Application of tendon allografts in common injuries of the movement system

doi:10.3877/cma.j.issn.2096-0263.2024.04.007

Abstract

Abstract:

Tendons are dense connective tissues that connect muscles to bones,providing high mechanical strength, goodflexibility, and optimal elasticity. The primary function of tendons is to transmit the force generated by muscle contractions, enabling movement of the skeleton and various body actions. However, during physical activity, tendons can become damaged due to loads exceeding their capacity or cumulative wear and tear caused by repetitive movements. In clinical practice, there are three main types of tendon grafts used: autografts, allografts, and synthetic materials. An ideal tendon graft should possess anatomical characteristics for tendon remodeling, similar biomechanical properties to the original tendon, good tissue compatibility, and minimal complications. Due to several advantages such as no donor site damage, shorter surgery and anesthesia times, shorter tourniquet use, diverse graft sizes, fewer incisions, and reduced postoperative pain, allogeneic tendon grafts are gradually being widely used for the repair of sports medicine system injuries. To advance the scientific and effective research and application of allogeneic tendon grafts, this review summarizes the research progress and application of allogeneic tendon grafts in sports medicine, aiming to promote the basic research and clinical application of allogeneic tendon grafts in the repair of movement system injuries.

Key words: Allografts, TendonInjuries, Surgery, Sports Medicine

Zhitao Xie, Xiaokang Gao, Limin Wang, Jingyu Zhang, Wenjing Li, Bing Gao, Yongcheng Hu. Application of tendon allografts in common injuries of the movement system[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2024, 10(04): 237-242.

