Current trends in graft choice for primary anterior cruciate ligament reconstruction – part II: In-vivo kinematics, patient reported outcomes, re-rupture rates, strength recovery, return to sports and complications

Postoperative patient satisfaction after anterior cruciate ligament reconstruction (ACL-R) is influenced mainly by the degree of pain, the need for reoperation, and functional performance in daily activities and sports. Graft choice has shown to have an influence on postoperative outcomes after ACL-...

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Bibliographic Details
Published in:Journal of experimental orthopaedics 2023-04, Vol.10 (1), p.40-n/a
Main Authors: Runer, Armin, Keeling, Laura, Wagala, Nyaluma, Nugraha, Hans, Özbek, Emre Anil, Hughes, Jonathan D., Musahl, Volker
Format: Article
Language:English
Subjects:
5-year follow-up
Clinical outcomes
controlled-trial
hamstring
increased risk
Kinematics
Kirurgi
Knee
Medicine
Medicine & Public Health
Original Paper
Orthopedics
Ortopedi
patellar tendon-bone
Patient satisfaction
population-based cohort
primary acl reconstructions
quadriceps tendon
randomized
Surgery
Surgical Orthopedics
tendon
tibiofemoral kinematics
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Summary:Postoperative patient satisfaction after anterior cruciate ligament reconstruction (ACL-R) is influenced mainly by the degree of pain, the need for reoperation, and functional performance in daily activities and sports. Graft choice has shown to have an influence on postoperative outcomes after ACL-R. While patient reported outcomes measurements do not differ between graft options, evidence shows that normal knee kinematics is not fully restored after ACL-R with an increase in postoperative anterior tibial translation (ATT). Postoperative graft rupture rates seem to favor bone-patella-tendon-bone (BPTB) and quadriceps tendon (QT) autografts over HT or allografts. While return to sports rates seem comparable between different graft types, postoperative extensor strength is reduced in patients with BPTB and QT whereas flexion strength is weakened in patients with HT. Postoperative donor site morbidity is highest in BPTB but comparable between HT and QT. With all graft options having advantages and drawbacks, graft choice must be individualized and chosen in accordance with the patient.
ISSN:2197-1153
2197-1153
DOI:10.1186/s40634-023-00601-3