Functional outcomes following contralateral hamstring tendon autografts with extra-articular tenodesis for ACL revision surgery

Legnani, Claudio; Peretti, Giuseppe M.; Boisio, Francesca; Borgo, Enrico; Ventura, Alberto

doi:10.23736/s0022-4707.19.09665-8

Cited by 8 publications

(6 citation statements)

References 25 publications

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“…There is undoubtedly significant heterogeneity in the results found in different studies [4,[11][12][13][14][15][16][17][18][19][20][21][22]. The reason for this is multifactorial but we believe it has a lot to do with the athletes' age, type of sport and initial level of play (elite, professional, or semi-professional).…”

Section: Discussionmentioning

confidence: 95%

“…The rate of complications remained low, with only one case (5.3%) experiencing residual pain and reoperation for a partial menisectomy. To date, few studies have analysed the results of revision ACLR and LET [12][13][14][15][16][17][18][19][20][21][22], with differences in graft type and surgical technique. Furthermore, selecting a uniform group of patients presents a challenge.…”

Section: Discussionmentioning

confidence: 99%

“…Many authors [6,8,9,[11][12][13][14][15][16][17][18][19][20][21][22] already advocate the critical role of adding an extra-articular procedure due to its ability to restrict rotational laxity [6]. Getgood et al have recently found that adding LET to primary ACLR in young patients at high risk of failure results in a statistically significant reduction in graft rupture and persistent rotatory laxity two years after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Getgood et al have recently found that adding LET to primary ACLR in young patients at high risk of failure results in a statistically significant reduction in graft rupture and persistent rotatory laxity two years after surgery. Some studies have looked into RTS after revision ACLR and LET [8,[11][12][13][14][15][16][17][18][19][20][21][22]24], finding good functional outcomes, low rates of residual rotatory laxity, reruptures or complications. Louis et al stated that combining ALL stabilization with revision ACLR improves functional outcomes by improving rotational stability without increasing the risk of early or late complications [24].…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, several studies [8,[11][12][13][14][15][16][17][18][19][20][21][22] have emphasized the crucial role of simultaneous revision ACLR using an autologous graft and LET in improving rotational stability and graft protection. Despite these findings, the scientific evidence remains highly heterogenous, with variations in patient selection, graft type, and surgical technique.…”

Section: Introductionmentioning

confidence: 99%

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Good rates of return-to-sport in athletes after revision anterior cruciate ligament reconstruction using autologous patellar tendon and lateral extra-articular tenodesis: a 2-year follow-up prospective study

Borim

Jubert

Vinaixa

et al. 2023

Eur J Orthop Surg Traumatol

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Background Most athletes who undergo revision of the anterior cruciate ligament reconstruction (ACLR) aim to return to their preinjury sport at a similar level of performance while minimizing the risk for reinjury. Additional lateral extra-articular tenodesis (LET) has recently been correlated with improved outcomes and low complication rate. Yet, there are few series evaluating return-to-sport (RTS) and clinical outcomes after revision ACLR using bone-patellar tendon-bone (BPTB) and LET in athletes. Methods The study cohort consisted of 19 eligible athletes who had undergone their first revision ACLR using BPTB and LET (modified Lemaire) between January 2019 and 2020. Patients were prospectively followed and interviewed in a sports activity survey during a 2-year follow-up. Results Despite all patients returning to sports after revision ACLR surgery, 52.6% resumed playing at their preinjury level. Furthermore, patient-reported functional outcomes improved significantly following revision surgery, as evidenced by improvements in IKDC [64.4 (± 12) to 87.8 (± 6)], Lysholm [71.27 (± 12) to 84.2 (± 9.7)], and SF-12 scales [Physical: 53.3 (± 3) 57 (± 1.2); Mental: 50.2 (± 3.3) to 52.7 (± 2.4)]. One case (5.3%) experienced persistent pain and underwent reoperation for a partial meniscectomy. Conclusion After revision ACLR using autologous BPTB and LET, all active individuals are expected to RTS, similar to primary ACLR. The difference comes down to returning to the preinjury level, where the levels are lower depending on the sport and initial level of play. Good mid-term functional outcomes with a low complication rate can be expected in most cases. Study design Case series; Level of evidence IV. Ethical Committee Approval Number PR(ATR)79/2021 and HCB/2023/0173.

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