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Single-bundle anterior cruciate ligament reconstruction in active young men using bone-tendon achilles allograft versus free tendon achilles allograft.
Arthroscopy. 2013 Mar; 29(3):507-13.A

Abstract

PURPOSE

The purpose was to prospectively compare the outcomes of anterior cruciate ligament (ACL) reconstruction using bone-tendon Achilles allograft with those of free tendon Achilles allograft in 2 groups of active young men.

METHODS

We enrolled 72 subjects in the study. Of these, 33 subjects who had ACL reconstruction with Achilles allograft with calcaneal bone block on its end (group I) and 34 who had ACL reconstruction with free tendon Achilles allograft (group II) were followed up for a minimum of 2 years. The Lachman test, pivot-shift test, and 1-leg hop test were evaluated at the last follow-up. The International Knee Documentation Committee classification, Lysholm score, and side-to-side difference were assessed preoperatively and at the last follow-up. The Tegner activity scale was evaluated before injury and at the last follow-up.

RESULTS

The mean follow-up period was 30.9 months (range, 26 to 38 months). At the last follow-up, there were no statistically significant differences between the 2 groups for the Lachman test, pivot-shift test, 1-leg hop test, International Knee Documentation Committee classification, Lysholm score, and side-to-side difference (P > .05). Three subjects in group I and three in group II showed an activity level 2 steps below the preinjury activity level. The rest of the subjects returned to the preinjury activity level or showed a level 1 step below the preinjury activity level.

CONCLUSIONS

There were no significant differences in clinical outcomes of ACL reconstructions using Achilles allograft between the bone-tendon group and the free tendon group in active young men. Free tendon Achilles allograft may be considered an option for ACL reconstruction.

LEVEL OF EVIDENCE

Level II, therapeutic study, randomized controlled trial.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Kangwon National University Hospital, Chuncheon-si, South Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

23369444

Citation

Noh, Jung Ho, et al. "Single-bundle Anterior Cruciate Ligament Reconstruction in Active Young Men Using Bone-tendon Achilles Allograft Versus Free Tendon Achilles Allograft." Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, vol. 29, no. 3, 2013, pp. 507-13.
Noh JH, Yang BG, Yi SR, et al. Single-bundle anterior cruciate ligament reconstruction in active young men using bone-tendon achilles allograft versus free tendon achilles allograft. Arthroscopy. 2013;29(3):507-13.
Noh, J. H., Yang, B. G., Yi, S. R., Roh, Y. H., & Lee, J. S. (2013). Single-bundle anterior cruciate ligament reconstruction in active young men using bone-tendon achilles allograft versus free tendon achilles allograft. Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 29(3), 507-13. https://doi.org/10.1016/j.arthro.2012.10.023
Noh JH, et al. Single-bundle Anterior Cruciate Ligament Reconstruction in Active Young Men Using Bone-tendon Achilles Allograft Versus Free Tendon Achilles Allograft. Arthroscopy. 2013;29(3):507-13. PubMed PMID: 23369444.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Single-bundle anterior cruciate ligament reconstruction in active young men using bone-tendon achilles allograft versus free tendon achilles allograft. AU - Noh,Jung Ho, AU - Yang,Bo Gyu, AU - Yi,Seung Rim, AU - Roh,Young Hak, AU - Lee,Jun Suk, Y1 - 2013/01/28/ PY - 2012/02/23/received PY - 2012/10/21/revised PY - 2012/10/23/accepted PY - 2013/2/2/entrez PY - 2013/2/2/pubmed PY - 2013/10/1/medline SP - 507 EP - 13 JF - Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association JO - Arthroscopy VL - 29 IS - 3 N2 - PURPOSE: The purpose was to prospectively compare the outcomes of anterior cruciate ligament (ACL) reconstruction using bone-tendon Achilles allograft with those of free tendon Achilles allograft in 2 groups of active young men. METHODS: We enrolled 72 subjects in the study. Of these, 33 subjects who had ACL reconstruction with Achilles allograft with calcaneal bone block on its end (group I) and 34 who had ACL reconstruction with free tendon Achilles allograft (group II) were followed up for a minimum of 2 years. The Lachman test, pivot-shift test, and 1-leg hop test were evaluated at the last follow-up. The International Knee Documentation Committee classification, Lysholm score, and side-to-side difference were assessed preoperatively and at the last follow-up. The Tegner activity scale was evaluated before injury and at the last follow-up. RESULTS: The mean follow-up period was 30.9 months (range, 26 to 38 months). At the last follow-up, there were no statistically significant differences between the 2 groups for the Lachman test, pivot-shift test, 1-leg hop test, International Knee Documentation Committee classification, Lysholm score, and side-to-side difference (P > .05). Three subjects in group I and three in group II showed an activity level 2 steps below the preinjury activity level. The rest of the subjects returned to the preinjury activity level or showed a level 1 step below the preinjury activity level. CONCLUSIONS: There were no significant differences in clinical outcomes of ACL reconstructions using Achilles allograft between the bone-tendon group and the free tendon group in active young men. Free tendon Achilles allograft may be considered an option for ACL reconstruction. LEVEL OF EVIDENCE: Level II, therapeutic study, randomized controlled trial. SN - 1526-3231 UR - https://www.unboundmedicine.com/medline/citation/23369444/Single_bundle_anterior_cruciate_ligament_reconstruction_in_active_young_men_using_bone_tendon_achilles_allograft_versus_free_tendon_achilles_allograft_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0749-8063(12)01790-2 DB - PRIME DP - Unbound Medicine ER -