TY - JOUR
T1 - No differences in patient-reported outcomes (PROMs) and complications after anterior cruciate ligament (ACL) reconstruction with bone–patellar tendon–bone (BPTB) or hamstrings (HT) in patients aged 50 or older
AU - Olivieri, Rodrigo
AU - Laso, José I.
AU - Rojas, Carlos
AU - Franulic, Nicolás
AU - Bustos, Felipe
AU - Oyarce, Roberto
AU - Gaggero, Nicolás
AU - Grassi, Alberto
N1 - Publisher Copyright:
© 2025 The Author(s). Journal of Experimental Orthopaedics published by John Wiley & Sons Ltd on behalf of European Society of Sports Traumatology, Knee Surgery and Arthroscopy.
PY - 2025/7
Y1 - 2025/7
N2 - Purpose: This study aimed to compare postoperative clinical outcomes, including patient-reported outcome measures (PROMs), patellofemoral symptoms, and complications, in patients over 50 years old who underwent anterior cruciate ligament (ACL) reconstruction with either bone–patellar tendon–bone (BPTB) or hamstring tendon (HT) autografts. We hypothesised no significant differences in outcomes between the two techniques in this age group. Methods: A retrospective cohort study was conducted using institutional records of patients over 50 years old who underwent isolated ACL reconstruction (defined as ACL reconstruction without associated ligament injuries), with or without concomitant meniscal procedures, using BPTB or HT autografts between January 2016 and December 2022, with a minimum follow-up of two years. Postoperative outcomes were assessed using PROMs, including the Lysholm score, Kujala score, and the Knee injury and Osteoarthritis Outcome Score Quality of Life subscale (KOOS QoL), complication rates, and the need for revision surgery. Statistical analyses included independent t-tests, Mann–Whitney U tests, chi-square tests and multivariate regression analyses. Results: A total of 83 patients met the inclusion criteria (45 HT and 38 BPTB). The mean age was 53.5 years (SD 3.0), with a mean follow-up of 56.3 months. No significant differences were found in Lysholm (HT: 83.1, BPTB: 86.1; p = 0.934), Kujala (HT: 82.2, BPTB: 84.5; p = 0.901), or KOOS QoL scores (HT: 69.0, BPTB: 68.7; p = 0.649). The incidence of complications and the need for revision surgery were similar between groups. Conclusions: ACL reconstruction in patients over 50 years old using BPTB or HT autografts resulted in comparable clinical outcomes, PROMs, and complication rates. In this cohort, graft type did not appear to significantly influence postoperative results. Level of Evidence: Level III, retrospective cohort study.
AB - Purpose: This study aimed to compare postoperative clinical outcomes, including patient-reported outcome measures (PROMs), patellofemoral symptoms, and complications, in patients over 50 years old who underwent anterior cruciate ligament (ACL) reconstruction with either bone–patellar tendon–bone (BPTB) or hamstring tendon (HT) autografts. We hypothesised no significant differences in outcomes between the two techniques in this age group. Methods: A retrospective cohort study was conducted using institutional records of patients over 50 years old who underwent isolated ACL reconstruction (defined as ACL reconstruction without associated ligament injuries), with or without concomitant meniscal procedures, using BPTB or HT autografts between January 2016 and December 2022, with a minimum follow-up of two years. Postoperative outcomes were assessed using PROMs, including the Lysholm score, Kujala score, and the Knee injury and Osteoarthritis Outcome Score Quality of Life subscale (KOOS QoL), complication rates, and the need for revision surgery. Statistical analyses included independent t-tests, Mann–Whitney U tests, chi-square tests and multivariate regression analyses. Results: A total of 83 patients met the inclusion criteria (45 HT and 38 BPTB). The mean age was 53.5 years (SD 3.0), with a mean follow-up of 56.3 months. No significant differences were found in Lysholm (HT: 83.1, BPTB: 86.1; p = 0.934), Kujala (HT: 82.2, BPTB: 84.5; p = 0.901), or KOOS QoL scores (HT: 69.0, BPTB: 68.7; p = 0.649). The incidence of complications and the need for revision surgery were similar between groups. Conclusions: ACL reconstruction in patients over 50 years old using BPTB or HT autografts resulted in comparable clinical outcomes, PROMs, and complication rates. In this cohort, graft type did not appear to significantly influence postoperative results. Level of Evidence: Level III, retrospective cohort study.
KW - 50 years old and over
KW - anterior cruciate ligament
KW - bone–patellar tendon–bone
KW - hamstring
KW - reconstruction
UR - https://www.scopus.com/pages/publications/105010855755
U2 - 10.1002/jeo2.70371
DO - 10.1002/jeo2.70371
M3 - Article
AN - SCOPUS:105010855755
SN - 2197-1153
VL - 12
JO - Journal of Experimental Orthopaedics
JF - Journal of Experimental Orthopaedics
IS - 3
M1 - e70371
ER -