AOSSM: Activity Level Affects Allograft ACL Replacement

Questionable utility of allograft ACL replacement in the young, active patient

FRIDAY, July 11 (HealthDay News) -- Nearly one-quarter of allograft anterior cruciate ligament (ACL) replacements failed during extended follow-up, according to study findings presented at the annual meeting of the American Orthopaedic Society for Sports Medicine, held July 10 to 13 in Orlando.

Kurre Luber, M.D., of the Mississippi Sports Medicine and Orthopaedic Center, and colleagues retrospectively reviewed 112 patients undergoing primary fresh frozen bone-patella tendon-bone allograft ACL reconstruction to determine if activity level was associated with graft failure.

The 64 patients meeting eligibility criteria were on average 28 years old and followed-up for 57 months. The 15 patients (23.4 percent) experiencing graft failure had higher Tegner scores, meaning more active, both pre-injury and post-op, compared to the non-failure group.

"Allografts, along with high Tegner scores and minimal postoperative pain, may provide the formula for early failure and patients should be counseled of this risk during the graft selection process," the study authors conclude.

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