Orthopaedics & Traumatology-Surgery & Research最新文献

{"title":"Anatomic reconstruction of the posteromedial corner of the knee: The Versailles technique","authors":"Pierre Denis-Aubrée,&nbsp;Florian Barbotte,&nbsp;Philippe Boisrenoult,&nbsp;Marc Delort,&nbsp;Chloé Labarre,&nbsp;Nicolas Pujol","doi":"10.1016/j.otsr.2024.103829","DOIUrl":"10.1016/j.otsr.2024.103829","url":null,"abstract":"<div><h3>Introduction</h3><p>Multiligament knee injury with posteromedial laxity is serious and usually requires surgery. Reconstruction is preferable to repair. The main aim of the present study was to report clinical results and laximetry for an original posteromedial corner (PMC) allograft reconstruction technique known as The Versailles Technique. The secondary aim was to determine prognostic factors for surgery. The study hypothesis was that anatomic PMC reconstruction by tendon allograft provides satisfactory medium-term clinical and laximetric results.</p></div><div><h3>Methods</h3><p>A retrospective study assessed postoperative clinical and laximetric results after PMC allograft reconstruction at a minimum 12 months’ follow-up. Laxity was assessed on comparative bilateral stress X-rays, and functional results on the International Knee Documentation Committee (IKDC) score, the Lysholm score and the Knee injury and Osteoarthritis Outcome Score (KOOS).</p></div><div><h3>Results</h3><p>Twenty-six patients were included between 2013 and 2019. Mean follow-up was 27.4<!--> <!-->±<!--> <!-->9 months. Mean subjective IKDC score was 69.21<!--> <!-->±<!--> <!-->17.36, mean Lysholm score 77.78<!--> <!-->±<!--> <!-->14.98 and mean KOOS 66.44<!--> <!-->±<!--> <!-->18.52.</p></div><div><h3>Objective</h3><p>IKDC results were 77% grade A, 22% grade B, and 0% grade C or D. Mean medial differential laxity in forced varus was 0.83<!--> <!-->±<!--> <!-->1.26<!--> <!-->mm. Mean subjective IKDC scores were poorer in Schenck KD-III than KD-I (<em>p</em> <!-->=<!--> <!-->0.03). Functional results were comparable with acute and with chronic laxity. Age correlated inversely with median KOOS (<em>p</em> <!-->=<!--> <!-->0.009). There was no correlation between postoperative radiologic laxity in forced varus and functional results.</p></div><div><h3>Discussion</h3><p>Versailles anatomic PMC allograft reconstruction for acute or chronic posteromedial knee laxity showed medium-term efficacy in restoring good objective and subjective stability.</p></div><div><h3>Level of evidence</h3><p>IV; retrospective observational study.</p></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139677716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcome of early versus delayed presentation of proximal femur fractures in children: A prospective cohort study","authors":"Anil Regmi,&nbsp;Vivek Singh,&nbsp;Bishwa Bandhu Niraula,&nbsp;Aditya K.S. Gowda,&nbsp;Shivam Bansal,&nbsp;Rohan Gowda,&nbsp;Cury Sharma,&nbsp;Saptarshi Barman","doi":"10.1016/j.otsr.2024.103840","DOIUrl":"10.1016/j.otsr.2024.103840","url":null,"abstract":"<div><h3>Objective</h3><p>We hypothesized that the exact time of fixation of paediatric proximal femur fractures will have an effect on the ultimate clinical and radiological outcome. This article aimed to compare the clinical–radiological outcomes in paediatric proximal femur fractures having early and delayed presentation.</p></div><div><h3>Methodology</h3><p>A prospective cohort study was conducted from January 2019 to November 2022 in patients of age of 5 to 16 years presented with proximal femur fracture and divided into two groups: group A: early presentation, presented &lt;48<!--> <!-->hours of injury; group B: delayed presentation, presented &gt;48<!--> <!-->hours of injury. Patients underwent internal fixation treatment modality and followed up to assess clinical outcomes and radiological outcomes, and final outcome was assessed as per Ratliff's criteria.</p></div><div><h3>Results</h3><p>In the study of 44 patients, 72.72% were male, and 27.27% were female, with male-to-female ratio to be 2.6:1. The commonest mode of injury was fall from height accounting for 52.27% followed by road traffic accidents (RTA) in 38.63%. The most common fracture type observed was Delbet type II, which was observed in 43.18%. There was significant shorter duration of surgery in group A (<em>p</em>-value<!