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Hamstring tendon autograft versus fresh-frozen tibialis posterior allograft in primary arthroscopic anterior cruciate ligament reconstruction: a retrospective cohort study with three to six years follow-up

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Abstract

Introduction

Selection of various grafts for anterior cruciate ligament (ACL) reconstructions have been employed in order to improve on stability and function of the knee. This study aimed to compare stability and function of the knee after ACL arthroscopic reconstruction by single-loop tibialis posterior (TP) allograft and four-strand hamstring tendon (HT) autograft.

Materials and methods

The retrospective cohort study included 104 patients in the TP group matched with 118 patients in the HT group in terms of demographic characteristics, associated meniscus injury, subjective and objective knee characteristics. All patients were followed up for at least three years with regards to mentioned criteria and time of return to former activities.

Results

The mean (range) age of TP (88 males and 16 females) and HT (99 males and 19 females) groups was 34.4 (19–48) and 36.9 (20–51) years, respectively. Median (range) follow-up durations were 55 (37–71) and 56 (36–72) months, respectively. No significant differences were observed post-operatively, regarding subjective and objective evaluations. Additionally, time duration for return to former activity was similar in both groups. Post-operative paresthesia and numbness of medial aspect of the calf were observed for two months in eight patients of the HT group which persisted to the final visit in one case. No similar symptom was seen in the TP group.

Conclusion

In arthroscopic ACL reconstruction, fresh frozen doubled TP allograft compared to HT autograft was equally effective in restoring function and stability of knee, permitting return to former activities.

Level of evidence

Retrospective comparative, Level III

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Abbreviations

AATB:

American Association of Tissue Bank

ACL:

Anterior cruciate ligament

BPTB:

Bone-patellar tendon-bone

HT:

Hamstring tendon

HTA:

HT autograft

IKDC:

International Knee Document Committee

MRI:

Magnetic resonance imaging

ROM:

Range of motion

SSD:

Side to side difference

TP:

Tibialis posterior

TPA:

TP allograft

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Acknowledgments

The authors would like to thank the Clinical Research Development Center in Poursina Hospital, affiliated to Guilan University of Medical Sciences, Guilan, Iran for facilitating the study.

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Authors and Affiliations

  1. Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran

    Mohsen Mardani-Kivi, Khashayar Saheb-Ekhtiari & Keyvan Hashemi-Motlagh

  2. Orthopaedic Department, Kerman University of Medical Sciences, Kerman, Iran

    Mahmoud Karimi-Mobarakeh & Keyvan Hashemi-Motlagh

  3. Orthopaedic Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Sohrab Keyhani, Keyvan Hashemi-Motlagh & Ali Sarvi

  4. Guilan Road Trauma Research Center, Poursina Hospital, Rasht, PO Box: 4193713191, Guilan, Iran

    Khashayar Saheb-Ekhtiari

  5. Guilan University of Medical Sciences, Rasht, Iran

    Keyvan Hashemi-Motlagh

Authors
  1. Mohsen Mardani-Kivi
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  2. Mahmoud Karimi-Mobarakeh
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  3. Sohrab Keyhani
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Corresponding author

Correspondence to Khashayar Saheb-Ekhtiari.

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Mardani-Kivi, M., Karimi-Mobarakeh, M., Keyhani, S. et al. Hamstring tendon autograft versus fresh-frozen tibialis posterior allograft in primary arthroscopic anterior cruciate ligament reconstruction: a retrospective cohort study with three to six years follow-up. International Orthopaedics (SICOT) 40, 1905–1911 (2016). https://doi.org/10.1007/s00264-016-3164-9

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  • DOI: https://doi.org/10.1007/s00264-016-3164-9

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