Patient and surgical characteristics that affect revision risk in dynamic intraligamentary stabilization of the anterior cruciate ligament

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Philipp HenleStefan Eggli

Abstract

Failure of dynamic intraligamentary stabilization (DIS) that requires revision surgery of the anterior cruciate ligament (ACL) has not been studied. The aim of this study was to investigate the incidence of revision ACL surgery, and the patient characteristics and surgery-related factors that are associated with an increased risk of ACL revision after DIS. This study analysed a prospective, consecutively documented single-centre case series using standardized case report forms over a 2.5-year follow-up period. The primary endpoint was revision ACL surgery. We used Kaplan-Meier analysis to examine the revision-free survival time, and a multiple logistic regression model of potential risk factors including age, sex, BMI, smoking status, previous contralateral ACL injury, Tegner activity score, interval to surgery, rupture pattern, hardware removal, and postoperative side-to-side difference in knee laxity. Relative risk was calculated for subgroups of significant risk factors. In total, 381 patients (195 male) with a mean age of 33 ± 12 years were included in the analysis. The incidence of revision ACL surgery was 30/381 (7.9%). Younger age (p = 0.001), higher Tegner activity score (p = 0.003), and increased knee laxity (p = 0.015...Continue Reading

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Citations

Feb 7, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philipp HenleStefan Eggli
Sep 6, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jelle P van der ListGino M M J Kerkhoffs
Jun 16, 2018·Journal of Experimental Orthopaedics·Piyush MahapatraBobby S Anand
Sep 25, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Martin MeisterMichael T Hirschmann
Sep 16, 2020·The Journal of Bone and Joint Surgery. American Volume·Jonathan D HughesVolker Musahl
Mar 2, 2019·The American Journal of Sports Medicine·Roy A G HoogeslagRianne Huis In 't Veld
May 3, 2019·The American Journal of Sports Medicine·Bruce Reider
Jan 3, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Christiaan H W HeusdensPieter Van Dyck
Jul 6, 2019·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Benedict U NwachukwuRiley J Williams
Dec 5, 2019·Orthopaedic Journal of Sports Medicine·Kirsty SutherlandSimon W Young
Jan 25, 2020·Sportverletzung Sportschaden : Organ der Gesellschaft für Orthopädisch-Traumatologische Sportmedizin·Reinhold OrtmaierGeorg Mattiassich
Dec 31, 2019·The Journal of Knee Surgery·Todd P PierceAnthony J Scillia
Aug 26, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Monika SenftlMoritz Tannast
Oct 16, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Harmen D VermeijdenGregory S DiFelice

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