Allograft or autograft in skeletally immature anterior cruciate ligament reconstruction: a prospective evaluation using both partial and complete transphyseal techniques

Razi, Mohammad and Moradi, Amin and Safarcherati, Afsane and Askari, Alireza and Arasteh, Peyman and Ziabari, Elaheh Ziaei and Dadgostar, Haleh Allograft or autograft in skeletally immature anterior cruciate ligament reconstruction: a prospective evaluation using both partial and complete transphyseal techniques. JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, 14.

[img] Text
Allograft or autograft in skeletally immature anterior cruciate ligament reconstruction a prospective evaluation using both partial and complete transphyseal techniques.pdf

Download (556kB)

Abstract

ObjectiveWe compared autografts and allograft using partial and complete transphyseal anterior cruciate ligament (ACL) reconstruction techniques among skeletally immature individuals.MethodsMale and females younger than 18 and 16years old, respectively, diagnosed with ACL tear from April 2006 to March 2012 entered the study. One group had four-strand hamstring autograft, and the other had tibialis posterior allograft reconstruction. Those who had allografts either had hyper-laxity or recurvatum.ResultsAchieved mean (SD) 2000 International Knee Documentation Committee subjective score was not statistically different (P=0.385) between allograft (n=13) (84.33.2) and autograft groups (n=18) (85.6 +/- 4.4). Mean Knee injury and Osteoarthritis Outcome Score (KOOS) subscale Knee-Related Quality of Life at 2years was 78.0 +/- 7.2 and 75 +/- 7.4 for allograft and autograft groups, respectively (p=0.261). Mean 2-year KOOS subscale Sports and Recreation was 82.1 +/- 5.8 and 84.8 +/- 6.6 for allograft and autograft groups, respectively (p=0.244). No patient reported instability, giving way, or locking of the knee. Pivot shift test was negative in all patients; however, a minor positive Lachman test was found in six cases (46%) within the allograft group and seven cases (39%) in the autograft group. One postoperative septic arthritis was documented in the autograft group.Conclusion Considering existing concern that joint laxity and recurvatum are among the precursors ofnon-contact ACL injury in adolescents, bone-patellar-bone autografts are not applicable in this age group because of the open physis; furthermore, considering that hamstring autografts are insufficient (size thickness and stretchability), we recommend soft tissue allografts for ACL reconstruction in skeletally immature patients.

Item Type: Article
Uncontrolled Keywords: Autograft; Allograft; Anterior cruciate ligament; Reconstruction; Adolescent
Subjects: WS Pediatrics
Depositing User: Unnamed user with email eprints@fums.ac.ir
Date Deposited: 13 Aug 2019 08:49
Last Modified: 13 Aug 2019 08:49
URI: http://eprints.fums.ac.ir/id/eprint/2614

Actions (login required)

View Item View Item