Abstract

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.

Details

Title
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
Author
Runer, Armin 1   VIAFID ORCID Logo  ; Keeling, Laura 2 ; Wagala, Nyaluma 2 ; Nugraha, Hans 3 ; Özbek, Emre Anil 4 ; Hughes, Jonathan D. 5 ; Musahl, Volker 5 

1  UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, Department of Orthopaedic Surgery, Pittsburgh, USA (GRID:grid.21925.3d) (ISNI:0000 0004 1936 9000); Technical University of Munich, Department for Sports Orthopaedics, Klinikum Rechts der Isar, Munich, Germany (GRID:grid.6936.a) (ISNI:0000000123222966) 
2  UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, Department of Orthopaedic Surgery, Pittsburgh, USA (GRID:grid.21925.3d) (ISNI:0000 0004 1936 9000) 
3  UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, Department of Orthopaedic Surgery, Pittsburgh, USA (GRID:grid.21925.3d) (ISNI:0000 0004 1936 9000); University of Udayana, / Prof. Dr. I.G.N.G. Ngoerah General Hospital, Department of Orthopaedic and Traumatology, Faculty of Medicine, Denpasar, Bali, Indonesia (GRID:grid.412828.5) (ISNI:0000 0001 0692 6937) 
4  UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, Department of Orthopaedic Surgery, Pittsburgh, USA (GRID:grid.21925.3d) (ISNI:0000 0004 1936 9000); Ankara University, Department of Orthopedics and Traumatology, Ankara, Turkey (GRID:grid.7256.6) (ISNI:0000000109409118) 
5  UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, Department of Orthopaedic Surgery, Pittsburgh, USA (GRID:grid.21925.3d) (ISNI:0000 0004 1936 9000); Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Department of Orthopaedics, Gothenburg, Sweden (GRID:grid.8761.8) (ISNI:0000 0000 9919 9582) 
Pages
40
Publication year
2023
Publication date
Dec 2023
Publisher
Springer Nature B.V.
e-ISSN
21971153
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1186/s40634-023-00601-3
ProQuest document ID
2795094609
Copyright
© The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.