--> <!-->=<!--> <!-->0.013), VAS score (<em>p</em> <!-->=<!--> <!-->0.045), and limb length discrepancy (<em>p</em> <!-->=<!--> <!-->0.022). Also, there was a statistical difference in AVN (<em>p</em>-value<!--> <!-->=<!--> <!-->0.0295) and growth disturbance (<em>p</em>-value<!--> <!-->=<!--> <!-->0.0394) between two groups. Also, there was statistically significant difference between Ratliff's criteria two groups (<em>p</em>-value<!--> <!-->=<!--> <!-->0.030).</p></div><div><h3>Conclusion</h3><p>Early presentation has shorter duration of surgery, less VAS score at final follow-up, and less limb length discrepancy, less development of complications like avascular necrosis of the femoral head, and growth disturbance.</p></div><div><h3>Level of evidence</h3><p>III.</p></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Should I optimize joint line obliquity in my knee procedure?","authors":"Matthieu Ollivier ,&nbsp;Firat Gulagaci ,&nbsp;Yavuz Sahbat ,&nbsp;Youngji Kim ,&nbsp;Matthieu Ehlinger","doi":"10.1016/j.otsr.2024.103882","DOIUrl":"10.1016/j.otsr.2024.103882","url":null,"abstract":"","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140581557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comments to: “Risk factors for a false negative Ortolani and Barlow examination in developmental dysplasia of the hip” by SHS Tan, JXY Lim, AKS Lim, JHP Hui published in Orthop Traumatol Surg Res 2023:103796. doi: 10.1016/j.otsr.2023.103796","authors":"Andreas Rehm ,&nbsp;Azeem Thahir ,&nbsp;Nicholas Judkins ,&nbsp;Katerina Hatzantoni ,&nbsp;Ayla C. Newton ,&nbsp;Elizabeth Ashby","doi":"10.1016/j.otsr.2024.103893","DOIUrl":"10.1016/j.otsr.2024.103893","url":null,"abstract":"","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"U-shaped hip capsular incision: An easier way to do hip capsulorrhaphy in developmental dysplasia of the hip – Technical note","authors":"Hesham Mohamed Elbaseet,&nbsp;Mohamed Abdelhady Abdelzaher","doi":"10.1016/j.otsr.2023.103625","DOIUrl":"10.1016/j.otsr.2023.103625","url":null,"abstract":"<div><p><span><span>Developmental dysplasia<span><span> of the hip (DDH) is one of the most common hip anomalies encountered in pediatric patients. Stabilization of the </span>femoral head into the </span></span>acetabulum<span><span> is crucial for normal hip joint development. When surgical intervention is decided, open reduction is needed to remove any obstacle that hinders hip reduction. Capsulorraphy is an essential step for minimizing instability of the hip after reduction. The classic T-shaped capsular </span>incision<span> is done by two incisions: vertical limb parallel to femoral neck axis and a transverse one parallel to the inguinal ligament 5</span></span></span> <!-->mm distally to proximal capsular attachment. The cumbersomeness of this technique was noticed in suturing of the resulted two flabs from this incision. So, the suggested U-shaped incision makes suturing of the capsule easier with multiple stitches.</p></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9422980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High failure rate after medial meniscus bucket handle tears repair in the stable knee","authors":"Hassan Alhamdi ,&nbsp;Constant Foissey ,&nbsp;Thais Dutra Vieira ,&nbsp;Bertrand Sonnery-Cottet ,&nbsp;Vishal Rajput ,&nbsp;Sami Bahroun ,&nbsp;Jean Marie Fayard ,&nbsp;Mathieu Thaunat","doi":"10.1016/j.otsr.2023.103737","DOIUrl":"10.1016/j.otsr.2023.103737","url":null,"abstract":"<div><h3>Background</h3><p><span>It is nowadays recommended to “Save the meniscus“. This paradigm is based on the affirmation that an extended meniscectomy exposes to the risk of long-term secondary </span>osteoarthritis and the global failure rate of a longitudinal tear repair remains low, whether it is the medial or lateral meniscus, with or without anterior cruciate ligament (ACL) reconstruction. However, each kind of lesion has to be studied separate.