Return to Sport After Primary and Revision Anterior Cruciate Ligament Reconstruction: A Prospective Comparative Study of 552 Patients From the FAST Cohort

Lefèvre, Nicolas; Klouche, Shahnaz; Mirouse, G.; Herman, S.; Gerometta, Antoine; Bohu, Yoann

doi:10.1177/0363546516660075

Cited by 120 publications

(111 citation statements)

References 25 publications

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“…Post hoc analysis. Scores for each KOOS subscale from our cohort were within a previously established range of KOOS scores at 6 months following ACLR in other cohorts (31,32). After controlling for 6-month post-ACLR KOOS pain subscale scores, the significant associations observed between 6-month walking speed and 12-month interextremity mean T1q relaxation time ratio for the posterior MFC (r = À0.481, P = 0.031) and central MFC (r = À0.454,…”

Section: Resultssupporting

confidence: 65%

“…(31, 32) After controlling for 6 month post-ACLR KOOS Pain subscale scores, the significant associations observed between 6 month walking speed and 12 month inter-limb mean T1ρ relaxation time ratio for Posterior-MFC (r=−.481, P=0.031) and Central-MFC (r=−.454, P=0.05) remained significant. Similarly, the significant association observed between 12 month walking speed and 12 month inter-limb T1ρ relaxation time ratio in the Posterior-MFC (r=−.438, P=0.042) remained after controlling for 12-month post-ACLR KOOS Pain subscale scores.…”

Section: Resultsmentioning

confidence: 94%

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Associations Between Slower Walking Speed and T1ρ Magnetic Resonance Imaging of Femoral Cartilage Following Anterior Cruciate Ligament Reconstruction

Pfeiffer

Harkey

Stanley

et al. 2018

Arthritis Care & Research

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Section: Resultssupporting

confidence: 65%

Section: Resultsmentioning

confidence: 94%

Associations Between Slower Walking Speed and T1ρ Magnetic Resonance Imaging of Femoral Cartilage Following Anterior Cruciate Ligament Reconstruction

Pfeiffer

Harkey

Stanley

et al. 2018

Arthritis Care & Research

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“…Furthermore, almost two third of the patients in both groups were male. A higher amount of male patients in studies on ACL revision surgery is coherently reported across the literature [8,9,11,16,[29][30][31]. The extended analyses of the preexisting tunnels of all 103 patients included revealed a tunnel malpositioning in 90.3% at the femur and in 34% at the tibia.…”

Section: Discussionmentioning

confidence: 78%

Cancellous allogenic and autologous bone grafting ensure comparable tunnel filling results in two-staged revision ACL surgery

Prall

Kusmenkov

Schmidt

et al. 2020

Arch Orthop Trauma Surg

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Objectives Patients with recurrent instability after anterior cruciate ligament (ACL) reconstruction often present with enlarged or misplaced tunnels and bone grafting is required prior to the actual revision reconstruction. Autologous bone grafting features limited quantity and donor site morbidity. These problems may be eliminated utilizing cancellous bone allografts, but their efficiency and reliability have not been investigated systematically. The aim of the present study was to compare tunnel filling rates attained by utilizing either allogenic or autologous cancellous bone grafts. Materials and methods A total of 103 consecutive patients were enrolled retrospectively. All patients suffered from recurrent instability and underwent either allogenic or autologous cancellous bone grafting. Computed tomography (CT) was carried out before and after the bone grafting procedure. Based on preoperative CT scans, positioning and maximum diameter of the femoral and tibial tunnels were determined. Tunnel filling rates were calculated as a ratio of pre-and postoperative tunnel volumes. Primary outcome was the tibial tunnel filling rate. Femoral filling rates and density of the grafted bone were assessed secondarily. Results Preoperative CT scans revealed no significant differences between the two groups regarding distribution of misplacement and widening of the femoral or tibial tunnel. Postoperative CT scans were conducted after an interval of 5.2 months. Tunnel filling rates of 74.5% (± 14.3) femoral and 85.3% (± 10.3) tibial were achieved in the allogenic compared to 74.3% (± 15.9) femoral and 84.9% (± 9.4) tibial in the autologous group. With p values of 0.85 at the femur and 0.83 at the tibia, there were no significant differences between the groups. The density of the grafted bone revealed significantly higher values in the allogenic group. Conclusions Utilizing cancellous bone allografts in two-staged revision ACL surgery provides for sufficient and reproducible filling of enlarged or misplaced tunnels. The filling rates are comparable to those achieved with autologous bone grafting. Advantages of allografts are the unrestricted quantity and the absence of any harvesting procedure.

