{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T10:19:31Z","timestamp":1773569971493,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2011,7,22]],"date-time":"2011-07-22T00:00:00Z","timestamp":1311292800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2011,7,22]],"date-time":"2011-07-22T00:00:00Z","timestamp":1311292800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2011,7,22]],"date-time":"2011-07-22T00:00:00Z","timestamp":1311292800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2011,7,22]],"date-time":"2011-07-22T00:00:00Z","timestamp":1311292800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the clinical outcomes of arthroscopic anterior cruciate ligament (ACL) reconstruction with hamstring tendon autograft versus irradiated allograft.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All irradiated hamstring tendon allografts (gracilis and semitendinosus), which were sterilized with 2.5 Mrad of irradiation before distribution, were obtained from a single certified tissue bank. A total of 78 patients undergoing arthroscopic ACL reconstruction were prospectively randomized consecutively into 1 of 2 groups: autograft and irradiated allograft. The same surgical technique was used in all operations, which were performed by the same senior surgeon. Before surgery and at a mean of 42.2 months of follow\u2010up, patients were evaluated by the same observer according to objective and subjective clinical evaluations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the patients, 67 (36 in autograft group and 31 in irradiated allograft group) were available for full evaluation. When the irradiated allograft group was compared with the autograft group at the final follow\u2010up by the Lachman test, anterior drawer test, pivot\u2010shift test, and KT\u20102000 arthrometer (MEDmetric, San Diego, CA) assessment, statistically significant differences were found (\n                      <jats:italic>P<\/jats:italic>\n                      = .00011,\n                      <jats:italic>P<\/jats:italic>\n                      = .00016,\n                      <jats:italic>P<\/jats:italic>\n                      = .008, and\n                      <jats:italic>P<\/jats:italic>\n                      = .00021, respectively). Most importantly, 86.1% of patients in the autograft group and only 32.3% in the irradiated allograft group had a side\u2010to\u2010side difference of less than 3 mm according to KT\u20102000 assessment. The rate of laxity (side\u2010to\u2010side difference &gt;5 mm) with irradiated allograft (32.3%) was higher than that with autograft (8.3%). The anterior and rotational stabilities decreased significantly in the irradiated allograft group. According to the overall International Knee Documentation Committee rating, functional and subjective evaluations, and activity level testing, no statistically significant differences were found between the 2 groups. However, patients in the irradiated allograft group had a shorter operative time and a longer duration of postoperative fever. When the patients had a fever, the laboratory examination findings of all patients were almost normal (white blood cell count, normal; erythrocyte sedimentation rate, 8 to 20 mm\/h; and C\u2010reactive protein level, 4 to 11 mg\/L).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The clinical outcome of ACL reconstruction with hamstring tendon autograft was satisfactory, whereas the difference in instrumented laxity between the 2 groups was significant and the difference in functional test results was not significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level II, prospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2011.03.083","type":"journal-article","created":{"date-parts":[[2011,7,25]],"date-time":"2011-07-25T09:14:33Z","timestamp":1311585273000},"page":"1195-1202","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":72,"title":["Arthroscopic Anterior Cruciate Ligament Reconstruction With at Least 2.5 Years' Follow\u2010up Comparing Hamstring Tendon Autograft and Irradiated Allograft"],"prefix":"10.1002","volume":"27","author":[{"given":"Kang","family":"Sun","sequence":"first","affiliation":[{"name":"Department of Orthopaedics The Affiliated Hospital of Qingdao University Medical College Qingdao China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jihua","family":"Zhang","sequence":"additional","affiliation":[{"name":"Healthy Physical Examination Center The Affiliated Hospital of Qingdao University Medical College Qingdao China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Qingdao Woman and Children's Hospital Qingdao China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Changsuo","family":"Xia","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Affiliated Hospital of Qingdao University Medical College Qingdao China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cailong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Affiliated Hospital of Qingdao University Medical College Qingdao China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tengbo","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Affiliated Hospital of Qingdao University Medical College Qingdao 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