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References 44

1	Ruano JS, Sitler MR, Driban JB. Prevalence of radiographic knee osteoarthritis after anterior cruciate ligament Reconstruction, with or without meniscectomy: an Evidence-Based practice article [J]. J Athl Train, 2017, 52(6): 606-609.
2	Strickland SM, MacGillivray JD, Warren RF. Anterior cruciate ligament Reconstruction with allograft tendons [J]. Orthop Clin North Am, 2003, 34(1): 41-47.
3	Ertogrul R, Varol A, Oc Y, et al. Is peroneus longus allograft good alternative for anterior cruciate ligament Reconstruction: a comparison study [J]. Acta ChirOrthopTraumatol Cech, 2021, 88(1): 58-62.
4	Zhao BA, Yao YY, Ji QX, et al. No difference in postoperative efficacy and safety between autograft and allograft in anterior cruciate ligament Reconstruction: a retrospective cohort study in 112 patients [J]. Ann Transl Med, 2022, 10(6): 359.
5	Matthew TK, Joanne H. Long-Term outcomes of primary anterior cruciate ligament Reconstruction using Achilles tendon allograft [J]. Bull Hosp Joint Dis, 2023, 81(4): 227-231.
6	Shi DH, Cai DZ, Wang K, et al. Concurrent arthroscopic bicruciate ligament Reconstruction using Achilles tendon-bone allografts: experience with 15 cases [J]. Chin J Traumatol, 2008, 11(6): 341-346.
7	Nakata K, Shino K, Horibe S, et al. Arthroscopic anterior cruciate ligament Reconstruction using fresh-frozen bone plug-free allogeneic tendons: 10-year follow-up [J]. Arthroscopy, 2008, 24(3): 285-291.
8	Almqvist KF, Willaert P, De Brabandere S, et al. A long-term study of anterior cruciate ligament allograft Reconstruction [J]. Knee Surg Sports TraumatolArthrosc, 2009, 17(7): 818-822.
9	Chun CH, Han HJ, Lee BC, et al. Histologic findings of anterior cruciate ligament Reconstruction with Achilles allograft [J]. Clin OrthopRelat Res, 2004 (421): 273-276.
10	Noh JH, Yang BG, Yi SR, et al. Single-bundle anterior cruciate ligament Reconstruction in active young men using bone-tendon Achilles allograft versus free tendon Achilles allograft [J]. Arthroscopy, 2013, 29(3): 507-513.
11	Kang HJ, Su YL, Cao HJ, et al. Arthroscopic single-bundle ACL Reconstruction with modified double-layer bone-patellar tendon-bone allograft [J]. Knee Surg Sports TraumatolArthrosc, 2013, 21(9): 2066-2071.
12	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 [J]. Arthroscopy, 2012, 28(2): 211-217.
13	Kane PW, Wascher J, Dodson CC, et al. Anterior cruciate ligament Reconstruction with bone-patellar tendon-bone autograft versus allograft in skeletally mature patients aged 25 years or younger [J]. Knee Surgery Sports Traumatology Arthroscopy, 2016, 24(11): 3627-3633.
14	Indelli PF, Dillingham MF, Fanton GS, et al. Anterior cruciate ligament Reconstruction using cryopreserved allografts [J]. Clin OrthopRelat Res, 2004 (420): 268-275.
15	Zamorano DP, Gold SM. Reverse Achilles tendon allograft technique for anterior cruciate ligament Reconstruction [J]. Arthroscopy, 2005, 21(6): 769.
16	Km SJ, Lee SK, Chong HC, et al. Graft selection in anterior cruciate ligament Reconstruction for smoking patients [J]. Am J Sports Med, 2014, 42(1): 166-172.
17	Noh JH, Song SJ, Roh YH, et al. Simultaneous multiple anterior cruciate ligament reconstructions using a single Achilles tendon allograft [J]. Acta OrthopBelg, 2013, 79(5): 547-551.
18	Wang F, Kang HJ, Chen BC, et al. Primary ACL Reconstruction: comparison of Achilles tendon allograft with tibial anatomical fixation and patellar tendon allograft with external aperture fixation [J]. Eur J Orthop Surg Traumatol, 2011, 21(5): 333-339.
19	Noh JH, Yang BG, Roh YH, et al. Synovialization on second-look arthroscopy after anterior cruciate ligament Reconstruction using Achilles allograft in active young men [J]. Knee Surg Sports TraumatolArthrosc, 2011, 19(11): 1843-1850.
20	Shah AA, McCulloch PC, Lowe WR. Failure rate of Achilles tendon allograft in primary anterior cruciate ligament Reconstruction [J]. Arthroscopy, 2010, 26(5): 667-674.
21	Chehab EL, Flik KR, Vidal AF, et al. Anterior cruciate ligament Reconstruction using Achilles tendon allograft: an assessment of outcome for patients age 30 years and older [J]. HSS J, 2011, 7(1): 44-51.
22	Folsom GJ, Larson CM. Surgical treatment of acute versus chronic complete proximal hamstring ruptures: results of a new allograft technique for chronic reconstructions [J]. Am J Sports Med, 2008, 36(1): 104-109.
23	Lawhorn KW, Howell SM, Traina SM, et al. The effect of graft tissue on anterior cruciate ligament outcomes: a multicenter, prospective, randomized controlled trial comparing autograft hamstrings with fresh-frozen anterior tibialis allograft [J]. Arthroscopy, 2012, 28(8): 1079-1086.