</p></div><div><h3>Purpose</h3><p>The study aimed to focus on a homogeneous population of isolated repair of the bucket handle tear (BHT) of the medial meniscus (MM) in patients with stable knees to evaluate failure rate at a minimum of three years of follow-up. The secondary objectives were to evaluate any risk factors or protective factors of failure, clinical outcomes, and secondary amount of meniscectomy in failure cases compared to the amount of meniscus fixed in the first surgery.</p></div><div><h3>Methods</h3><p>All patients who underwent arthroscopic repair of a BHT of the MM situated in the red-on-red or red-on white (RW) zone on a stable knee between January 2010 and December 2018 were evaluated retrospectively. Failure was defined as a need for reoperation for recurrence of meniscal symptoms (pain, locking) on the medial side with per-operative confirmation of the absence of healing. The following parameters were studied: demographics (age, gender, BMI), time from injury to surgery, clinical scores (Tegner, Lysholm, International Knee Documentation Committee [IKDC]), surgical findings (extent and zone of the tear), surgical management (number and type of suture).</p></div><div><h3>Results</h3><p>Thirty-nine patients were included. The mean follow-up was 77.2<!--> <!-->±<!--> <span><span>24.4 [36–141] months. Twenty-seven (69%) failures were recorded. In 56% (15/27) of the reoperations, the meniscectomy amount was smaller than what it would have been done in the first surgery. All clinical scores improved significantly from pre- to post-operatively; all patients met minimal clinically important differences for all the scores. No risk factors were found significant in the </span>multivariate analysis.</span></p></div><div><h3>Conclusion</h3><p>Repairing an isolated BHT of the MM is associated with a high failure rate. Despite the failure, we observed that the meniscectomy area was smaller than documented in the primary surgery in most of the cases and repair must still be considered as the first option.</p></div><div><h3>Level of evidence</h3><p>IV; retrospective cohort series.</p></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66784570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fragility fractures of the pelvis: First 48 cases of surgical treatment at a level 1 trauma center in France","authors":"Luca Tolosano ,&nbsp;Clementine Rieussec ,&nbsp;Bérengère Sauzeat ,&nbsp;Gauthier Caillard ,&nbsp;Sabine Drevet ,&nbsp;Gael Kerschbaumer ,&nbsp;Geoffrey Porcheron ,&nbsp;Daniel Wagner ,&nbsp;Pol Maria Rommens ,&nbsp;Jérôme Tonetti ,&nbsp;Mehdi Boudissa","doi":"10.1016/j.otsr.2024.103855","DOIUrl":"10.1016/j.otsr.2024.103855","url":null,"abstract":"<div><h3>Introduction</h3><p>Longer life expectancy is accompanied by a higher incidence of fragility fractures of the pelvis (FFP), which has repercussions on mortality and nursing home admissions. Given the paucity of data at French healthcare facilities, we carried out a retrospective study to (1) evaluate how surgical treatment of FFP with posterior displacement (type III and IV according to Rommens and Hofmann) affects a patient's pain, functional status and ability to stay at home and (2) evaluate the postoperative complications and mortality rate.</p></div><div><h3>Hypothesis</h3><p>Surgery for posteriorly displaced FFP will relieve pain and preserve the patient's independence.</p></div><div><h3>Methods</h3><p>All the patients over 65 years of age who were operated on for a posterior FFP between January 2015 and August 2020 were included in this prospective, single-center study. The demographics, fracture type, details of the surgical treatment, complications and mortality were analyzed. Pain (visual analog scale, VAS), functional status (Activity of Daily Living [ADL] and Instrumental Activity of Daily Living [IADL]), mobility (Parker score) and rates of nursing home admissions were compared before the fracture, after surgery and at a mean follow-up of 28 months (minimum follow-up of 1 year).</p></div><div><h3>Results</h3><p>Forty-eight patients with a mean age of 75 years were included. Twenty-four of these patients (50%) had at least two comorbidities. The FFPs were either type IV (31/48; 65%) or type III (17/48; 35%). The mean VAS for pain was significantly lower on the first day postoperative (3.5 versus 4.8; <em>p</em> <!