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Tytuł:
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Fibular Collateral Ligament Reconstruction Graft Options: Clinical and Radiographic Outcomes of Autograft Versus Allograft.
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Autorzy:
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Dekker TJ; Steadman Clinic, Vail, Colorado, U.S.A.
Schairer WW; Steadman Clinic, Vail, Colorado, U.S.A.
Grantham WJ; Steadman Clinic, Vail, Colorado, U.S.A.
DePhillipo NN; Twin Cities Orthopaedics, Minneapolis, Minnesota, U.S.A.
Aman ZS; Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
LaPrade RF; Twin Cities Orthopaedics, Minneapolis, Minnesota, U.S.A.. Electronic address: .
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Źródło:
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Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association [Arthroscopy] 2021 Mar; Vol. 37 (3), pp. 944-950. Date of Electronic Publication: 2020 Oct 27.
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Typ publikacji:
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Comparative Study; Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: Philadelphia, PA : W.B. Saunders Co.
Original Publication: [New York, N.Y.] : Raven Press, [c1985-
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MeSH Terms:
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Anterior Cruciate Ligament Reconstruction*
Transplantation, Autologous*
Transplantation, Homologous*
Anterior Cruciate Ligament/*transplantation
Knee Joint/*surgery
Adolescent ; Adult ; Anterior Cruciate Ligament Injuries/surgery ; Autografts ; Collateral Ligaments/surgery ; Female ; Humans ; Knee/surgery ; Knee Injuries/surgery ; Male ; Patient Reported Outcome Measures ; Patient Satisfaction ; Radiography ; Retrospective Studies ; Young Adult
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Entry Date(s):
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Date Created: 20201031 Date Completed: 20210614 Latest Revision: 20210614
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Update Code:
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20240105
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DOI:
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10.1016/j.arthro.2020.10.034
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PMID:
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33127553
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Purpose: To compare varus knee stability and clinical outcomes between patients who underwent fibular collateral ligament reconstruction (FCLR) or lateral collateral ligament (LCL) reconstruction with autografts versus allografts when undergoing concomitant anterior cruciate ligament reconstruction (ACLR).
Methods: All patients who underwent primary ACLR and concomitant FCLR from 2010 to 2017 performed by a single surgeon (R.F.L.) were retrospectively identified. Clinical characteristics and graft choices for FCLR were collected. Patients with a minimum 2-year follow-up for clinical outcome scores and 6-month stress radiographs were included. Patients with any other ligamentous procedure or revision ACLR were excluded.
Results: We identified 69 primary ACLR with concomitant FCLR patients who met the inclusion criteria. Fifty patients underwent FCLR with semitendinosus autografts, and 19 with allografts. There were no significant side-to-side differences (SSDs) in lateral compartment gapping on varus stress x-rays between the 2 cohorts (allograft, 0.49 mm; autograft, 0.15 mm, P = .22), and no FCLR failures. There were no significant differences between autograft and allograft groups at minimum 2-year outcomes for 12-Item Short Form mental or physical composite score (SF12 MCS, P = .134; SF12 PCS, P = .642), WOMAC total (P = .158), pain (P = .116), stiffness (P = .061), or activity (P = .252); International Knee Documentation Committee (IKDC) (P = .337), Tegner (P = .601), Lysholm (P = .622), or patient satisfaction (P = .218). There were no significant differences in clinical knee stability between groups at an average follow-up of 3.6 years (P = 1.0).
Conclusion: There were no differences in varus stress laxity 6 months postoperatively or clinical outcome scores at ≥2 years postoperatively between patients having FCL reconstructions with either autograft or allograft. This study demonstrates that both hamstring autografts and allografts for FCL reconstructions offer reliable and similar radiographic and clinical results at short-term follow-up.
Level of Evidence: III, retrospective comparative trial.
(Copyright © 2020 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.)
Comment in: Arthroscopy. 2021 Mar;37(3):951-952. (PMID: 33673973)
