A meta-analysis of patellar tendon autograft versus patellar tendon allograft in anterior cruciate ligament reconstruction

TitleA meta-analysis of patellar tendon autograft versus patellar tendon allograft in anterior cruciate ligament reconstruction
Publication TypeJournal Article
Year of Publication2008
AuthorsKrych AJ, Jackson JD, Hoskin TL, Dahm DL
JournalArthroscopy
Volume24
Issue3
Pagination292 - 8
Date PublishedMar
ISSN1526-3231 (Electronic) 0749-8063 (Linking)
Accession Number18308180
Keywords*Arthroscopy, Adult, Anterior Cruciate Ligament / *surgery, Female, Humans, Male, Middle Aged, Patellar Ligament / *transplantation, Transplantation, Autologous, Transplantation, Homologous
Abstract

PURPOSE: Studies have suggested good long-term success rates with bone-patellar tendon-bone (BPTB) autograft and BPTB allograft in anterior cruciate ligament (ACL) reconstruction, but the numbers reported in available prospective studies may be underpowered to elucidate significant differences between the two groups. Here, we present a meta-analysis to compare the results of BPTB autograft and BPTB allograft in primary ACL reconstruction. METHODS: A systematic review of prospective trials using BPTB autograft and BPTB allograft tissue for ACL reconstruction with a minimum 2-year follow-up was performed. Summary odds ratios (ORs), confidence intervals, and P values were calculated. RESULTS: Of 548 studies, 6 fulfilled our inclusion criteria, with 256 patients in the autograft and 278 patients in the allograft group. Allograft patients were more likely to rupture their graft than autograft patients (OR, 5.03; P = .01) and more likely to have a hop test less than 90% of the nonoperative side (OR, 5.66; P

DOI10.1016/j.arthro.2007.08.029
Notify Library Reference ID840

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