Clin Orthop Surg.  2017 Dec;9(4):424-431. 10.4055/cios.2017.9.4.424.

A Comparative Study of Clinical Outcomes and Second-Look Arthroscopic Findings between Remnant-Preserving Tibialis Tendon Allograft and Hamstring Tendon Autograft in Anterior Cruciate Ligament Reconstruction: Matched-Pair Design

Affiliations
  • 1Department of Orthopaedic Surgery, Ewha Womans University Mokdong Hospital, Seoul, Korea. koreanknee@gmail.com

Abstract

BACKGROUND
This study aimed to compare stability, functional outcome, and second-look arthroscopic findings after anterior cruciate ligament reconstruction between remnant-preserving tibialis tendon allograft and remnant-sacrificing hamstring tendon autograft.
METHODS
We matched two groups (remnant-preserving tibialis tendon allograft group and hamstring tendon autograft group) in terms of demographic characteristics, associated injury, and knee characteristics. Each group consisted of 25 patients.
RESULTS
Operation time was longer in the remnant-preserving tibialis tendon allograft group, but there was no significant intergroup difference in stability, clinical outcome, and second-look arthroscopic findings.
CONCLUSIONS
When an autograft is not feasible in anterior cruciate ligament reconstruction, the remnant-preserving technique can produce comparable results in terms of restoration of function, stability of the knee, and degree of synovium coverage at second-look arthroscopy compared to remnant-sacrificing hamstring autograft.

Keyword

Anterior cruciate ligament; Hamstring autograft; Tibialis allograft; Remnant-preserving technique; Outcome

MeSH Terms

Adolescent
Adult
Allografts
Anterior Cruciate Ligament Injuries/complications/*surgery
Anterior Cruciate Ligament Reconstruction/adverse effects/*methods
Arthroscopy
Autografts
Female
Humans
Imaging, Three-Dimensional
Joint Instability/diagnostic imaging/*etiology
Knee Joint/diagnostic imaging/physiopathology/*surgery
Lysholm Knee Score
Male
Matched-Pair Analysis
Middle Aged
Operative Time
Retrospective Studies
Second-Look Surgery
Tendons/*transplantation
Tomography, X-Ray Computed
Treatment Outcome
Young Adult
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