Gautam Yagnik*, Michael Mashura, Anshul Saxena, John Uribe, Luis Vargas
Received: October 15, 2020; Published:November 06, 2020
Corresponding author: Gautam Yagnik, Miami Orthopedics & Sports Medicine Institute (MOSMI), Baptist Health South Florida, Coral Gables, FL, USA 33146, USA
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Background: While ACL injuries in older patients have historically been treated non-surgically, several recent studies have demonstrated excellent clinical outcomes with ACL reconstruction in patients over 50 years of age. Despite these outcomes, the ideal graft choice in this age group has yet to be defined.
Objective: The purpose of this study was to systematically review the literature and analyze the clinical outcomes, failure rates and complication rates in patients over the age of 50 who have undergone ACL reconstruction using a hamstring autograft.
Methods: A systematic review of the literature was performed according to the PRISMA guidelines and included English studies from January 2000 to 2020. Studies that reported on outcomes of patients over 50 years of age undergoing ACL reconstruction with a hamstring autograft were included. Studies with other graft types, patients under 50 and expert opinions were excluded. Data consisted of patient demographics, physical exam findings, functional outcome scores, failure rates and complications.
Results: 6 studies met the inclusion criteria and included 167 patients with a mean age of 54.8 (50-71). Mean follow up was 41.4 (12-72) months. All studies demonstrated a significant improvement in functional outcomes at final follow up, including IKDC, Lysholm, and Tegner scores. Very few complications and no clinical failures or revisions were reported in this cohort.
Conclusions: The results of this systematic review support hamstring autograft as a viable graft option for ACLR in patients over 50 with excellent functional outcomes, high patient satisfaction, low failure rates and minimal donor site morbidity.
Keywords: ACL: Anterior Cruciate Ligament; Reconstruction; Hamstring Autograft; Advanced Age
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