Clinical outcomes following novel 5- or 6-strand ACL reconstruction with fixed or adjustable loop suspensory button femoral fixation

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2025-01-22 DOI:10.1016/j.jor.2025.01.023

Brian R. Wolf , Bruno Butturi Varone , Cameron Barton , Qiang An , Matthew J. Bollier

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引用次数: 0

Abstract

Background

Anterior cruciate ligament reconstruction (ACLR) hamstring (HS) autograft diameter <8 mm is associated with an increased re-rupture rate. Efforts have been made to increase graft diameter by using more than 4 strands.

The purpose of this study was to report graft sizes and outcomes using a novel modified 5- or 6-strand HS ACLR.

Methods

A retrospective study was conducted with patients who underwent primary ACLR through a 5-year period. Patients were divided into 2 groups based on graft choice: 5- or 6-strand HS versus the remainder of the cohort (BTB, QT, or 4-strand HS).

Results

There were 70 patients in group 5/6, and 48 patients in group CG (20 4-strand HS and 28 BTB/QT). The average follow-up was 47.7 months. Re-rupture rate in Group 5/6 was 2.9 % (2/70) compared to 8.3 % (4/48) (p = .2225) in group CG. The subsequent surgery rate for group 5/6 was 5.7 %, versus 12.5 % for group CG (p = .3128).

Conclusion

5 or 6 Strand ACLR provides graft sizes >8 mm in 98.6 % of cases, good clinical outcomes including low re-rupture and subsequent surgery rates, and good patient-reported outcomes. At an average follow-up of 4 years, 5 or 6 Strand ACLR revealed trends of lower re-rupture rates, lower subsequent surgery rates, and lower cyclops lesion rates compared to BTB/Quad and 4-strand hamstring grafts; however, these results were not statistically significant.

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来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.