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Knee Surgery, Sports Traumatology, Arthroscopy

Erschienen in:

01.09.2013 | Knee

Inferior results after revision ACL reconstructions: a comparison with primary ACL reconstructions

verfasst von: Tone Gifstad, Jon Olav Drogset, Annja Viset, Torbjørn Grøntvedt, Grete Sofie Hortemo

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 9/2013

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Abstract

Purpose

Anterior cruciate ligament (ACL) ruptures are common, especially among young athletes, and such injuries may have considerable impact on both sport careers and everyday life. ACL reconstructions are successful for most patients, but some suffer from persistent giving-way symptoms and/or re-ruptures requiring revision surgery. The aim of this study was to evaluate the results after revision ACL reconstructions and compare them with the results in a control group consisting of primary ACL reconstructions.

Methods

This retrospective study included 56 patients undergoing revision ACL reconstruction and 52 patients receiving primary ACL reconstructions. The follow-up evaluation included clinical examination, instrumented laxity testing, testing of muscle strength, Tegner activity score, Lysholm score, Knee injury and osteoarthritis outcome score (KOOS) and radiological grading of osteoarthritis.

Results

The median time from the last ACL reconstruction to follow-up was 90 months in the revision ACL reconstruction group and 96 months in the primary ACL reconstruction group. The revision group had significantly inferior KOOS and Lysholm scores compared with the primary group. Patients in the revision group also showed greater laxity measured with the pivot shift test, a larger reduction in the Tegner activity score, reduced muscle strength in the injured knee, and more severe radiological osteoarthritis; however, no difference in anterior-posterior translation was found.

Conclusion

Inferior results were found on several of the testing parameters in the revision group compared with the primary group. Patients should receive this information prior to revision ACL reconstructions.

Level of evidence

III.

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Titel: Inferior results after revision ACL reconstructions: a comparison with primary ACL reconstructions
verfasst von: Tone Gifstad
Jon Olav Drogset
Annja Viset
Torbjørn Grøntvedt
Grete Sofie Hortemo
Publikationsdatum: 01.09.2013
Verlag: Springer Berlin Heidelberg
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 9/2013
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-012-2336-4

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Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

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