Open AccessAllografts in reconstruction of the posterior cruciate ligament: a health economics perspective
Author(s) -
Waugh Norman,
Mistry Hema,
Metcalfe Andrew,
Colquitt Jill,
Loveman Emma,
Royle Pamela,
Smith Nick A.
Publication year - 2019
Publication title -
knee surgery, sports traumatology, arthroscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.806
H-Index - 125
eISSN - 1433-7347
pISSN - 0942-2056
DOI - 10.1007/s00167-019-05477-4
Subject(s) - perspective (graphical) , posterior cruciate ligament , cruciate ligament , orthodontics , medicine , surgery , anterior cruciate ligament , computer science , artificial intelligence
Purpose To review the relative cost‐effectiveness of allografts and autografts in reconstruction of the posterior cruciate ligament. Methods Systematic review and cost‐effectiveness analysis. Results The available evidence does not show any significant difference in clinical effectiveness between autografts and allografts. Given that, only a cost analysis is provided, which shows that allografts are more costly. Conclusion Given the lack of any benefit of allografts over autografts, autografts should be preferred on cost grounds, if available. However, there may be situations where an allograft is indicated, for example, in multiple ligament reconstructions. Level of evidence IV.