-->=<!--> <!-->0.02). This significant reduction continued upon discharge from the hospital (1.95; <em>p</em> <!-->=<!--> <!-->0.003) and persisted at the mean follow-up of 28 months (2.2; <em>p</em> <!-->=<!--> <!-->0.64). The complication rate was 15% (7/48) and the mortality rate at the final review was 15% (7/48). Among the surviving patients, 81% (29/36) returned to living at home. The ADL (5.1 versus 5.8; <em>p</em> <!-->=<!--> <!-->0.09), IADL (5.9 versus 6.9; <em>p</em> <!-->=<!--> <!-->0.15) and Parker score (6.8 versus 8.2; <em>p</em> <!-->=<!--> <!-->0.08) at the final review were not significantly different from the values before the fracture.</p></div><div><h3>Conclusion</h3><p>This is the first French study of patients operated on for an FPP. Fixation of posteriorly displaced fractures allows surviving patients to retain their mobility. Pain relief is achieved quickly and maintained during the follow-up period. Thus, our initial hypothesis is affirmed. The complication rate is not insignificant; given the complexity of this surgery, percutaneous treatment is preferable.</p></div><div><h3>Level of evidence</h3><p>IV; retrospective study.</p></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of uncemented stems in femoral neck fractures in elderly patients: A comparative study of 671 cases","authors":"Alexandre Gounot ,&nbsp;Anahita Charlot ,&nbsp;Pascal Guillon ,&nbsp;Augustin Schaefer ,&nbsp;Aymane Moslemi ,&nbsp;Pierre Boutroux ,&nbsp;Alain Sautet","doi":"10.1016/j.otsr.2024.103878","DOIUrl":"10.1016/j.otsr.2024.103878","url":null,"abstract":"<div><h3>Introduction</h3><p>The use of cemented stems in elderly patients is associated with the risk of intraoperative embolic complications. Uncemented stems eliminate this risk, but their use is controversial because of the risk of mechanical complications, with estimated subsidence between 3.6 and 30% and periprosthetic fractures between 2.1 and 11% at 6 weeks. A retrospective multicenter comparative study was conducted using a propensity score analysis to evaluate mechanical performances of uncemented stems in femoral neck fractures in elderly patients to (1) compare the risk of mechanical complications and (2) assess the use of metaphyseal-anchored stems for this indication.</p></div><div><h3>Hypothesis</h3><p>There is no difference in the risk of mechanical complications, intraoperatively or postoperatively, between these stems.</p></div><div><h3>Materials and methods</h3><p>We conducted a multicenter retrospective comparative study including 358 uncemented and 313 cemented stems. The mean age was 84.5 years [83.9–85.1]. The inclusion criteria were patients 70 years and older and a follow-up of at least 6 weeks. The primary endpoint was a composite endpoint comprised of stem subsidence<!--> <!-->≥<!--> <!-->2<!--> <!-->mm or periprosthetic fracture (up to 3 months postoperatively). The secondary endpoints were infection, stem subsidence<!--> <!-->≥<!--> <!-->2<!--> <!-->mm, and operative time. These endpoints were analyzed using a propensity score to control confounding factors. A secondary analysis used the same endpoints to compare metaphyseal-anchored (short stems) versus Corail-like stems.</p></div><div><h3>Results</h3><p>After adjusting for the propensity score, we found 11.17% mechanical complications in the uncemented group (<em>n</em> <!-->=<!--> <!-->40, 5.59% subsidence, and 5.59% fractures) versus 13.42% for the cemented group (<em>n</em> <!-->=<!--> <!-->42, 7.99% subsidence, and 5.43% fractures). There was no statistically significant difference between the 2 values (Odds Ratio [OR]<!--> <!-->=<!--> <!-->0.64 [95% Confidence Interval [CI]: 0.14–2.85] [<em>p</em> <!-->=<!--> <!-->0.7]). The mortality rate due to cement embolism was 1%. There was no difference in the rate of subsidence (OR<!--> <!-->=<!--> <!-->0.55 [95% CI: 0.02–12.5] [<em>p</em> <!-->=<!--> <!-->0.7]), periprosthetic fracture (OR<!--> <!-->=<!--> <!-->0.65 [95% CI: 0.13–3.12] [<em>p</em> <!-->=<!--> <!-->0.7]) or infection (OR<!--> <!-->=<!--> <!-->0.71 [95% CI: 0.32–1.55] [<em>p</em> <!-->=<!--> <!-->0.4]). However, the operative times were longer in the cemented group (<em>p</em> <!