Anterior Cruciate Ligament Graft Failure A Comparison of Graft Type Based on Age and Tegner Activity Level
Anterior Cruciate Ligament Graft Failure A Comparison of Graft Type Based on Age and Tegner Activity Level
复制标题
DOI：
10.1177/0363546511415655
复制
发表时间：
2011-10-01
影响因子：
4.8
通讯作者：
Barrett, Gene R.
中科院分区：
文献类型：
--
作者：
Barrett, Austin M.;Craft, Jason A.;Barrett, Gene R.
背景资料：在回顾前交叉韧带不稳定时，年龄、性别、活动水平、相关损伤和移植物类型都应考虑在内。假设：作者假设25岁以下的患者前交叉韧带重建的失败率高于25岁以上的患者，并且在25岁以下的患者中，骨-髌腱-骨自体移植的失败率最低。研究设计：队列研究;证据等级，3。方法：通过使用计算机化的关系数据库，2000年1月至2007年7月期间在1家机构接受同种异体移植物（骨-髌腱-骨）初次前交叉韧带重建的所有患者，结果：年龄组与移植失败之间存在显著相关性（P = 0.012）。25岁及以下患者的失败率（16.5%）显著高于25岁以上患者（8.3%）。成对比较表明，两种同种异体移植物（29.2%）和半腱肌/股薄肌（25.0%）植骨失败率明显高于骨-髌腱-骨移植（11.8%）在25岁及以下患者的年龄组中。与骨移植相比，自体腘绳肌和同种异体移植在25岁及以下患者中的失败率明显更高，自体髌腱骨移植这些数据表明，骨髌腱骨自体移植可能是一个更好的移植来源，年轻，活跃的个人。
Background: When reviewing anterior cruciate ligament instability, age, gender, activity level, associated injury, and type of graft should all be considered.Hypothesis: The authors hypothesized that patients under 25 years of age will have higher failure rates with anterior cruciate ligament reconstruction than those older than 25 years, and that in the patients younger than 25 years, bone-patellar tendon-bone autograft will have the lowest failure rate.Study Design: Cohort study; Level of evidence, 3.Methods: With use of a computerized relational database, all patients having primary anterior cruciate ligament reconstruction at 1 institution between January 2000 and July 2007 with allograft, bone-patellar tendon-bone, and hamstring grafts were evaluated.Results: A significant association was found between age group and graft failure (P = .012). Patients 25 years and younger had a significantly higher failure rate (16.5%) than patients older than 25 years (8.3%). Pairwise comparisons indicated that both allograft (29.2%) and semitendinosus/gracilis (25.0%) grafts resulted in significantly higher failure rates than bone-patellar tendon-bone grafts (11.8%) in the age group of patients 25 years and younger.Conclusion: Autograft hamstrings and allografts had a significantly higher failure rate in the age group of patients 25 years and younger compared with the bone-patellar tendon-bone autograft. These data suggest that bone-patellar tendon-bone autografts may be a better graft source for young, active individuals.