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Early Outcomes of Adolescent ACL Reconstruction With Hybrid Hamstring Tendon Autograft-Allograft Versus Hamstring Tendon Autograft Alone
| Content Provider | SAGE Publishing |
|---|---|
| Author | Heyworth, Benton E. Zheng, Evan T. Vavken, Patrick Liotta, Elizabeth S. Kramer, Dennis E. Yen, Yi-Meng Micheli, Lyle J. Kocher, Mininder S. |
| Copyright Year | 2021 |
| Abstract | Small-diameter semitendinosus-gracilis tendon autografts may be encountered intraoperatively during anterior cruciate ligament reconstruction (ACLR); these have been shown to be at increased risk of graft rupture. One option that surgeons have pursued to reduce the theoretical failure rate of these smaller-diameter grafts is augmenting them with allograft material, thereby forming a larger-diameter hybrid autograft-allograft construct.Purpose/Hypothesis:The purpose of this study was to compare outcomes in adolescent athletes of primary ACLR using a hybrid autologous hamstring tendon and soft tissue allograft construct versus ACLR using small-diameter hamstring tendon autograft. The hypothesis was that the hybrid hamstring autograft-allograft construct would provide superior short-term results.Study Design:Cohort study; Level of evidence, 3.Methods:We performed a retrospective analysis of 47 patients aged between 12 and 20 years who underwent hybrid graft ACLR (mean diameter, 9.1 mm) at a single institution. Electronic medical records including clinic notes, radiographic images, operative notes, and pathology reports were reviewed for study analysis. A control group of 64 patients who underwent small-diameter hamstring reconstruction (mean diameter, 7.1 mm) without allograft supplementation was compiled. Corresponding clinical, radiographic, and surgical characteristics were collected for the control group to allow for comparative analysis.Results:Mean follow-up was 2.7 years for the hybrid cohort and 2.3 years for the control group. Despite a significantly larger mean graft diameter in the hybrid group as compared with the control group (P < .001), no significant difference in retear rate was seen between cohorts (hybrid, 9%; control, 13%; P = .554). Patients with hybrid anterior cruciate ligament constructs also underwent a comparable number of reoperations overall (P = .838). Functionally, all patients with adequate follow-up returned to sports, with no significant difference in time to return to sports between the groups (P = .213). Radiographically, hybrid graft constructs did not undergo a significantly larger degree of tunnel lysis (P = .126).Conclusion:A cohort of adolescents with hybrid anterior cruciate ligament grafts was shown to have retear rates and overall clinical results comparable with those of a control group that received small-diameter hamstring tendon autografts alone. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/2325967120979985?download=true |
| ISSN | 23259671 |
| Issue Number | 1 |
| Volume Number | 9 |
| Journal | Orthopaedic Journal of Sports Medicine (OJS) |
| e-ISSN | 23259671 |
| DOI | 10.1177/2325967120979985 |
| Language | English |
| Publisher | Sage Publications CA |
| Publisher Date | 2021-01-22 |
| Publisher Place | Los Angeles |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2021 |
| Subject Keyword | allograft ACL reconstruction adolescent athletes hybrid graft ACL reconstruction clinical outcomes hamstring tendon autograft ACL reconstruction |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine |
