Revision anterior cruciate ligament reconstruction restores knee laxity but shows inferior functional knee outcome compared with primary reconstruction

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Riccardo CristianiAnders Stålman

Abstract

To evaluate and compare knee laxity and functional knee outcome between primary and revision anterior cruciate ligament (ACL) reconstruction in the same cohort of patients. Patients who underwent primary and revision ACL reconstruction (ACLR) at Capio Artro Clinic, Stockholm, Sweden, from 2000 to 2015, were identified in our local database. Inclusion criteria were: same patients who underwent primary hamstring tendons (HT) and revision bone-patellar tendon-bone (BPTB) autograft ACLR, no associated ligament injuries and no contralateral ACL injuries/reconstructions. The cause of revision ACLR was graft rupture for all patients. The KT-1000 arthrometer, with an anterior tibial load of 134-N, was used to evaluate knee laxity preoperatively and 6-month postoperatively. The Knee Injury and Osteoarthritis Outcome Score (KOOS) was collected preoperatively and at the 1-year follow-up. A total of 118 patients with primary and revision ACLR arthrometric laxity measurements were available (51.0% males; mean age at primary ACLR 21.7 ± 7.1 years and revision ACLR 24.3 ± 7.5 years). The mean preoperative and postoperative anterior side-to-side (STS) difference values were not significantly different between primary and revision ACLR. However...Continue Reading

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Citations

Jun 20, 2019·The Journal of Sports Medicine and Physical Fitness·Claudio LegnaniAlberto Ventura
Aug 7, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Kyoung Ho YoonSang-Gyun Kim
Jan 24, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Riccardo CristianiAnders Stålman
Mar 5, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Riccardo CristianiAnders Stålman
May 19, 2021·British Journal of Sports Medicine·Akash D PatelJustin M Losciale
Nov 30, 2019·The Journal of Knee Surgery·Francesco DiniPaolo Adravanti
Jul 15, 2021·The American Journal of Sports Medicine·UNKNOWN MARS GroupJames J York

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