TY - JOUR
T1 - Hamstring Autograft Anterior Cruciate Ligament Reconstruction Using an All-inside Technique With and Without Independent Suture Tape Reinforcement
AU - Parkes, Chad W
AU - Leland, Devin P
AU - Levy, Bruce A
AU - Stuart, Michael J
AU - Camp, Christopher L
AU - Saris, Daniel B F
AU - Krych, Aaron J
N1 - Funding Information:
The authors report the following potential conflicts of interest or sources of funding: B.A.L. is a paid consultant for Arthrex and Smith & Nephew; receives intellectual property royalties from Arthrex; receives research support from Biomet, Smith & Nephew, and Stryker; is on the editorial or governing board of Clinical Orthopaedics and Related Research, Journal of Knee Surgery, Knee Surgery, Sports Traumatology, Arthroscopy, and Orthopedics Today; and receives compensation for speaking from Linvatec, outside the submitted work. M.J.S. is on the editorial or governing board of American Journal of Sports Medicine; receives intellectual property royalties from Arthrex; is a paid consultant for Arthrex; and receives research support from Arthrex and Stryker, outside the submitted work. C.L.C. receives hospitality payments from Arthrex and Zimmer Biomet and receives educational support from Arthrex, outside the submitted work. D.B.F.S. is on the editorial or governing board of Cartilage; receives research support from JRF; and is a paid consultant for Smith & Nephew, outside the submitted work. A.J.K. research support from Aesculap/B Braun, Arthritis Foundation, Ceterix, Histogenics, Exactech, and Gemini Medical; is on editorial or governing board of American Journal of Sports Medicine; is a board or committee member of International Cartilage Repair Society, International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine, Minnesota Orthopedic Society, and Musculoskeletal Transplantation Foundation; is a paid consultant for Arthrex, Musculoskeletal Transplantation Foundation, Vericel, DePuy, and JRF; receives travel/lodging from Arthrex and Musculoskeletal Transplantation Foundation; and is a paid speaker for Arthrex and Musculoskeletal Transplantation Foundation, outside the submitted work. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
Publisher Copyright:
© 2020 Arthroscopy Association of North America
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/2
Y1 - 2021/2
N2 - PURPOSE: To compare the (1) rates of complications and reoperations, (2) rate of anterior cruciate ligament (ACL) graft failure, and (3) patient-reported outcomes (PROs) among patients after hamstring autograft ACL reconstruction (ACLR) with and without independent suture tape reinforcement at a minimum 2-year clinical follow-up.METHODS: We performed a 1:2 matched-cohort comparison of patients who underwent hamstring autograft ACLR with and without independent suture tape reinforcement between July 2011 and July 2017. Patients were matched according to age, sex, body mass index, preinjury Tegner activity score, and concomitant meniscal injury. Medical records were reviewed for demographic characteristics, additional injuries, and concomitant procedures. PRO scores (including Tegner activity, Lysholm, and International Knee Documentation Committee scores) and physical examination findings were collected both preoperatively and at a minimum of 2 years postoperatively.RESULTS: Overall, 108 patients who underwent ACLR were included: 36 patients (mean age, 25.3 years; range, 13-44 years) with independent suture tape reinforcement and 72 patients (mean age, 24.9 years; range, 13-54 years) without suture tape reinforcement. Overall, 5 of 36 suture tape patients (14%) and 10 of 72 control patients (14%) underwent reoperations. At an average follow-up of 26.1 months in the suture tape cohort and 31.3 months in the control cohort, 1 patient in the suture tape cohort and 4 patients in the control cohort experienced graft failure. There were no statistically significant differences between the suture tape and control groups regarding return-to-sport rate (89% and 88%, respectively), postoperative International Knee Documentation Committee score (94.4 and 93.8, respectively), and postoperative Lysholm score (95.6 and 94, respectively). There was a statistically significant difference between the suture tape and control groups in postoperative Tegner activity score, at 7.1 (95% confidence interval, 6.5-7.6) and 6.4 (95% confidence interval, 6.2-6.6), respectively (P = .026).CONCLUSIONS: ACLR with hamstring autograft and independent suture tape reinforcement was performed safely with low rates of complications, graft failure, and reoperations with similar PROs, function, and return-to-sport rates when compared with hamstring autograft ACLR without suture tape reinforcement at a minimum 2-year follow-up.LEVEL OF EVIDENCE: Level III, retrospective comparative study.
AB - PURPOSE: To compare the (1) rates of complications and reoperations, (2) rate of anterior cruciate ligament (ACL) graft failure, and (3) patient-reported outcomes (PROs) among patients after hamstring autograft ACL reconstruction (ACLR) with and without independent suture tape reinforcement at a minimum 2-year clinical follow-up.METHODS: We performed a 1:2 matched-cohort comparison of patients who underwent hamstring autograft ACLR with and without independent suture tape reinforcement between July 2011 and July 2017. Patients were matched according to age, sex, body mass index, preinjury Tegner activity score, and concomitant meniscal injury. Medical records were reviewed for demographic characteristics, additional injuries, and concomitant procedures. PRO scores (including Tegner activity, Lysholm, and International Knee Documentation Committee scores) and physical examination findings were collected both preoperatively and at a minimum of 2 years postoperatively.RESULTS: Overall, 108 patients who underwent ACLR were included: 36 patients (mean age, 25.3 years; range, 13-44 years) with independent suture tape reinforcement and 72 patients (mean age, 24.9 years; range, 13-54 years) without suture tape reinforcement. Overall, 5 of 36 suture tape patients (14%) and 10 of 72 control patients (14%) underwent reoperations. At an average follow-up of 26.1 months in the suture tape cohort and 31.3 months in the control cohort, 1 patient in the suture tape cohort and 4 patients in the control cohort experienced graft failure. There were no statistically significant differences between the suture tape and control groups regarding return-to-sport rate (89% and 88%, respectively), postoperative International Knee Documentation Committee score (94.4 and 93.8, respectively), and postoperative Lysholm score (95.6 and 94, respectively). There was a statistically significant difference between the suture tape and control groups in postoperative Tegner activity score, at 7.1 (95% confidence interval, 6.5-7.6) and 6.4 (95% confidence interval, 6.2-6.6), respectively (P = .026).CONCLUSIONS: ACLR with hamstring autograft and independent suture tape reinforcement was performed safely with low rates of complications, graft failure, and reoperations with similar PROs, function, and return-to-sport rates when compared with hamstring autograft ACLR without suture tape reinforcement at a minimum 2-year follow-up.LEVEL OF EVIDENCE: Level III, retrospective comparative study.
UR - http://www.scopus.com/inward/record.url?scp=85097744556&partnerID=8YFLogxK
U2 - 10.1016/j.arthro.2020.09.002
DO - 10.1016/j.arthro.2020.09.002
M3 - Article
C2 - 33144236
SN - 0749-8063
VL - 37
SP - 609
EP - 616
JO - Arthroscopy
JF - Arthroscopy
IS - 2
ER -