Irradiated Hamstring Tendon Allograft Versus Autograft for Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction: Midterm Clinical Outcomes

この研究はハイインパクトの可能性があります。 OEのAI駆動型ハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文が持つ可能性の高い影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することが可能になり、読者は将来の診療を形成する可能性が最も高い論文に集中することができます。

107 patients scheduled to undergo anatomic double-bundle ACL reconstruction were randomized to have the procedure completed using either a semitendinosus and gracilis (STG) autograft or an irradiated STG allograft. The purpose of this study was to compare clinical examination results, patient-reported function, and the incidence of osteoarthritis development between groups over a mid-term follow-up period (5.5-8.0 years). Results demonstrated significantly better grading of subjective knee laxity and instability tests (Lachman, anterior drawer, pivot-shift) and significantly lower instrumented anteroposterior knee laxity on the KT-2000 arthrometer in the STG autograft group compared to the STG allograft group. All other measures assessed during clinical examination and patient-reported outcome measures demonstrated non-significant differences between groups at final follow-up. The incidence of OA development in the operative knee was significantly lower in the STG autograft group compared to the STG allograft group. Additionally, the graft failure rate (side-to-side difference >5mm on KT-2000) was significantly lower in the autograft group compared to the irradiated allograft group.