Knee Injury in Female Athletes: Chances of Re-tear Less With One Graft

One graft of bone-patellar tendon-bone (BTB) material has been found to better than quadrupled hamstring (HS), as chances of retear were less with this graft, finds a new study. The findings of this study are published in the journal of American Journal of Sports Medicine. Female athletes are two to eight more times likely to injure their Anterior cruciate ligament(ACL) than males, however utilizing one graft repair treatment method in females may be more beneficial than another, according to researchers presenting their work today at the American Orthopaedic Society for Sports Medicine's (AOSSM) Annual Meeting in San Diego.

Young females have been shown in previous literature to have a higher risk for graft failure with very little known about why this occurs. "Our study compared clinical outcomes in young females who had ACL reconstruction using bone-patellar tendon-bone (BTB) and quadrupled hamstring (HS) autografts. Higher rates of re-tears in our patients were seen in our youngest patients using HS autografts," said senior author, Kevin B. Freedman, MD from the Rothman Institute in Philadelphia, PA.

Freedman and his colleagues reviewed 256 female patients between the ages of 15-25 who underwent primary ACL reconstruction using either the BTB or HS autograft between January 2012 and May 2015. Patients with a prior history of ACL injury to either knee were excluded. The results illustrated that graft re-tear occurred in 6.9% of BTB patients and 13.6% of HS patients. Contralateral ACL tear occurred in 7.4% of BTB patients and 6.2% of HS patients. When researchers broke down the graft tears by age, those in the 15-20-year-old group had a significantly lower rate of re-tear with 6.4% in the BTB compared to 17.5% in the HS group. This same difference was not observed in older females in the 20-25 age group.

"More research needs to be performed to understand better female ACL injury and what the best methods for repair are in our youngest patients who are at highest risk of re-injury. We hope that our research will add to the literature and treatment prospects for this complex problem," said Freedman.

Source-Eurekalert