Re-revision anterior cruciate ligament reconstruction showed more laxity than revision anterior cruciate ligament reconstruction at a minimum 2-year follow-up

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Kyoung Ho YoonSang-Gyun Kim

Abstract

This study aimed to compare patient demographics, associated lesions (concurrent meniscal and chondral injuries), and clinical outcomes between revision and re-revision anterior cruciate ligament reconstructions. Patients who underwent revision or re-revision anterior cruciate ligament reconstruction between 2008 and 2016 with a minimum 2-year follow-up were retrospectively evaluated. Detailed patient demographic data, radiographic preoperative tunnel diameters, posterior tibia slope, and concurrent meniscal and chondral lesion were reviewed. Clinical scores and laxity tests' results were compared between the groups at the last follow-up. Eighty-two patients (mean age, 33.8 ± 9.9 years; revision group, n = 62; re-revision group, n = 20) were included. The re-revision group showed a higher grade for preoperative arthritis (P < 0.001); more severe preoperative bone defects of the femoral (13.8 ± 2.6 vs 11.7 ± 2.7 mm, P = 0.004) and tibial tunnels (14.6 ± 2.4 vs 13.0 ± 2.3 mm, P = 0.010); and a higher prevalence of subtotal medial meniscectomy (P = 0.008) and chondral defects of the medial (P = 0.006) and lateral femoral condyles (P < 0.001), patella (P = 0.040), and trochlea (P = 0.036). At the final follow-up, the clinical score...Continue Reading

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Citations

Nov 5, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Antonio KlasanDavid Anthony Parker
Mar 30, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Henri FavreauMatthieu Ehlinger
Feb 1, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philipp W WinklerVolker Musahl
Feb 17, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philipp W WinklerVolker Musahl

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