Delay in diagnosis of ACL injury: Is it still a problem?

Abstract

identified as having had revision ACL reconstruction at a single stage under a single surgeon. The case notes were retrospectively reviewed and patients were contacted by telephone interview where patient reported outcome measures were recorded in the form of Tegner Activity Scale, Tegner Lysholm Knee Scoring Scale, Cardiff ACL Satisfaction Index and EQ5D Euroqol. Results: 20 patients were contactable (59%), with the average follow-up of 3.8 years [range 1-10 years]. None of the revisions had failed. The mean Tegner score was 84.4 [range 45-100], which correlated well with the EQ5D Euroqol. One patient had proceeded to TKR at 6 years but the graft was functioning at the time of surgery. Eight of the revisions used bone patella tendon bone (BPTB) as a graft material. Fixation was possible in all but one case where a femoral post and suspensory fixation was required. Tegner score was higher in revisions using hamstrings [n¼8, mean 83.4] than BPTB [n¼11, mean 82.6]. Conclusions: Single stage revision ACL reconstruction can yield good results, where hamstring and BPTB grafts yield similar results on functional outcome scores.