Anterior Cruciate Ligament Graft Failure
- 22 July 2011
- journal article
- research article
- Published by SAGE Publications in The American Journal of Sports Medicine
- Vol. 39 (10), 2194-2198
- https://doi.org/10.1177/0363546511415655
Abstract
Background: When reviewing anterior cruciate ligament instability, age, gender, activity level, associated injury, and type of graft should all be considered. Hypothesis: The authors hypothesized that patients under 25 years of age will have higher failure rates with anterior cruciate ligament reconstruction than those older than 25 years, and that in the patients younger than 25 years, bone–patellar tendon–bone autograft will have the lowest failure rate. Study Design: Cohort study; Level of evidence, 3. Methods: With use of a computerized relational database, all patients having primary anterior cruciate ligament reconstruction at 1 institution between January 2000 and July 2007 with allograft, bone–patellar tendon–bone, and hamstring grafts were evaluated. Results: A significant association was found between age group and graft failure ( P = .012). Patients 25 years and younger had a significantly higher failure rate (16.5%) than patients older than 25 years (8.3%). Pairwise comparisons indicated that both allograft (29.2%) and semitendinosus/gracilis (25.0%) grafts resulted in significantly higher failure rates than bone–patellar tendon–bone grafts (11.8%) in the age group of patients 25 years and younger. Conclusion: Autograft hamstrings and allografts had a significantly higher failure rate in the age group of patients 25 years and younger compared with the bone–patellar tendon–bone autograft. These data suggest that bone–patellar tendon–bone autografts may be a better graft source for young, active individuals.Keywords
This publication has 21 references indexed in Scilit:
- Activity Level and Graft Type as Risk Factors for Anterior Cruciate Ligament Graft FailureThe American Journal of Sports Medicine, 2009
- Prediction of Patient-Reported Outcome After Single-Bundle Anterior Cruciate Ligament ReconstructionArthroscopy: The Journal of Arthroscopic & Related Surgery, 2009
- Incidence of Subsequent Injury to Either Knee within 5 Years after Anterior Cruciate Ligament Reconstruction with Patellar Tendon AutograftThe American Journal of Sports Medicine, 2008
- Clinical Outcomes of Allograft Versus Autograft in Anterior Cruciate Ligament ReconstructionClinics in Sports Medicine, 2007
- Gender Differences in Outcome after Anterior Cruciate Ligament Reconstruction with Hamstring Tendon AutograftThe American Journal of Sports Medicine, 2006
- Excessive Tibial Rotation During High-Demand Activities Is Not Restored by Anterior Cruciate Ligament ReconstructionArthroscopy: The Journal of Arthroscopic & Related Surgery, 2005
- Anterior Cruciate Ligament Reconstruction in Patients Older than 40 YearsThe American Journal of Sports Medicine, 2005
- Incidence and Risk Factors for Graft Rupture and Contralateral Rupture After Anterior Cruciate Ligament ReconstructionArthroscopy: The Journal of Arthroscopic & Related Surgery, 2005
- Analysis of Outcomes of Anterior Cruciate Ligament Repair With 5-Year Follow-up: Allograft Versus AutograftArthroscopy: The Journal of Arthroscopic & Related Surgery, 2005
- Reconstruction of the anterior cruciate ligament in femalesArthroscopy: The Journal of Arthroscopic & Related Surgery, 2002