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• W1996478032 abstract "<h3>Purpose</h3> The purpose of this study was to evaluate the effect of graft size on patient-reported outcomes and revision risk after anterior cruciate ligament (ACL) reconstruction. <h3>Methods</h3> A retrospective chart review of prospectively collected cohort data was performed, and 263 of 320 consecutive patients (82.2%) undergoing primary ACL reconstruction with hamstring autograft were evaluated. We recorded graft size; femoral tunnel drilling technique; patient age, sex, and body mass index at the time of ACL reconstruction; Knee Injury and Osteoarthritis Outcome Score (KOOS) and International Knee Documentation Committee score preoperatively and at 2 years postoperatively; and whether each patient underwent revision ACL reconstruction during the 2-year follow-up period. Revision was used as a marker for graft failure. The relation between graft size and patient-reported outcomes was determined by multiple linear regression. The relation between graft size and risk of revision was determined by dichotomizing graft size at 8 mm and stratifying by age. <h3>Results</h3> After we controlled for age, sex, operative side, surgeon, body mass index, graft choice, and femoral tunnel drilling technique, a 1-mm increase in graft size was noted to correlate with a 3.3-point increase in the KOOS pain subscale (<i>P</i> = .003), a 2.0-point increase in the KOOS activities of daily living subscale (<i>P</i> = .034), a 5.2-point increase in the KOOS sport/recreation function subscale (<i>P</i> = .004), and a 3.4-point increase in the subjective International Knee Documentation Committee score (<i>P</i> = .026). Revision was required in 0 of 64 patients (0.0%) with grafts greater than 8 mm in diameter and 14 of 199 patients (7.0%) with grafts 8 mm in diameter or smaller (<i>P</i> = .037). Among patients aged 18 years or younger, revision was required in 0 of 14 patients (0.0%) with grafts greater than 8 mm in diameter and 13 of 71 patients (18.3%) with grafts 8 mm in diameter or smaller. <h3>Conclusions</h3> Smaller hamstring autograft size is a predictor of poorer KOOS sport/recreation function 2 years after primary ACL reconstruction. A larger sample size is required to confirm the relation between graft size and risk of revision ACL reconstruction. <h3>Level of Evidence</h3> Level III, retrospective comparative study." @default.
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• W1996478032 date "2013-12-01" @default.
• W1996478032 modified "2023-10-14" @default.
• W1996478032 title "The Influence of Hamstring Autograft Size on Patient-Reported Outcomes and Risk of Revision After Anterior Cruciate Ligament Reconstruction: A Multicenter Orthopaedic Outcomes Network (MOON) Cohort Study" @default.
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• W1996478032 doi "https://doi.org/10.1016/j.arthro.2013.08.025" @default.
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