Similarities in the kinematics of autografts and hybrid grafts for anterior cruciate ligament reconstruction: Minimum 2 years of follow-up

被引：0
作者：
Yang, Shaozheng [1 ,2 ]
Dong, Guangyuan [1 ]
Pan, Jianying [1 ]
Liu, Yongqiang [2 ]
Zhong, Hua [2 ]
Zeng, Chun [1 ]
机构：
[1] Southern Med Univ, Affiliated Hosp 3, Orthoped Hosp Guangdong Prov, Guangdong Prov Key Lab Bone & Joint Degenerat Dis,, Guangzhou, Guangdong, Peoples R China
[2] Southern Med Univ, Affiliated Hosp 5, Dept Orthopaed, Guangzhou, Guangdong, Peoples R China
来源：
KNEE | 2025年 / 53卷
基金：
中国国家自然科学基金;
关键词：
Anterior cruciate ligament reconstruction; Kinematic alterations; Graft type; Graft maturity; HAMSTRING AUTOGRAFT; CLINICAL-OUTCOMES; ALLOGRAFTS; INJURIES; DIAMETER; KNEES; PREDICTORS; STRENGTH; REVISION; FAILURE;
D O I：
10.1016/j.knee.2025.01.014
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Objective: To compare the clinical results of anterior cruciate ligament reconstruction (ACLR) with autografts and that with hybrid grafts of the same diameter. Methods: This study retrospectively included 102 patients who underwent ACLR from August 2017 to July 2019. According to graft type, the patients were divided into an auto- graft group (58 patients) and a hybrid graft group (44 patients). All grafts were 8.0 mm in diameter. The failure rate, knee kinematics with 6 degrees of freedom (DOFs), signal/noise quotient (SNQ), the Lachman test, pivot-shift test, Lysholm score, Tegner activity score, and International Knee Documentation Committee (IKDC) score were compared in each group after a minimum 2-year follow-up. Results: There was no significant difference in the failure rate between the autograft group (1.72%) and the hybrid graft group (2.27%) (P > 0.999). The SNQ values of the autograft group (16.42 +/- 5.29 and 18.52 +/- 5.30) at the middle and proximal sites were lower than those of the hybrid graft group (12.13 +/- 5.62 and 16.35 +/- 4.64; P = 0.020 and P < 0.001, respectively). In the autograft group, the results of range of motion at 6 DOFs and tibiofemoral kinematics at 5 DOFs (except internal-external rotation) were similar to those of the hybrid graft group (P > 0.05). The Lysholm score, Tegner activity score, IKDC score, Lachman test, and pivot-shift test showed no differences between the two groups (P > 0.05). Conclusions: Autograft in ACLR has better graft maturity than hybrid grafts, but their kinematic characteristics are similar. Clinical trial registration: ChiCTR2000037869. (c) 2025 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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页码：273 / 284
页数：12
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