2022 AOSSM Annual Meeting Recordings with CME-The Impact of Graft Choice on Return to Sport Testing After Adolescent ACL Reconstruction

The Impact of Graft Choice on Return to Sport Testing After Adolescent ACL Reconstruction

Video Transcription

Video Summary

In the video, Dr. Brendan Shee from UCLA discusses the impact of graft choice on return to sport testing after adolescent ACL reconstruction. He explains that while hamstring autograft is commonly used, bone patellar tendon bone grafts have better return to sport rates and strength, but come with a higher risk of anterior knee pain. Limited data suggests that bone quadriceps tendon grafts may have similar outcomes to bone patellar tendon bone grafts. Dr. Shee shares the results of a study comparing these graft choices in adult patients, finding no difference in strength or functional outcomes. He then presents a retrospective review of primary ACL reconstructions in patients 19 years or younger, comparing hamstring, bone patellar tendon bone, and bone quadriceps tendon grafts. The study includes 105 patients, with hamstring autografts being the most common choice. The results show that patients with hamstring autografts had lower hamstring strength, poorer hamstring symmetry, and a lower clearance rate for sport within one year compared to the other two graft choices. Meniscus repair did not affect return to sport performance or clearance rates. Dr. Shee suggests future directions for research, such as expanding the sample size, analyzing outcomes based on skeletal maturity, comparing return to sport outcomes to patient-reported outcomes, assessing the incidence of anterior knee pain, and longer follow-up for complications and failures. No credits were mentioned in the video.

Asset Caption

Brendan Shi, MD

Keywords

ACL reconstruction

graft choice

return to sport testing

hamstring autograft

bone patellar tendon bone grafts