Arthroscopic single-bundle anterior cruciate ligament reconstruction with six-strand hamstring tendon allograft versus bone-patellar tendon-bone allograft

作者：Dai, Chengliang; Wang, Fei^*; Wang, Xiaomeng; Wang, Ruipeng; Wang, Shengjie; Tang, Shiyu

来源：Knee Surgery, Sports Traumatology, Arthroscopy, 2016, 24(9): 2915-2922.

DOI：10.1007/s00167-015-3569-9

• Anterior cruciate ligament
• Single-bundle reconstruction
• Bone-patellar tendon-bone
• Hamstring tendon
• Allograft

The aim of this study was to compare the clinical outcomes of arthroscopic single-bundle anterior cruciate ligament (ACL) reconstruction with six-strand hamstring tendon (HT) allograft versus bone-patellar tendon-bone (BPTB) allograft.
The prospective randomized controlled trial was included 129 patients. Sixty-nine patients received reconstruction with six-strand HT allografts (HT group), whereas 60 patients with BPTB allografts (BPTB group). Outcome assessment included re-rupture findings, International Knee Documentation Committee (IKDC) scores, Lysholm scores, KT-1000 arthrometer, Lachman test, pivot-shift test, range of motion (ROM) and single-leg hop test.
At a mean follow-up of 52 months, 113 patients (HT group, 61 patients; BPTB group, 52 patients) completed a minimum 4-year follow-up. Four patients in HT group and six in BPTB group experienced ACL re-rupture (6.2 vs. 10.3 %) and received revision surgery. Significant between-group differences were observed in KT-1000 outcomes and pivot-shift test 1 (1.2 +/- 1.5 vs. 1.8 +/- 1.3, p = 0.025; positive rate 6.5 vs. 18.9 %, p = 0.036), 2 (1.1 +/- 1.4 vs. 1.6 +/- 1.2, p = 0.044; 8.1 vs. 20.7 %, p = 0.039), 4 (1.1 +/- 1.5 vs. 1.7 +/- 1.4, p = 0.031; 9.7 vs. 25 %, p = 0.012) years postoperatively. The outcomes between the two groups were comparable in terms of IKDC scores, Lysholm scores, Lachman test, ROM and single-leg hop test.
Six-strand HT allograft achieved superior anteroposterior and rotational stability after single-bundle ACL reconstruction. It is a reasonable graft substitute for ACL reconstruction.
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• 出版日期2016-9
• 单位河北医科大学