Can graft choice affect return to sport following revision anterior cruciate ligament reconstruction surgery?

Archives of Orthopaedic and Trauma Surgery
Claudio LegnaniAlberto Ventura

Abstract

With the increasing number of primary anterior cruciate ligament (ACL) reconstructions, revision surgery has become more frequent. The purpose of the present study is to retrospectively compare the clinical outcome of contralateral hamstring tendon autografts vs. allografts for ACL revision surgery, specifically with regard to patient satisfaction, return to preinjury activity level, and postoperative functional outcomes. Between 2004 and 2011, 59 patients underwent ACL revision surgery. 44 were successfully recontacted and retrospectively reviewed at an average follow-up of 5.2 years. 23 subjects underwent revision ACL reconstruction with contralateral autogenous hamstring tendon grafts; 21 underwent allograft revision ACL surgery. Clinical, arthrometric, and functional evaluations were performed. The Tegner, Knee Injury and Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee (IKDC) Subjective Knee Form were used. Objective evaluation included range of motion, Lachman test, pivot-shift test and KT-1000 instrumented laxity testing. No major complications were reported. Follow-up examination showed that there were no significant differences IKDC and KOOS scores between the groups. The percentage of pa...Continue Reading

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Citations

Jun 19, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Michèle N J KeizerReinoud W Brouwer
Jun 8, 2017·JBJS Reviews·Brandon J EricksonBernard R Bach
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Sep 23, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·V CondelloE Kon
Jun 20, 2019·The Journal of Sports Medicine and Physical Fitness·Claudio LegnaniAlberto Ventura
Jun 20, 2019·The Journal of Sports Medicine and Physical Fitness·Claudio LegnaniAlberto Ventura
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Feb 9, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Caroline Vincelot-ChainardHenri Robert
Mar 29, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jennifer L HunnicuttJohn W Xerogeanes
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Jun 17, 2020·The Journal of Knee Surgery·John R WorleyJames P Stannard

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