No clinical difference in 10-year outcomes between standard and minimal graft debridement techniques in patients undergoing anterior cruciate ligament reconstruction using autologous hamstrings: a randomized controlled trial

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Peter AnnearJay R Ebert

Abstract

Delayed ligamentization following anterior cruciate ligament reconstruction (ACLR) may result in reduced graft stiffness and strength, and an increased risk of secondary re-tear. Remnant sparing ACLR may accelerate ligamentization and proprioceptive function, theoretically reducing re-injury risk. This study sought to investigate 10-year graft failure rates and patient perceived knee functioning in those undergoing ACLR with remnant preservation (RP), versus remnant debridement (RD). A prospective RCT allocated 49 patients to ACLR with a hamstrings autograft together with a RD (n = 25) or RP (n = 24) procedure, of which 86% were clinically evaluated at 10 years (22 RD, 22 RP). A detailed chart review and patient phone consultation was undertaken with all patients at 10 years to evaluate the incidence (and timing) of subsequent re-tear and/or contralateral ACL tear, as well as other knee injuries/surgeries, the patient's ability to perform full work/sport duties and their perceived knee function using a numerical rating scale (NRS). No significant differences existed between groups in descriptive variables. There were 2 graft ruptures (10.0%) in the RP group and 3 (13.6%) in the RD group, with an earlier mean time to graft failu...Continue Reading

References

Jan 1, 1986·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·D AmielW H Akeson
Jan 1, 1995·Archives of Orthopaedic and Trauma Surgery·R KrauspeD Drenckhahn
Oct 26, 1999·The Journal of Bone and Joint Surgery. British Volume·M OchiY Sumen
Sep 28, 2001·The American Journal of Sports Medicine·J J IrrgangK D Shelborne
Dec 6, 2001·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·A D GeorgoulisP N Soucacos
Sep 11, 2003·Clinical Orthopaedics and Related Research·Frank N UnterhauserAndreas Weiler
Oct 14, 2004·Archives of Orthopaedic and Trauma Surgery·Hermann O MayrWolfgang Plitz
Mar 7, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Byung-Ill LeeSeong-Tae Kim
Feb 27, 2008·Archives of Orthopaedic and Trauma Surgery·Jin Hwan AhnHae Chan Ha
Apr 30, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Byung-Ill LeeKyung-Dae Min
Jun 28, 2011·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jin Hwan AhnKyoung Hwan Koh
May 1, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Takeshi MunetaIchiro Sekiya
Sep 18, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Soo Yeon ParkKyoung Ho Yoon
Dec 18, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Qiang ZhangRui Li
Aug 3, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Bo WuLei Sun
Aug 29, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Rob P A Janssen, Sven U Scheffler
Nov 5, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jianzhong HuHongbin Lu

❮ Previous
Next ❯

Citations

Jul 1, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jonathan D KosyVipul I Mandalia
Nov 16, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Barak HavivMustafa Yassin
Apr 25, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Carlos Eduardo FrancioziMarcelo Seiji Kubota
Oct 2, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·L Z van KeulenN Verdonschot

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allogenic & Autologous Therapies

Allogenic therapies are generated in large batches from unrelated donor tissues such as bone marrow. In contrast, autologous therapies are manufactures as a single lot from the patient being treated. Here is the latest research on allogenic and autologous therapies.