Farrow and his colleagues conducted a retrospective chart review of 123 patients with a mean 4-year follow-up who underwent ACL reconstruction using tibialis anterior allograft (99 patients) or hamstring autograft (24 patients) between 2000 and 2008. The study included 67 men and 56 women with a mean age of 29 years. Exclusion criteria included patients undergoing revision ACL reconstructions or multiligament reconstruction.
The investigators found revision rates of 17% for the allograft group and 4.2% in the autograft group. The researchers found a 30% reoperation rate for patients younger than 25 years in the allograft group. They found no failures in patients younger than 25 years in the autograft group.
“In competitive athletes, definitely no allograft,” Farrow said. “In patients 25 years to 50 years old, have them consider autograft. [In patients] greater than 50 years old, we are more willing to counsel about allograft reconstruction, and by all means, I do not use tibialis anterior [grafts].”
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