Autologous and allogeneic tissue transplantation for reconstruction of the anterior cruciate ligament of the knee

doi:10.3969/j.issn.2095-4344.2014.51.024

Abstract

Abstract:

BACKGROUND: There are two kinds of grafts used in anterior cruciate ligament reconstruction: autograft and allograft, each of which has its own advantages and disadvantages. There are a lot of debates on the selection of grafts.

OBJECTIVE: To compare the clinical outcomes and differences of arthroscopic anterior cruciate ligament reconstruction using allografts and autografts.

METHODS: Form June 2010 to June 2013, 52 patients with anterior cruciate ligament injuries were divided randomly into two groups: 27 patients received autografts and 25 patients underwent allografts.

RESULTS AND CONCLUSION: The average hospitalization days and postoperative fever days were fewer in the autograft group than the allograft group (P < 0.05). There was no significant difference between the two groups in terms of physical examination, functional tests, grading evaluation and Lysholm-Tegner evaluation (P > 0.05). These findings indicate that both autografts and allografts for arthroscopic anterior cruciate ligament reconstruction are safe and feasible. There is no difference in functional recovery between allografts and autografts, but the their difference in hospitalization days and postoperative fever days can influence the choice of grafts.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

全文链接：

Key words: tissue engineering, arthroscopes, knee joint, ligaments, transplantation

CLC Number:

R318

Zhu Xu-hong, Jiang Fei, Mao Feng-gang . Autologous and allogeneic tissue transplantation for reconstruction of the anterior cruciate ligament of the knee[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(51): 8325-8329.

