Bone-patellar tendon-bone graft in anterior cruciate ligament reconstruction: allograft versus autograft / 中华外科杂志
Chinese Journal of Surgery
;
(12): 82-85, 2007.
Article
in Chinese
| WPRIM
| ID: wpr-334405
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the clinical result of arthroscopic anterior cruciate ligament (ACL) reconstruction with either allo- or auto- bone-patellar tendon-bone (B-PT-B) grafts.</p><p><b>METHODS</b>From February 2002 to January 2006, 142 of 187 cases of ACL ruptures who received ACL reconstruction with B-PT-B grafts were studied retrospectively. There were 93 male and 49 female whose age was from 15 to 57 years (mean 26 years). Patients were divided into 2 groups by graft selection 38 patients with autograft and 104 with allograft. Clinical results were evaluated according to IKDC, Lysholm, Irgang and Larson scales. Sub-items of scales such as pain, swelling and laxity were specifically evaluated.</p><p><b>RESULTS</b>All of the patients were followed up with an average of 24 months (range from 6 to 43 months). All grafts were radiographically in good position at the time of follow-up. KT-1000 examination of affected knee showed less than 3 mm anterior translation difference compared with contralateral one's. Allograft group 85 patients got normal IKDC score (81.7%). Lysholm score 82.8 +/- 8.5, Irgang score 79.2 +/- 7.3, Larson score 86.7 +/- 3.1. Autograft group 29 patients got normal IKDC score (76.3%). Lysholm score 84.6 +/- 9.5, Irgang score 79.5 +/- 7.6, Larson score 88.9 +/- 6.8. No significant statistical difference was found between the 2 groups in the comprehend scale (P>0.05).</p><p><b>CONCLUSIONS</b>Both autograft and allograft group achieve good results, and the allograft B-PT-B could provide the similar clinical result as autograft, the preliminary result of allograft reconstruction might indicate predictable result in the future.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arthroscopy
/
General Surgery
/
Transplantation, Autologous
/
Transplantation, Homologous
/
Retrospective Studies
/
Follow-Up Studies
/
Anterior Cruciate Ligament
/
Treatment Outcome
/
Matched-Pair Analysis
/
Plastic Surgery Procedures
Type of study:
Observational study
/
Prognostic study
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2007
Type:
Article
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