A retrospective comparison of the incidence of XXXX following anterior cruciate ligament reconstruction with autograft versus allograft.

@entity1 @entity281 @entity2348 @entity86
PURPOSE: To compare the incidence of @entity2348 in anterior cruciate ligament (ACL) reconstruction with autograft versus allograft. METHODS: We completed a retrospective medical record review of ACL reconstructions performed at our institutions between 2001 and 2005. These included 170 autograft, 628 allograft, and 3 combined autograft/allograft reconstructions. Data collection included @entity1 demographics, comorbidities, preoperative antibiotics, fixation type, and the occurrence of @entity86 . RESULTS: Of the 801 @entity1 who underwent ACL reconstruction, 6 (0.75%) developed a confirmed @entity281 . There were 2 confirmed deep infections in 170 autograft reconstructions (1.2%) compared with 4 confirmed deep infections in 628 allograft reconstructions (0.6%). Multivariate analysis revealed that ACL reconstruction using autograft had a nearly twice the risk of @entity281 compared to allograft reconstructions (adjusted odds ratio, 1.83; 95% confidence interval, 0.16 to 12.94). CONCLUSIONS: This study failed to find a higher rate of deep @entity2348 in ACL reconstructions when allograft tissue was used. We therefore feel that surgeons should consider allograft tissue as an alternative to autograft when there is a concern about donor-site morbidity, or for revision reconstructions. LEVEL OF EVIDENCE: Level III, therapeutic retrospective comparative study.