24	Sun K, Zhang JH, Wang Y, et al. Arthroscopic Reconstruction of the anterior cruciate ligament with hamstring tendon autograft and fresh-frozen allograft: a prospective, randomized controlled study [J]. Am J Sports Med, 2011, 39(7): 1430-1438.
25	Dai CL, Wang F, Wang XM, et al. Arthroscopic single-bundle anterior cruciate ligament Reconstruction with six-strand hamstring tendon allograft versus bone-patellar tendon-bone allograft [J]. Knee Surg Sports TraumatolArthrosc, 2016, 24(9): 2915-2922.
26	Pascual-Garrido C, Carbo L, Makino A. Revision of anterior cruciate ligament Reconstruction with allografts in patients younger than 40 years old: a 2 to 4 year results [J]. Knee Surg Sports TraumatolArthrosc, 2014, 22(5): 1106-1111.
27	Yang R, Deng HQ, Hou JY, et al. Comparison of knee stability and synovial fluid alterations in anterior cruciate ligament Reconstruction with a hamstring autograft or an allograft [J]. Orthopedics, 2017, 40(5): e892-e897.
28	Sun K, Zhang JH, Wang Y, et al. A prospective randomized comparison of irradiated and non-irradiated hamstring tendon allograft for ACL Reconstruction [J]. Knee Surg Sports TraumatolArthrosc, 2012, 20(1): 187-194.
29	Tian SQ, Wang B, Liu L, et al. Irradiated hamstring tendon allograft versus autograft for anatomic Double-Bundle anterior cruciate ligament Reconstruction: midterm clinical outcomes [J]. Am J Sports Med, 2016, 44(10): 2579-2588.
30	Shumborski S, Salmon LJ, Monk C, et al. Allograft donor characteristics significantly influence graft rupture after anterior cruciate ligament Reconstruction in a young active population [J]. Am J Sports Med, 2020, 48(10): 2401-2407.
31	Sun R, Chen BC, Wang F, et al. Prospective randomized comparison of knee stability and joint degeneration for double- and single-bundle ACL Reconstruction [J]. Knee Surg Sports TraumatolArthrosc, 2015, 23(4): 1171-1178.
32	Moatshe G, Persson A, Fenstad AM, et al. High risk of failure after posterior cruciate ligament Reconstruction:study from the norwegian knee ligament registry 2004-2019 [J]. J ISAKOS, 2021, 6(6): 380-591.
33	Ebrahimzadeh MH, Shahpari O. Clinical outcome of anatomical arthroscopic posterior cruciate ligament Reconstruction with Achilles tendon allograft [J]. Arch Bone Jt Surg, 2021, 9(1): 79-84.
34	Kim SJ, Kim TW, Kim SG, et al. Clinical comparisons of the anatomical Reconstruction and modified biceps rerouting technique for chronic posterolateral instability combined with posterior cruciate ligament Reconstruction [J]. J Bone Joint Surg Am, 2011, 93(9): 809-818.
35	Yang JH, Yoo JR, Jeong HI, et al. Second-Look arthroscopic assessment of arthroscopic Single-Bundle posterior cruciate ligament Reconstruction [J]. Am J Sports Med, 2012, 40(9): 2052-2060.
36	Sanchez-Sotelo J, Morrey BF, Adams RA, et al. Reconstruction of chronic ruptures of the distal biceps tendon with use of an Achilles tendon allograft [J]. J Bone Joint Surg Am, 2002, 84(6): 999-1005.
37	Sanchez-Sotelo J, Bernard FM. Surgical techniques for Reconstruction of chronic insufficiency of the triceps [J]. J Bone Joint Surg, 2002, 84(8): 1116-1120.
38	Ho SWL, Denard PJ, Chong XL, et al. Achilles Tendon-Bone block allograft for massive rotator cuff tears with bony deficiency of the greater tuberosity: a minimum 2-Year follow-up study [J]. Orthop J Sports Med, 2022, 10(2): 23259671211073719.
39	Checchia CS, da Silva Luciana Andrade, Val Sella Guilherme Do, et al. Allograft-enhanced latissimus dorsi transfer is better than the conventional technique for irreparable posterosuperior rotator cuftears.A retrospective matched cohort [J]. Int Orthop, 2023, 47(6): 1527-1534.
40	Pogorzelski J, Horan MP, Godin JA, et al. Achilles tendon allograft-augmented latissimus dorsi tendon transfer for the treatment of massive irreparable posterosuperior rotator cuff tears [J]. Arch Orthop Trauma Surg, 2018, 138(9): 1207-1212.
41	Moore DR, Cain EL, Schwartz ML, et al. Allograft Reconstruction for massive, irreparable rotator cuff tears [J]. Am J Sports Med, 2006, 34(3): 392-396.
42	Kholinne E, Sun YC, Kwak JM, et al. Failure rate after superior capsular Reconstruction with Achilles Tendon-Bone allograft for irreparable rotator cuff tears [J]. Orthop J Sports Med, 2021, 9(5): 23259671211002280.
43	Noh JH, Roh YH, Lee K, et al. Achilles tendon allograft with its bony attachment to repair rupture and extensive degeneration of the heel cord [J]. Acta OrthopBelg, 2012, 78(5): 678-680.
44	Lykoudis EG, Contodimos GV, Ristanis S, et al. One-stage complex Achilles tendon defect Reconstruction with an Achilles tendon allograft and a gracilis free flap [J]. Foot Ankle Int, 2010, 31(7): 634-638.

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