{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T21:46:45Z","timestamp":1785534405337,"version":"3.56.0"},"reference-count":39,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2005,7,1]],"date-time":"2005-07-01T00:00:00Z","timestamp":1120176000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2005,7,1]],"date-time":"2005-07-01T00:00:00Z","timestamp":1120176000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2005,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To prospectively compare outcomes of primary anterior cruciate ligament (ACL) reconstruction with either Achilles tendon allograft with soft\u2010tissue fixation or standard bone\u2010patellar tendon\u2010bone autograft with interference screw fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Type of Study<\/jats:title>\n                    <jats:p>Prospective comparative case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A group of 41 patients who underwent soft\u2010tissue allograft reconstruction and a group of 118 patients who underwent autograft bone\u2010patellar tendon\u2010bone reconstruction were included in the final results. Patients were evaluated preoperatively and postoperatively at 1 to 2 weeks, 6 weeks, 3 months, 6 months, and then annually for 5 years. Objective measures of outcome included KT\u20101000 measurements, range of motion, ligamentous integrity, thigh atrophy, and International Knee Documentation Committee score. Subjective evaluations included patient completion of 5 questionnaires documenting functional status, pain, and health\u2010related quality of life: (1) the short\u2010form McGill Pain Questionnaire, (2) a patient subjective assessment of knee function and symptoms, (3) a patient subjective assessment follow\u2010up, (4) a knee pain scale, and (5) the RAND 36\u2010Item Health Survey. Mixed models analysis of variance was used to compare the outcomes of the treatment groups using baseline values of the study variables as a covariate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Autograft patients reported significantly more pain on the bodily pain subscale of the RAND\u201036 than the allograft group at 1 week (\n                      <jats:italic>P<\/jats:italic>\n                      = .0006), 6 weeks (\n                      <jats:italic>P<\/jats:italic>\n                      = .0007), and 3 months (\n                      <jats:italic>P<\/jats:italic>\n                      = .0270). Autograft patients reported more pain than allograft patients on the McGill Pain Scale visual analog scale at 1 to 2 weeks (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001) and 6 weeks (\n                      <jats:italic>P<\/jats:italic>\n                      = .0147). Patient assessment of function and symptoms showed that a higher proportion of patients reported normal or nearly normal knee function in the allograft group than in the autograft group at 3 months (33%\n                      <jats:italic>v<\/jats:italic>\n                      14%,\n                      <jats:italic>P<\/jats:italic>\n                      = .0558, respectively). Fewer activity limitations were reported by allograft patients than autograft patients at 6 weeks (\n                      <jats:italic>P<\/jats:italic>\n                      = .0501), 3 months (\n                      <jats:italic>P<\/jats:italic>\n                      = .0431), and 6 months (\n                      <jats:italic>P<\/jats:italic>\n                      = .0014). After reconstruction, the allograft group displayed significantly more laxity in KT\u20101000 measurements at all time points than the autograft group (\n                      <jats:italic>P<\/jats:italic>\n                      = .0520). These measurements decreased over time for both groups (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Five\u2010year follow\u2010up of patients undergoing ACL reconstruction with allograft versus autograft were compared objectively and subjectively. Both groups of patients achieved similar long\u2010term outcomes. Overall, the allograft patients reported less pain at 1 and 6 weeks after surgery, better function at 1 week, 3 months, and 1 year, and fewer activity limitations throughout the follow\u2010up period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level II, prospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2005.04.112","type":"journal-article","created":{"date-parts":[[2005,7,13]],"date-time":"2005-07-13T18:19:25Z","timestamp":1121278765000},"source":"Crossref","is-referenced-by-count":148,"title":["Analysis of Outcomes of Anterior Cruciate Ligament Repair With 5\u2010Year Follow\u2010up: Allograft Versus Autograft"],"prefix":"10.1002","volume":"21","author":[{"given":"Gary G.","family":"Poehling","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest University School of Medicine Winston\u2010Salem North Carolina U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walton W.","family":"Curl","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest University School of Medicine Winston\u2010Salem North Carolina U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cassandra A.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest University School of Medicine Winston\u2010Salem North Carolina U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. Adam","family":"Ginn","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest University School of Medicine Winston\u2010Salem North Carolina U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia T.","family":"Rushing","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest University School of Medicine Winston\u2010Salem North Carolina U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle J.","family":"Naughton","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest University School of Medicine Winston\u2010Salem North Carolina U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha B.","family":"Holden","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest University School of Medicine Winston\u2010Salem North Carolina U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David F.","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest University School of Medicine Winston\u2010Salem North Carolina U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth P.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Wake Forest University School of Medicine Winston\u2010Salem North Carolina U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,7,1]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)31180-9"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354657600400301"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274010-00020"},{"key":"e_1_2_3_5_1","first-page":"341","volume-title":"The crucial ligaments: Diagnosis and treatment of ligamentous injuries about the knee","author":"Jackson R.W.","year":"1988"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659001800313"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503258935"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199406000-00009"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199604000-00006"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199072080-00002"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199603000-00016"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(97)90122-5"},{"key":"e_1_2_3_13_1","first-page":"111","article-title":"Use of soft tissue allografts in sports medicine","volume":"1","author":"Olsen E.J.","year":"1993","journal-title":"Adv Oper Orthop"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(75)90044-5"},{"key":"e_1_2_3_15_1","volume-title":"Measures of need and outcome for primary health care","author":"Wilkin D.","year":"1992"},{"key":"e_1_2_3_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/hec.4730020305"},{"key":"e_1_2_3_17_1","first-page":"1124","article-title":"The evaluation of pain in patients with knee osteoarthritis: The knee pain scale","volume":"22","author":"Rejeski W.J.","year":"1995","journal-title":"J Rheum"},{"key":"e_1_2_3_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465000280010801"},{"key":"e_1_2_3_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199604000-00008"},{"key":"e_1_2_3_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465980260012101"},{"key":"e_1_2_3_21_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199309000-00009"},{"key":"e_1_2_3_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659101900505"},{"key":"e_1_2_3_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198903000-00015"},{"key":"e_1_2_3_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199603000-00015"},{"key":"e_1_2_3_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659302100203"},{"key":"e_1_2_3_26_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466030-00005"},{"key":"e_1_2_3_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(96)90034-1"},{"key":"e_1_2_3_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002640050127"},{"key":"e_1_2_3_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659202000506"},{"key":"e_1_2_3_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354658901700606"},{"key":"e_1_2_3_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(20)30386-0"},{"key":"e_1_2_3_32_1","first-page":"60","article-title":"Indirect forces and patellar fracture after anterior cruciate ligament reconstruction with the patellar ligament. 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