Figures/Tables 3

References

[1]Nyland J, Cabom DN, Rothbauer J, et al. Two-year outcomes following ACL reconstruction with allograft tibialis anterior tendons;a retrospective study. Knee Surg Sports Traumatol Anllrosc. 2003;11(4):212-218.
[2]Chang SK, Egami DK, Shaieb MD, et al. Anterior cruciate ligament reconstruction;allograft versus autograft. Arthroscopy. 2003;19:453-462.
[3]Lawhom KW, Howell SM. Scientific justification and technique for anterior cruciate ligament reconstruction using autogenous and allogeneic softtissue grafts. Orthop Clin North Am. 2003;34:19-30.
[4]Siebold R, Buelow JU, Bos L, et al. Primary ACL reconstruction with fresh-frozen patellar versus Achilles tendon allografts. Arch Orthop Trauma Surg. 2003;123:180-185.
[5]Bach BR, Aadalen KJ, Dennis MG, et al. Primary anterior cruciate ligament reconstruction using fresh-frozen,nonirradiated patella tendon allograft: minimum 2-year follow-up. Am J Sports Med. 2005;33(2):284-292.
[6]BarrettG, Stokes D, WhiteM. Anterior cruciate ligament reconstruction in patients older than 40 years: allograft versus autograft patellar tendon. Am J SportsMed. 2005;10:1505- 1512.
[7]张义龙,李宁,李志华.自体与同种异体肌腱重建膝关节前交叉韧带的比较[J].中国组织工程研究与临床康复,2011,15(31): 5743-5746.
[8]Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med. 1982;10(3):150-154.
[9]ones KG. Reconstruction of the anterior cruciate ligament: A technique using the central one-third of the patellar ligament. J Bone Joint Surg (Am). 1963;45(7):925-932.
[10]陈益果,丁晶,杨军,等.关节镜下自体与同种异体肌腱重建前交叉韧带的临床对比分析[J].中国骨与关节损伤杂志,2010, 25(9): 791-793.
[11]刘文祥,徐斌,徐洪港,等.关节镜下同种异体肌腱移植重建交叉韧带60例[J].中国组织工程研究与临床康复,2010,14(5); 866-869.
[12]李卫平,宋斌,杨睿,等.关节镜下膝关节前后交叉韧带重建;自体移植与异体移植的中远期疗效对比[J].中国组织工程研究, 2012, 16(5);939-943.
[13]Chang SKY, Egami DK, Shaieb MD, et al. Anterior cruciate ligament reconstruction: allograft versus autograft. Arthroscopy. 2003;19:453-462.
[14]Hae S K, Yong I, Chae-Gwan K, et al. Factors affecting patients’ graft choice in anterior cruciate ligament reconstruction. Clinics in Orthopedic Surgery. 2010;2(2): 69-75.
[15]马业涛,宋世锋,曾凡,等.关节镜下自体肌腱及同种异体肌腱重建膝关节前后交叉韧带[J].中国组织工程研究与临床康复,2011, 15(25);4726-4730.
[16]Herrington L, Wrapson C, Matthews M, et al. Anterior cruciate ligament reconstruction, hamstring versus bone-patella tendon-bone grafts:a systematic literature review of outcome from surgery. Knee. 2005;2(1):41-50.
[17]Li H, Yao Z, Jiang J, et al. Biologic failure of a ligament advanced reinforcement system artificial ligament in anterior cruciate ligament reconstruction: a report of serious knee synovitis. Arthroscopy. 2012;28(4):583-586.
[18]李志怀,冯震,张义龙,等.异体肌腱材料选择及应用Tibial-inlay 技术重建膝关节后交叉韧带17例[J].中国组织工程研究与临床康复, 2010,14(8);1479-1482.
[19]Nakamura N, Horibe S, Sasaki S, et al. Evaluation of active knee flexion and hamstring strength after anterior cruciate ligament reconstruction using hamstring tendons. Arthroscopy. 2002;18(6):598-602.
[20]Aune AK, Holm I, Risberg MA, et al. Four-strand hamstring tendon autograft compared with patellar tendon-bone autograft for anterior cruciate ligament reconstruction: a randomized study with two-year follow-up. Am J Sports Med. 2011;29(6):722-728.
[21]张海灵.前交叉韧带重建修复运动性膝关节损伤;临床现状与未来[J].中国组织工程研究,2014,18(23);5384-5388.
[22]郑小飞,黄华扬,张余,等.关节镜下自体、异体骨-髌腱-骨与半腱肌腱3种重建前交叉韧带方法的疗效比较[J].中国组织工程研究与临床康复,2009,13(20):3903-3906.
[23]张辉,王雪松,冯华,等.同种异体骨-髌腱-骨组织移植重建前交叉韧带36例临床分析[J].中国运动医学杂志,2008,27(3): 275-279.
[24]刘彩龙,赵金忠,陈雷,等.同种异体半腱肌腱双束重建前交叉韧带的近期临床疗效[J].中国修复重建外科杂志,2009,23(12): 1451-1455.
[25]Inkster T, Cordina C, Siegmeth A. Septic arthritis following anterior cruciate ligament reconstruction using tendon allografts-Florida and Louisiana, 2000. MMWR Morb Mortal Wkly Rep. 2001;50:1081-1083.
[26]Diaz-de-Rada P, Barriga A, Barroso JL, et al. Positive culture in allorgraft Acl-reconstruction: what to do? Knee Surg Sports Traumatol Arthrosc. 2003;11:2219-212.
[27]Hae SK, Yong I, Chae-Gwan K, et al. Factors affecting patients’ graft choice in anterior cruciate ligament reconstruction. Clin Orthop Surg. 2010;2(2):69-75.
[28]傅永慧,张瑞.自体与同种异体肌腱重建前交叉韧带临床对比分析[J].陕西医学杂志,2013,42(3):296-298.
[29]赵元杰,赵永明.关节镜下自体移植与同种异体移植膝关节交叉韧带重建术对比研究[J].中国医学创新,2014,11(7):82-84.
[30]陈益果,丁晶,杨军.关节镜下自体与同种异体肌腱重建前交叉韧带的临床对比分析[J].中国骨与关节损伤杂志,2010,25(9): 791-793.
[31]Ji B, Sheng L, Chen G, et al. The Combination Use of Platelet-Rich Fibrin and Treated Dentin Matrix for Tooth Root Regeneration by Cell Homing. Tissue Eng Part A. 2014 [Epub ahead of print].
