to recommend the use of grafts > 10 mm.Several methods – e.g. folding the graft in more strands – that are simple and reproducible have been published lately to address the problem of having an insufficient graft size when performing an ACL reconstruction. Due to the evidence presented, we think it is necessary for the surgeon to have them in his or her arsenal before performing an ACL reconstruction.There are obviously other factors that should be considered, especially age. Therefore, a larger graft size should not be taken as the only goal in ACL reconstruction.Cite this article: EFORT Open Rev 2018;3:93-97. DOI: 10.1302/2058-5241.3.170038

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“…8 A biomechanical study that tested 6 to 9 mm hamstring allograft suggests that increasing tendon diameters by 1 to 2 mm will significantly lead to better graft strength. 4 A study demonstrated that four-strand hamstring graft is stiffer and stronger than the original ACL or 10 mm patellar ligament graft, 13 while other study compared postoperative laximetric measurement between 8 to 10 mm hamstring graft suggested that no benefit to increase the diameter of graft above 10 mm 17 Spragg et al 18 stated that every increasing by 0.5mm increase in graft diameter lead to 0.82 times lower revision surgery. Another study recommended that minimum diameter of the graft was 7mm.…”

Section: Discussionmentioning

confidence: 99%

The influence of hamstring autograft diameter on patient- reported functional scoresfollowing anterior cruciate ligament (ACL) reconstruction

Рhatomy

Widjaya²,

Ghazali³

et al. 2019

JMedScie

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Anterior cruciate ligament (ACL) reconstruction using hamstring tendon autograft is a common procedure in orthopedic surgery to treat ACL rupture. Graft diameter is very important in successfulness of ACL reconstruction. The purpose of this study was to evaluate the influence of hamstring autograft diameter on patient-reported functional scores following ACL reconstruction. The diameter of grafts were collected retrospectively from medical records of the patients who underwent primary ACL reconstruction with hamstring autograft in the Soeradji Tirtonegoro General Hospital, Klaten, Central Java.

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Do graft diameter or patient age influence the results of ACL reconstruction?

Abstract: Retrospective case series, Level IV.

Cited by 24 publications

References 39 publications

Influence of hamstring autograft diameter on graft failure rate in Chinese population after anterior cruciate ligament reconstruction

Influence of hamstring autograft diameter on graft failure rate in Chinese population after anterior cruciate ligament reconstruction

Hamstring autograft size importance in anterior cruciate ligament repair surgery

The influence of hamstring autograft diameter on patient- reported functional scoresfollowing anterior cruciate ligament (ACL) reconstruction

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