Higher Return To Pre-Injury Activity Levels Following ACL Reconstruction With Bone-Patellar Tendon-Bone Versus Hamstring Tendon Autograft In High Activity Patients: Results From The New Zealand ACL Registry


Simon W. Young, MD, FRACS
NEW ZEALAND

Higher Return To Pre-Injury Activity Levels Following ACL Reconstruction With Bone-Patellar Tendon-Bone Versus Hamstring Tendon Autograft In High Activity Patients: Results From The New Zealand ACL Registry

Simon W. Young, MD, FRACS, NEW ZEALAND Richard Rahardja, MBChB, BMedSc(Hons), NEW ZEALAND Mark G. Clatworthy, FRACS, NEW ZEALAND Paul Monk, DPhil (Oxon), FRCS, NEW ZEALAND Hamish Love, FRACS, NEW ZEALAND

University Of Auckland, Auckland, NEW ZEALAND

2021 Congress   Abstract Presentation   6 minutes   Not yet rated

 

Anatomic Location

Knee

Anatomic Structure

Ligaments

Diagnosis / Condition

Instability

Treatment / Technique

Repair / Reconstruction

Ligaments

ACL

Sports Medicine

Epidemiology Evidence Based Medicine Outcome Studies

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Summary: The use of a BTB autograft increased the odds of a return to pre-injury activity level at 2 years following ACL reconstruction.

Background

In primary anterior cruciate ligament (ACL) reconstruction, a bone-patellar tendon-bone (BTB) autograft is associated with lower ipsilateral failure rates. BTB grafts are associated with a higher rate of contralateral ACL injury, which some clinicians view as a marker of success of the BTB graft. However, there is a lack of evidence on whether BTB grafts improve the rate of return to activity and sport.

Purpose

To compare the rate of return to pre-injury activity levels between the BTB autograft and the hamstring tendon autograft in high activity patients.
Study Design: Cohort Study.

Methods

This study followed a high-activity (pre-injury Marx score >12) cohort of 1,844 patients who underwent primary ACL reconstruction between 2014 and 2018. Prospectively collected data from the New Zealand ACL Registry, including pre-injury and post-operative Marx activity scores, were analyzed. The proportion of patients who returned to their pre-injury activity level at 1- and 2-year follow-up were compared between graft types.

Results

Overall, 11.3% (208 out of 1,844) of patients returned to their pre-injury activity level at 1-year follow-up, while 15.5% (184 out of 1,190) returned at 2-year follow-up. At 1-year follow-up, 17.2% of patients with a BTB autograft returned to their pre-injury activity level compared to 9.3% of patients with a hamstring tendon autograft (adjusted OR = 1.59, 95% CI 1.17 – 2.17, p = 0.003). At 2-year follow-up, 23.3% of BTB patients returned to their pre-injury level compared to 13.3% of hamstring tendon patients (adjusted OR = 1.63, 95% CI 1.14 – 2.34, p = 0.008). Male sex and younger age were associated with a higher return to activity at both follow-up timepoints.

Conclusion

The use of a BTB autograft increased the odds of a return to pre-injury activity level at early follow-up. A higher return to activity is a possible explanation for the higher rate of contralateral ACL injury with BTB autograft use.

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