[32]Bright R, Hynes K, Gronthos S, et al. Periodontal ligament-derived cells for periodontal regeneration in animal models: a systematic review. J Periodontal Res. 2014. doi: 10.1111/jre.12205.
[33]Ong E, Chimutengwende-Gordon M, Khan W. Stem cell therapy for knee ligament, articular cartilage and meniscal injuries. Curr Stem Cell Res Ther. 2013;8(6):422-428.
[34]Fu X, Jin L, Ma P, et al. Allogeneic stem cells from deciduous teeth in treatment for periodontitis in miniature swine. J Periodontol. 2014;85(6):845-851.
[35]Zhang D, Wang L, Cao L, et al. Anatomical reconstruction of posterolateral complex in treatment of multi-ligament injury of knees. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013; 27(4): 436-439.
[36]Lange-Consiglio A, Tassan S, Corradetti B, et al. Investigating the efficacy of amnion-derived compared with bone marrow-derived mesenchymal stromal cells in equine tendon and ligament injuries. Cytotherapy. 2013;15(8):1011-1120.
[37]Hudgens JL, Gillette BP, Krych AJ, et al. Allograft versus autograft in posterior cruciate ligament reconstruction: an evidence-based systematic review. J Knee Surg. 2013;26(2): 109-115.
[38]Li MW, Zhou XS. Histologic and biomechanical studies of tendon-to-bone healing after autologous and allogeneic bone transplants. Exp Clin Transplant. 2013;11(2):164-168.
[39]Chen P, Zhu Z, Wang S. One-stage repair and reconstruction of knee anterior cruciate ligament, posterior cruciate ligament, and medial collateral ligament. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2012;26(6):675-578.
[40]Guo L, Yang L, Duan XJ, et al. Anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft: comparison of autograft, fresh-frozen allograft, and γ-irradiated allograft. Arthroscopy. 2012;28(2):211-217.
[41]Xie L, Chen B, Wang X, et al. Comparison study on recovery of proprioception between autograft and allograft for anterior cruciate ligament reconstruction. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011;25(8):907-911.
[42]Ding G, Liu Y, Wang W, et al. Allogeneic periodontal ligament stem cell therapy for periodontitis in swine. Stem Cells. 2010; 28(10):1829-1838.
[43]Liu C, Zhao J, Chen L, et al. Primary clinical results of double-bundle anterior cruciate ligament reconstruction with semitendinosus allografts. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2009;23(12):1451-1455.
[44]García-Castro J, Trigueros C, Madrenas J, et al. Mesenchymal stem cells and their use as cell replacement therapy and disease modelling tool. J Cell Mol Med. 2008; 12(6B):2552-2565.
[45]Wada N, Menicanin D, Shi S, et al. Immunomodulatory properties of human periodontal ligament stem cells. J Cell Physiol. 2009;219(3):667-676.
[46]Liu HG, Chen SX, Zhao CD, et al. Comparative study on reconstruction of anterior cruciate ligaments with allografts and hamstring tendon under arthroscopy. Zhongguo Gu Shang. 2008;21(4):267-269.
[47]Muramatsu K, Hachiya Y, Izawa H. Serial evaluation of human anterior cruciate ligament grafts by contrast-enhanced magnetic resonance imaging: comparison of allografts and autografts. Arthroscopy. 2008;24(9):1038-1044.
[48]Del Bue M, Riccò S, Ramoni R, et al. Equine adipose-tissue derived mesenchymal stem cells and platelet concentrates: their association in vitro and in vivo. Vet Res Commun. 2008; 32 Suppl 1:S51-S55.
[49]Lawhorn KW, Howell SM. Scientific justification and technique for anterior cruciate ligament reconstruction using autogenous and allogeneic soft-tissue grafts. Orthop Clin North Am. 2003;34(1):19-30.
[50]Nyland J, Caborn DN, Johnson DL, et al. Patellar tendon ACL reconstruction and rehabilitation practices and opinions (autograft versus allograft): orthopaedic sports medicine fellowship program survey. J South Orthop Assoc. 1998 Spring; 7(1):13-18.
[51]Milachowski KA, Kohn D, Wirth CJ. Transplantation of allogeneic menisci. Orthopade. 1994;23(2):160-163.
[52]Gögüs A, Lobenhoffer P, Tscherne H. Allogeneic cruciate ligament replacement. Perspectives and initial clinical results. Unfallchirurg. 1993;96(2):93-99.
[53]DiStefano V. Anterior cruciate ligament reconstruction. Autograft or allograft? Clin Sports Med. 1993;12(1):1-11.
[54]Shino K, Horibe S. Experimental ligament reconstruction by allogeneic tendon graft in a canine model. Acta Orthop Belg. 1991;57 Suppl 2:44-53.
[55]Shino K, Kawasaki T, Hirose H, et al. Replacement of the anterior cruciate ligament by an allogeneic tendon graft. An experimental study in the dog. J Bone Joint Surg Br. 1984; 66(5): 672-681.