Revision ACL reconstruction using quadriceps or hamstring autografts leads to similar results after 4 years: good objective stability but low rate of return to pre-injury sport level

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Alexander BariéNikolaus Alexander Streich

Abstract

Due to the increased importance of revision ACL reconstruction, this study aims to evaluate the outcome 4 years after the surgery, compare two revision strategies and identify factors that influence the results. Seventy-nine patients who received a revision ACL reconstruction were retrospectively evaluated. All patients were assessed with an average follow-up of 4.4 years (range 3.3-5.5 years). The results of patients treated with a quadriceps autograft were compared with those treated with a hamstring autograft. Ninety-seven percent of patients had a KT-1000 side-to-side difference of ≤ 5 mm (mean 1.7 ± 2.0 mm). Pivot-shift test was absent or minor in 95%. In the SLTH-test, 70% of patients reached 90% of the contralateral side. The mean Lysholm score on follow-up was 83 ± 12 (56% excellent/good). The mean IKDC 2000 subjective evaluation score was 81 ± 14 (58% normal/almost normal). The median Tegner activity score was 6 (range 3-10), a median of 2 levels worse than before the first injury. Return to sport rate was 89% but only 34% of patients reached their pre-injury sport level. Most common cause for this reduction was fear of another injury. Three patients suffered a re-rupture. Patients with a hamstring autograft performed ...Continue Reading

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Citations

Feb 6, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philipp SchusterJörg Richter
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
Apr 27, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Manish KiranHarminder Gosal

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