Revision of anterior cruciate ligament reconstruction with allografts in patients younger than 40 years old: A 2 to 4 year results

Cecilia Pascual-Garrido, L. Carbo, A. Makino

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

Purpose: The purpose of this study is first to report the outcomes, at 4 years follow-up, in revision ACL surgery using allografts in patients younger than 40 years old, and then compared soft tissue allografts to bone tendon allografts. Methods: This retrospective study included 47 patients who underwent ACL revision surgery with fresh-frozen allografts. Patellar tendon allograft or tibialis anterior allograft was used. Twenty-seven patients undergoing ACL revision with patellar tendon allograft were compared retrospectively with twenty-two patients undergoing the same procedure with soft tissue tibialis anterior allograft. Lysholm, IKDC, and KT-1000 values were obtained preoperatively and postoperatively. Results: The average patient follow-up was 4.6 years (±2.5). The mean age at time of the revision was 34 years old (±6.3). Overall, patients reported the overall condition of their knee as excellent or good in 85 % of the patients (10 excellent, 33 good). Based on their experience, 85 % would have the surgery again if they had the same problem in the other knee. Both subgroups experienced significant improvement in Lysholm, IKDC, and KT-1000 values, with no difference found between groups at final follow-up. Conclusion: Revision ACL with allografts has excellent and good results in 85 % of patients younger than 40 years old. No statistical difference was seen between soft tissue (tibialis anterior) and patellar tendon allograft. Level of evidence: IV.

Original languageEnglish
Pages (from-to)1106-1111
Number of pages6
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume22
Issue number5
DOIs
StatePublished - May 2014

Keywords

  • ACL revision
  • Allografts
  • Knee

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