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“…The majority of the literature [7-12, 13•, 14•, [15][16][17][18][19][20][21][22] indicates a battery of tests is necessary to assess various outcome parameters and establish criterionbased clinical reasoning for RTS. This review acknowledges multiple tests that should be done aside from medical approval and clearance by the physician to verify a successful RTS such as follows: range of motion, KT1000/KT2000, Lachman's test, Pivot shift test, isotonic strength tests, isokinetic strength tests, maximum force/peak torque, angle-specific torque testing, rate of force development, hop tests, jump landing tasks (LESS), knee proprioception/kinesthesia/joint position sense testing, quality of movement tests, kinematic analysis, psychological factors/tests based on the anterior cruciate ligament-return to sport after injury (ACL-RSI) scale, PROs: anterior cruciate ligament-return to sport after injury (ACL-RSI) scale, IKDCs, KOOSs, ADL scales, Sport scales, knee self efficacy scale, Quality of Scales, ACL-RSI, Tegner Activity Scale (TAS), Lysholm Scale, and Tampa Kinesiophobia Index.…”

Section: This Article Is Part Of the Topical Collection On Acl Rehabmentioning

confidence: 99%

ACL Return to Sport Guidelines and Criteria

Davies

McCarty

Provencher

et al. 2017

Curr Rev Musculoskelet Med

139

102

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Purpose of Review Because of the epidemiological incidence of anterior cruciate ligament (ACL) injuries, the high reinjury rates that occur when returning back to sports, the actual number of patients that return to the same premorbid level of competition, the high incidence of osteoarthritis at 5-10-year follow-ups, and the effects on the long-term health of the knee and the quality of life for the patient, individualizing the return to sports after ACL reconstruction (ACL-R) is critical. However, one of the challenging but unsolved dilemmas is what criteria and clinical decision making should be used to return an athlete back to sports following an ACL-R. This article describes an example of a functional testing algorithm (FTA) as one method for clinical decision making based on quantitative and qualitative testing and assessment utilized to make informed decisions to return an athlete to their sports safely and without compromised performance. The methods were a review of the best current evidence to support a FTA. Recent Findings In order to evaluate all the complicated domains of the clinical decision making for individualizing the return to sports after ACL-R, numerous assessments need to be performed including the biopsychosocial concepts, impairment testing, strength and power testing, functional testing, and patient-reported outcomes (PROs). Summary The optimum criteria to use for individualizing the return to sports after ACL-R remain elusive. However, since this decision needs to be made on a regular basis with the safety and performance factors of the patient involved, this FTA provides one method of quantitatively and qualitatively making the decisions. Admittedly, there is no predictive validity of this system, but it does provide practical guidelines to facilitate the clinical decision making process for return to sports. The clinical decision to return an athlete back into competition has significant implications ranging from the safety of the athlete, to performance factors and actual litigation issues. By using a multifactorial FTA, such as the one described, provides quantitative and qualitatively criteria to make an informed decision in the best interests of the athlete.

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Return to Sport After Primary and Revision Anterior Cruciate Ligament Reconstruction: A Prospective Comparative Study of 552 Patients From the FAST Cohort

Abstract: NCT02511158 ( ClinicalTrials.gov identifier).

Cited by 120 publications

References 25 publications

Associations Between Slower Walking Speed and T1ρ Magnetic Resonance Imaging of Femoral Cartilage Following Anterior Cruciate Ligament Reconstruction

Associations Between Slower Walking Speed and T1ρ Magnetic Resonance Imaging of Femoral Cartilage Following Anterior Cruciate Ligament Reconstruction

Cancellous allogenic and autologous bone grafting ensure comparable tunnel filling results in two-staged revision ACL surgery

ACL Return to Sport Guidelines and Criteria

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