Failed Meniscal Repairs After Anterior Cruciate Ligament Reconstruction Increases Risk of Revision Surgery

Orthopaedic Journal of Sports Medicine
Søren VindfeldEivind Inderhaug

Abstract

Failed anterior cruciate ligament (ACL) reconstruction (ACLR) can lead to reduced quality of life because of recurrent episodes of instability, restrictions in level of activity, and development of osteoarthritis. A profound knowledge of the causes of a failed surgery can ultimately help improve graft survival rates. To investigate the patient-related risks of inferior outcomes leading to revision surgery after ACLR. Case-control study; Level of evidence, 3. From a prospective cohort of primary ACLRs performed at a single center, patients who required later revision surgery were matched with a control group of uneventful primary ACLRs. Patient characteristics, data from the preoperative examinations, KT-1000 arthrometer laxity testing, Tegner activity scale, International Knee Documentation Committee subjective score, Knee injury and Osteoarthritis Outcome Score, and perioperative data from the initial surgery were included. A total of 100 revision cases and 100 matched controls, with a median follow-up time of 11 years, were included in the study. Those who had undergone revision surgery were younger at the time of reconstruction and had a shorter time from injury to surgery than their matched controls (P = .006). The control ...Continue Reading

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Citations

Aug 21, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Kyle A BorqueAndy Williams

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