-->=<!--> <!-->0.03 for hemiarthroplasties [mean additional time 16<!--> <!-->minutes] and <em>p</em> <!-->=<!--> <!-->0.02 for total hip arthroplasties [mean additional time 22<!--> <!-->minutes]). No difference was observed between the metaphyseal-anchored (short stems) and Corail-like stems regarding operative time, rate of infection, and rate of stem subsidence or periprosthe","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140581630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3D pre-operative planning and patient-specific guides for re-directional peri-acetabular osteotomy in children and adolescents","authors":"Nejib Khouri ,&nbsp;Samuel Georges ,&nbsp;Philippe Berton ,&nbsp;Morgane Le Gangneux ,&nbsp;Xavier du Cluzel de Remaurin ,&nbsp;Alina Badina","doi":"10.1016/j.otsr.2024.103891","DOIUrl":"10.1016/j.otsr.2024.103891","url":null,"abstract":"<div><p>Surgical procedures to correct hip dysplasia associated with subluxation or dislocation of the femoral head are complex. The 3D geometric abnormalities of the acetabulum and proximal femur vary across patients. We, therefore, suggest a patient-specific surgical treatment involving computer-assisted 3D planning of the peri-acetabular osteotomies, taking into account the femoral head position; 3D printing of patient-specific guides for the cuts, repositioning, and fixation; and intra-operative application of the simulated displacements with their fixation.</p></div><div><h3>Level of evidence</h3><p>IV.</p></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S187705682400121X/pdfft?md5=599a52f50556abed6ebbb29424532c8c&pid=1-s2.0-S187705682400121X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peroneus longus tendon autograft versus allograft in revision ACLR: A retrospective comparison","authors":"Huseyin Selcuk,&nbsp;Ali Bulent Baz,&nbsp;Omer Faruk Egerci,&nbsp;Ozkan Kose","doi":"10.1016/j.otsr.2023.103775","DOIUrl":"10.1016/j.otsr.2023.103775","url":null,"abstract":"<div><h3>Purpose</h3><p><span>The use of peroneus longus tendon (PLT) autografts in primary anterior cruciate ligament reconstruction (ACLR) has increased recently, but there is a lack of research on its use in revision ACLR. This study aimed to compare the clinical outcomes and complications between revision ACLR using </span>allografts and PLT autografts.</p></div><div><h3>Materials and methods</h3><p><span><span>Fifty-nine patients who underwent arthroscopic revision of ACLR with complete clinical follow-ups between 2012 and 2021 were retrospectively reviewed. Allograft was used in 44 of these patients, and PLT autograft was used in 15 of them. </span>Lysholm knee score<span>, Tegner activity score, Lachman, and anterior drawer tests were performed after a mean follow-up of 60</span></span> <span>months (range: 19–116). The American Orthopaedic Foot and Ankle Society (AOFAS) scale was used to evaluate the donor ankle functions. Clinical outcomes and complications were compared between groups.</span></p></div><div><h3>Results</h3><p><span>Both groups showed significantly improved functional outcomes compared to their preoperative assessments. However, both groups had similar clinical results at the final follow-up, including Lysholm knee score, Tegner activity scale, knee range of motion, return to sports, time to return to daily activities, and rate of re-rupture. No major complications were seen in any of the patients. The AOFAS score was 99.13</span> <!-->±<!--> <!-->2.64 in the PLT autograft group without loss of ankle muscle strength, deformity, instability, and permanent iatrogenic neurovascular injuries. The cumulative cost of the allograft group was significantly higher than the PLT autograft group.</p></div><div><h3>Conclusions</h3><p>The PLT autograft might be an alternative autograft option to allografts due to similar clinical outcomes, low donor site morbidity, and reduced cost in ACLR revisions, especially if the primary ACLR was performed using grafts harvested around the knee.</p></div><div><h3>Level of evidence</h3><p>III; retrospective comparative study.</p></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138447167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}