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
相关论文
共 29 条
  • [11] Zhang Y., Yao Z., Wang S., Huang W., Ma L., Huang H., Et al., Motion analysis of Chinese normal knees during gait based on a novel portable system, Gait Posture, 41, 3, pp. 763-768, (2015)
  • [12] Li H., Liu S., Sun Y., Li H., Chen S., Chen J., Influence of graft bending angle on graft maturation, the femoral tunnel, and functional outcomes by 12 months after anterior cruciate ligament reconstruction, Orthop J Sports Med, 7, 11, (2019)
  • [13] Li H., Chen S., Tao H., Li H., Chen S., Correlation analysis of potential factors influencing graft maturity after anterior cruciate ligament reconstruction, Orthop J Sports Med, 2, 10, (2014)
  • [14] Snaebjornsson T., Hamrin-Senorski E., Svantesson E., Karlsson L., Engebretsen L., Karlsson J., Et al., Graft diameter and graft type as predictors of anterior cruciate ligament revision: a cohort study including 18,425 patients from the swedish and Norwegian national knee ligament registries, J Bone Joint Surg Am, 101, 20, pp. 1812-1820, (2019)
  • [15] DiBartola A.C., Everhart J.S., Kaeding C.C., Magnussen R.A., Flanigan D.C., Maximum load to failure of high dose versus low dose gamma irradiation of anterior cruciate ligament allografts: a meta-analysis, Knee, 23, 5, pp. 755-762, (2016)
  • [16] Li H., Tao H., Cho S., Chen S., Yao Z., Chen S., Difference in graft maturity of the reconstructed anterior cruciate ligament 2 years postoperatively: a comparison between autografts and allografts in young men using clinical and 3.0-T magnetic resonance imaging evaluation, Am J Sports Med, 40, 7, pp. 1519-1526, (2012)
  • [17] Muramatsu K., Hachiya Y., Izawa H., Serial evaluation of human anterior cruciate ligament grafts by contrast-enhanced magnetic resonance imaging: comparison of allografts and autografts, Arthroscopy, 24, 9, pp. 1038-1044, (2008)
  • [18] Zhu J., Marshall B., Tang X., Linde M.A., Fu F.H., Smolinski P., ACL graft with extra-cortical fixation rotates around the femoral tunnel aperture during knee flexion, Knee Surg Sports Traumatol Arthrosc, 30, 1, pp. 116-123, (2022)
  • [19] Konrath J.M., Vertullo C.J., Kennedy B.A., Bush H.S., Barrett R.S., Lloyd D.G., Morphologic characteristics and strength of the hamstring muscles remain altered at 2 years after use of a hamstring tendon graft in anterior cruciate ligament reconstruction, Am J Sports Med, 44, 10, pp. 2589-2598, (2016)
  • [20] Pietrosimone B.G., Lepley A.S., Ericksen H.M., Gribble P.A., Levine J., Quadriceps strength and corticospinal excitability as predictors of disability after anterior cruciate ligament reconstruction, J Sport Rehabil, 22, 1, pp. 1-6, (2013)
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