A Comparative Study of Clinical Outcomes and Second-Look Arthroscopic Findings between Remnant-Preserving Tibialis Tendon Allograft and Hamstring Tendon Autograft in Anterior Cruciate Ligament Reconstruction: Matched-Pair Design.
10.4055/cios.2017.9.4.424
- Author:
You Keun KIM
1
;
Jong Hyun AHN
;
Jae Doo YOO
Author Information
1. Department of Orthopaedic Surgery, Ewha Womans University Mokdong Hospital, Seoul, Korea. koreanknee@gmail.com
- Publication Type:Comparative Study ; Original Article
- Keywords:
Anterior cruciate ligament;
Hamstring autograft;
Tibialis allograft;
Remnant-preserving technique;
Outcome
- MeSH:
Allografts*;
Anterior Cruciate Ligament Reconstruction*;
Anterior Cruciate Ligament*;
Arthroscopy;
Autografts*;
Humans;
Knee;
Synovial Membrane;
Tendons*
- From:Clinics in Orthopedic Surgery
2017;9(4):424-431
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: This study aimed to compare stability, functional outcome, and second-look arthroscopic findings after anterior cruciate ligament reconstruction between remnant-preserving tibialis tendon allograft and remnant-sacrificing hamstring tendon autograft. METHODS: We matched two groups (remnant-preserving tibialis tendon allograft group and hamstring tendon autograft group) in terms of demographic characteristics, associated injury, and knee characteristics. Each group consisted of 25 patients. RESULTS: Operation time was longer in the remnant-preserving tibialis tendon allograft group, but there was no significant intergroup difference in stability, clinical outcome, and second-look arthroscopic findings. CONCLUSIONS: When an autograft is not feasible in anterior cruciate ligament reconstruction, the remnant-preserving technique can produce comparable results in terms of restoration of function, stability of the knee, and degree of synovium coverage at second-look arthroscopy compared to remnant-sacrificing hamstring autograft.