Daniel Pérez-Prieto1,2, Simone Perelli3, Ferran Corcoll4, Gonzalo Rojas5, Verónica Montiel6, Juan Carlos Monllau4,3. 1. Department of Traumatology and Orthopaedic Surgery, Hospital del Mar-Universitat Autònoma de Barcelona (UAB), Passeig Marítim, 25, 08003, Barcelona, Spain. dperezprieto@parcdesalutmar.cat. 2. Catalan Institute for Traumatology and Sports Medicine (ICATME), Hospital Universitari Dexeus.-Universitat Autònoma de Barcelona (UAB), Sabino Arana 5-19, 08028, Barcelona, Spain. dperezprieto@parcdesalutmar.cat. 3. Catalan Institute for Traumatology and Sports Medicine (ICATME), Hospital Universitari Dexeus.-Universitat Autònoma de Barcelona (UAB), Sabino Arana 5-19, 08028, Barcelona, Spain. 4. Department of Traumatology and Orthopaedic Surgery, Hospital del Mar-Universitat Autònoma de Barcelona (UAB), Passeig Marítim, 25, 08003, Barcelona, Spain. 5. Hospital Regional Talca, Universidad Católica de Maule, Talca, Chile. 6. Clínica Universitaria de Navarra, Pamplona, Spain.
Abstract
PURPOSE: The main aim of this study was to evaluate the re-rupture risk after an anterior cruciate ligament reconstruction (ACL-R) using the vancomycin soaking technique and to compare it with the re-rupture risk in patients on whom this technique was not utilized. The secondary purpose was to compare the functional outcomes of those two subsets of patients operated on for ACL-R. The hypotheses are that the vancomycin soaking technique does not affect the re-rupture risk or the functional outcomes. MATERIAL AND METHODS: A retrospective historical cohort study was conducted. Two groups were compared in terms of the re-rupture rate (traumatic or atraumatic) and functional outcomes (International Knee Documentation Committee (IKDC), Tegner, and Lysholm). Group 1 consisted of patients that received pre-operative IV antibiotics. In group 2, the patients received pre-operative IV antibiotics along with a graft that had been presoaked in a vancomycin solution. A minimum follow-up of five years was required. RESULTS: There were 17 patients that suffered a re-rupture in group 1 (4.7%) and 15 in group 2 (3.9%) (n.s.). IKDC was 82.0 in group 1 and 83.9 in group 2 (p = 0.049); Tegner scored 4 in both groups (n.s.) and Lysholm was 90.3 in group 1 and 92.0 in group 2 (p = 0.015). CONCLUSION: The vancomycin soaking technique for ACL autografts is a safe procedure for the daily clinical practice, in terms of re-ruptures. Moreover, it does not impair functional outcomes after an ACL-R.
PURPOSE: The main aim of this study was to evaluate the re-rupture risk after an anterior cruciate ligament reconstruction (ACL-R) using the vancomycin soaking technique and to compare it with the re-rupture risk in patients on whom this technique was not utilized. The secondary purpose was to compare the functional outcomes of those two subsets of patients operated on for ACL-R. The hypotheses are that the vancomycin soaking technique does not affect the re-rupture risk or the functional outcomes. MATERIAL AND METHODS: A retrospective historical cohort study was conducted. Two groups were compared in terms of the re-rupture rate (traumatic or atraumatic) and functional outcomes (International Knee Documentation Committee (IKDC), Tegner, and Lysholm). Group 1 consisted of patients that received pre-operative IV antibiotics. In group 2, the patients received pre-operative IV antibiotics along with a graft that had been presoaked in a vancomycin solution. A minimum follow-up of five years was required. RESULTS: There were 17 patients that suffered a re-rupture in group 1 (4.7%) and 15 in group 2 (3.9%) (n.s.). IKDC was 82.0 in group 1 and 83.9 in group 2 (p = 0.049); Tegner scored 4 in both groups (n.s.) and Lysholm was 90.3 in group 1 and 92.0 in group 2 (p = 0.015). CONCLUSION: The vancomycin soaking technique for ACL autografts is a safe procedure for the daily clinical practice, in terms of re-ruptures. Moreover, it does not impair functional outcomes after an ACL-R.
Authors: Daniel Pérez-Prieto; Andrej Trampuz; Raúl Torres-Claramunt; María Eugenia Portillo; Lluís Puig-Verdié; Joan C Monllau Journal: J Knee Surg Date: 2016-07-01 Impact factor: 2.757
Authors: Raúl Torres-Claramunt; Pablo Gelber; Xavier Pelfort; Pedro Hinarejos; Joan Leal-Blanquet; Daniel Pérez-Prieto; Joan C Monllau Journal: Int Orthop Date: 2015-08-04 Impact factor: 3.075
Authors: Hamidreza Yazdi; Alireza Yousof Gomrokchi; Ara Nazarian; Aron Lechtig; Philip Hanna; Mohammad Ghorbanhoseini Journal: Arch Bone Jt Surg Date: 2019-01
Authors: Alexander Themessl; Felix Mayr; Kate Hatter; Marco-Christopher Rupp; Jonas Pogorzelski; Andreas B Imhoff; Stefan Buchmann Journal: Knee Surg Sports Traumatol Arthrosc Date: 2021-12-06 Impact factor: 4.114