Effect of graft types for outcomes in revision anterior cruciate ligament reconstruction: A meta-analysis - 26/01/24
Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.
Connectez-vous pour en bénéficier!
Abstract |
Purpose |
This meta-analysis was performed to compare outcomes among different types of graft for revision anterior cruciate ligament reconstruction (ACLR).
Methods |
A comprehensive search from Embase, PubMed, and Cochrane Library was performed to identify relevant articles. Studies that conducted a comparative analysis on outcomes among different types of grafts were included. A meta-analysis was performed using Review Manager 5.4 software.
Results |
In total, 7 non-randomized studies with a minimum 1-year follow-up were included in analysis, and all studies compared outcomes between autograft and allograft. International Knee Documentation Committee subjective knee (IKDC) scores and side-to-side anterior laxity were not significantly different between autograft and allograft. Revision ACLR with allograft had a higher risk of failure than autograft at the final follow-up (OR=2.22, 95% CI=1.55–3.18). The rates of return to pre-injury type of sport and return to same and higher level of pre-injury sport were not significantly different between autograft and allograft.
Conclusion |
The outcomes of IKDC score, side-to-side anterior laxity, and rates of return to sport were not significantly different between autograft and allograft. Autografts provide a significantly lower risk of failure than allografts in revision ACLR.
Level of evidence |
IV; meta-analysis.
Le texte complet de cet article est disponible en PDF.Keywords : Revision anterior cruciate ligament reconstruction, Autograft, Allograft, Failure, Return to sport, Clinical outcomes
Plan
Vol 110 - N° 1
Article 103696- février 2024 Retour au numéro
Article précédent
- Presentation of an intraosseous suspensory fixation technique for pediatric and adult ACL reconstruction
- Renaud Siboni, Charles Pioger, Caroline Mouton, Romain Seil
- Clinical outcome of iterative meniscal suture after ACL reconstruction at a minimum of 2 years’ follow-up
- Martin Tripon, César Praz, Alexandre Ferreira, Joffrey Drigny, Emmanuel Reboursière, Christophe Hulet
Bienvenue sur EM-consulte, la référence des professionnels de santé.