Saturday, July 12, 2008

Cadaver Tissue Fails Nearly 25% Of The Time In Young ACL Reconstructions




ScienceDaily (July 12, 2008) — With an estimated 80,000 Anterior Cruciate Ligament (ACL) tears happening each year in the United States*, including recently to famed golfer, Tiger Woods, choosing the best replacement ligament for surgery is one key to success. A study released July 10 at the 2008 American Orthopaedic Society for Sports Medicine's Annual Meeting, found that with a failure rate of almost 24 percent, the use of cadaver replacement ligaments may not be the best choice for young, athletic patients.




"Choosing a replacement ligament, whether it comes from a cadaver or the patient's own tissue is a decision that must be made by the surgeon and patient," said co-author Kurre Luber, MD, orthopedic surgery fellow at Mississippi Sports Medicine and Orthopaedic Center. "This study found a very high failure rate in patients 40 years and younger with high activity levels in ACL-dependent sports like tennis, basketball, soccer and downhill skiing. Certainly, it would be naïve to think that only the graft selection led to these failures, we also need to look at surgical technique (single versus double bundle). Better outcome measures also need to be developed. However, this study definitely raises questions about the validity of using cadaver tissue in this patient subgroup."

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