Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
Biologic gracilis augmentation with iliotibial band enhances recovery and lowers complications in ACL reconstruction compared with hamstring plus lateral tenodesis.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Guen Alexandre Le, Bohu Yoann, Etienne Adrien S, Valentin Eugenie, Gerometta Antoine, Khiami Fréderic, Meyer Alain, Grimaud Olivier, Cavaignac Etienne, Hardy Alexandre
Аннотация
PURPOSE: To compare the iliotibial band autograft biologically augmented with gracilis (ITBAG) technique with a hamstring tendon autograft combined with extra-articular lateral tenodesis using fascia lata (HT-LET), in terms of (1) return-to-sport rates, (2) patient-reported functional outcomes and (3) complication rates.
METHODS: This matched retrospective two-group study included patients from the FAST Cohort (French Prospective ACL Study). Patients who underwent revision for graft re-rupture were excluded from the comparative analyses of functional outcomes and return to sport. Return-to-sport status and level, subjective functional scores (International Knee Documentation Committee Subjective Knee Form, Knee Injury and Osteoarthritis Outcome Score, Lysholm, Tegner, Anterior Cruciate Ligament-Return to Sport after Injury) and complications requiring reoperation were assessed after a minimum follow-up of 2 years.
RESULTS: A total of 628 patients (314 in each group) were analysed. At a mean follow-up of 4.2 years, 65.3% (203/311) of ITBAG patients and 66.9% (204/305) of HT-LET patients had returned to sport (p = 0.73), with a mean time to return of 8.4 months and 8.9 months, respectively (p = 0.25). The ITBAG group demonstrated significantly better patient-reported outcomes in selected functional scores, including Lysholm (96.5 vs. 95) and ACL-RSI (87.5 vs. 79.2), while other functional measures were similar between groups. Re-rupture rates were low in both groups, occurring in 1% of patients in the ITBAG group and 2.9% in the HT-LET group (p = 0.14). However, the HT-LET group showed a higher incidence of other complications (p < 0.01), mainly due to postoperative cyclops syndrome.
CONCLUSION: Although return-to-sport rates were comparable between techniques, ACL reconstruction using an iliotibial band graft augmented with gracilis resulted in superior functional scores and a lower rate of postoperative stiffness compared with hamstring autograft reconstruction with extra-articular lateral tenodesis.
LEVEL OF EVIDENCE: Level III, cohort study.
METHODS: This matched retrospective two-group study included patients from the FAST Cohort (French Prospective ACL Study). Patients who underwent revision for graft re-rupture were excluded from the comparative analyses of functional outcomes and return to sport. Return-to-sport status and level, subjective functional scores (International Knee Documentation Committee Subjective Knee Form, Knee Injury and Osteoarthritis Outcome Score, Lysholm, Tegner, Anterior Cruciate Ligament-Return to Sport after Injury) and complications requiring reoperation were assessed after a minimum follow-up of 2 years.
RESULTS: A total of 628 patients (314 in each group) were analysed. At a mean follow-up of 4.2 years, 65.3% (203/311) of ITBAG patients and 66.9% (204/305) of HT-LET patients had returned to sport (p = 0.73), with a mean time to return of 8.4 months and 8.9 months, respectively (p = 0.25). The ITBAG group demonstrated significantly better patient-reported outcomes in selected functional scores, including Lysholm (96.5 vs. 95) and ACL-RSI (87.5 vs. 79.2), while other functional measures were similar between groups. Re-rupture rates were low in both groups, occurring in 1% of patients in the ITBAG group and 2.9% in the HT-LET group (p = 0.14). However, the HT-LET group showed a higher incidence of other complications (p < 0.01), mainly due to postoperative cyclops syndrome.
CONCLUSION: Although return-to-sport rates were comparable between techniques, ACL reconstruction using an iliotibial band graft augmented with gracilis resulted in superior functional scores and a lower rate of postoperative stiffness compared with hamstring autograft reconstruction with extra-articular lateral tenodesis.
LEVEL OF EVIDENCE: Level III, cohort study.