Citation

Takazawa Y, Ikeda H, Saita Y, Kawasaki T, Ishijima M, Nagayama M, Kaneko H, Kaneko K. Arthroscopy 2016; 33(1): 181-189.

Affiliation

Department of Orthopaedics, Juntendo University School of Medicine, Tokyo, Japan.

Copyright

(Copyright © 2016, Elsevier Publishing)

DOI

10.1016/j.arthro.2016.06.009

PMID

27514942

Abstract

PURPOSE: To assess return to play and the frequencies of graft failure in rugby players after anterior cruciate ligament (ACL) reconstruction using a hamstring autograft augmented with an artificial ligament and to compare outcomes between rugby players aged <20 and ≥20 years over the long term.

METHODS: A consecutive series of 146 rugby players who underwent ACL reconstruction with a hamstring autograft augmented with an artificial ligament were retrospectively reviewed. The study population was further divided into 2 groups aged <20 years and >20 years and compared.

RESULTS: Twenty-five patients could not be followed up, and 121 (83%) were evaluated. Most patients (90%, <20 years; 92%, ≥20 years) returned to play after ACL reconstruction. At an average follow-up period of 56.5 months, 16% of the patients sustained an ACL graft rupture. Regarding age, <20 years (n = 58, 48%) and ≥20 years (n = 63, 52%), younger players had a significantly higher failure rate (23% v 5%, respectively; P =.006) and a shorter time to failure (22.8 ± 13.2 v 35.4 ± 15.4 months, respectively; P =.006) than older players.

CONCLUSIONS: Rugby players were likely to return to play after ACL reconstruction with a hamstring autograft. However, there was a higher risk of graft failure in younger players than in older players. On the basis of this study, we conclude that the hamstring autograft may not be an appropriate graft source to use in a younger active population, including rugby players. LEVEL OF EVIDENCE: Level III, retrospective comparative study.

Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

Language: en