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Anterior cruciate ligament reconstruction: effect of graft type and gender on early to mid-term clinical outcomes

Lookup NU author(s): Oliver Mann, Oday Al-Dadah

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).

Abstract

© The Author(s) 2024.Introduction: Anterior cruciate ligament (ACL) rupture is a debilitating condition and often requires surgery to restore joint stability. Common autografts used for reconstruction include patella tendon and hamstring tendons. The primary aim of this study was to evaluate the early to mid-term clinical outcomes of ACL reconstruction using validated patient-reported outcome measures (PROMs). The secondary aim was to compare clinical outcomes between patella tendon and hamstring tendon autografts. The tertiary aim was to compare clinical outcomes between males and females. Methods: Patients with an ACL rupture were evaluated before and after surgery using PROM scores which included Lysholm, Tegner, International Knee Documentation Committee (IKDC), Knee Injury and Osteoarthritis Outcome Score (KOOS), Short Form-12 Item (SF-12) and EQ-5D-5L. Results: A total of 87 patients were included in the study. All PROM scores significantly improved following surgery (p < 0.001) at a mean follow-up time of 28 months (range 12 to 88 months). The patella tendon subgroup (n = 27) had superior post-operative results as compared to the hamstring tendon subgroup (n = 60) for KOOS sport and recreation (p = 0.005), KOOS quality of life (p = 0.025), KOOS overall (p = 0.026), Tegner (p = 0.046) and IKDC (p = 0.021) scores. There was no significant difference of PROM scores between males (n = 60) and females (n = 27) (p > 0.05). Conclusions: ACL reconstruction significantly improves clinical outcomes for patients with symptomatic instability consequent to ACL rupture. Overall, patella tendon autograft resulted in better clinical outcomes as compared to hamstring tendon autograft following surgery. Gender did not influence clinical outcome following ACL reconstruction.

Publication metadata

Author(s): Mann O, Al-Dadah O

Publication type: Article

Publication status: Published

Journal: Musculoskeletal Surgery

Year: 2024

Pages: epub ahead of print

Online publication date: 29/05/2024

Acceptance date: 03/05/2024

Date deposited: 10/06/2024

ISSN (print): 2035-5106

ISSN (electronic): 2035-5114

Publisher: Springer Nature

URL: https://doi.org/10.1007/s12306-024-00824-2

DOI: 10.1007/s12306-024-00824-2

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