Factors Affecting Graft Remodeling And Anterior Cruciate Ligament Reconstruction

Factors Affecting Graft Remodeling And Anterior Cruciate Ligament Reconstruction

Nicolas Vari, MD, FRANCE Vincent Marot, MD, FRANCE Emilie Berard, MD, FRANCE Etienne Cavaignac, MD,PhD, FRANCE

Universitary hospital of Toulouse, Toulouse, FRANCE


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Diagnosis / Condition

Anatomic Location

Anatomic Structure

Diagnosis Method

MRI


Summary: Leaving the ST graft attached distally, being older at the time of surgery, and having more time elapse between the injury event and ACL reconstruction surgery were significantly associated with better graft remodeling.


Background

Several factors affect the retear rate after anterior cruciate ligament (ACL) reconstruction, but there are few data on which factors affect graft remodeling.

Purpose

To determine which factors are associated with the remodeling of an ACL graft.

Methods

A retrospective longitudinal study was conducted to investigate the relationship between various exposure factors and the occurrence of an ‘‘event’’: graft remodeling measured with the signal-to-noise quotient (SNQ). Data were collected prospec- tively and analyzed retrospectively for this study. The endpoint was the SNQ on magnetic resonance imaging at postoperative 1 year. The effect of the following parameters on SNQ was investigated: sex, smoking habits, age at surgery, body mass index, time to surgery, time to return to sports, type of sport (in-line, pivot, contact), type of graft (free semitendinosus [ST] or attached ST), and addition of lateral tenodesis.

Results

An overall 180 patients were enrolled (90 with each technique). The following factors were significantly and indepen- dently associated with the SNQ: attached ST graft (b = 22.624668; P \ .001), age at the time of surgery (b = 20.7948476; P = .012), and time elapsed between the injury event and surgery (b = 20.7137424; P = .046).

Conclusion

Leaving the ST graft attached distally, being older at the time of surgery, and having more time elapse between the injury event and ACL reconstruction surgery were significantly associated with better graft remodeling.