Long-term Outcomes of Randomized Controlled Trial Comparing Ipsilateral versus Contralateral Hamstring Graft in ACL Reconstruction: Minimum 10-year Follow Up

Description

In this presentation, Gabriel Larose discusses the long-term outcomes of a randomized controlled trial comparing ipsilateral versus contralateral hamstring grafts in anterior cruciate ligament (ACL) reconstruction. He presents evidence suggesting that using an ipsilateral graft might be associated with a slightly higher risk of contralateral ACL rupture, with a rate of 12.5% on the contralateral side versus 7.9% on the surgical side. The study reevaluated participants from a previous randomized trial after a follow-up period of approximately 10 years, focusing on graft rupture rates, quality of life, activity scores, and strength testing. Results indicate that both graft types show similar rates of graft and contralateral rupture at 10 years post-surgery, with no significant differences in patient-reported quality of life or strength testing outcomes between the groups. Although both groups improved in quality of life post-operation, the study notes a slight, insignificant decrease when compared to two years post-op. The limitations include challenges in reaching all original participants for follow-up. In conclusion, neither graft type is definitively associated with increased ACL rupture risks, but further research is suggested to explore these findings comprehensively.

DOI: 10.1302/3114-210267

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