Revision anterior cruciate ligament reconstruction: clinical outcome and evidence for return to sport

Andriolo, Luca; Filardo, Giuseppe; Kon, Elizaveta; Ricci, Margherita; Villa, F.; Villa, S.; Zaffagnini, Stefano; Marcacci, Maurilio

doi:10.1007/s00167-015-3702-9

Cited by 68 publications

(72 citation statements)

References 100 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Due to the lack of a single-bundle revision ACL reconstruction group for comparison, the present study did not provide any direct clues on whether double-bundle revision ACL reconstruction is superior to single-bundle revision ACL reconstruction. However, the present cohort subjected to double-bundle revision ACL reconstruction had an obviously higher level of physical exercise activity (Tegner score, 6.13 vs. 5.0) and better knee stability compared with that in other revision ACL reconstruction studies (9,13). Certain limitations of the present study should be considered.…”

Section: Discussionmentioning

confidence: 58%

“…Values are expressed as the mean ± standard deviation. Although revision ACL reconstruction is promising, the outcome is generally inferior to that of successful primary ACL reconstruction (9,26). Despite double-bundle ACL reconstruction producing superior clinical outcomes to those of single-bundle ACL reconstruction (16)(17)(18)(19)(20)(21)(22)(23)(24), the double-bundle technique has rarely been used in revision ACL reconstruction due to it being technically more challenging (27).…”

Section: Discussionmentioning

confidence: 99%

“…After revision double-bundle ACL reconstruction, whether a patient was able to resume to performing their physical exercise activity at the pre-injury level was dependent on concomitant cartilage damage and/or meniscal deficiency, which were also critical factors influencing the decision for primary (n=32) or repeated revision (n=8) ACL reconstruction patients to resume to performing their physical exercise activity. Andriolo et al (9) and Andernord et al (15) concluded that patients receiving revision ACL reconstruction patients were less able to resume to the same level of physical exercise activity compared with those receiving primary ACL reconstruction, which may also be associated with the increased concomitant cartilage and/or meniscal injuries.…”

Section: Discussionmentioning

confidence: 99%

“…With the growing number of ACL reconstructions performed, the number of revision ACL reconstruction surgeries has been continuously increasing (8,9), which is technically more challenging than primary ACL reconstruction due to the difficulties in tunnel placement, limitation of graft sources and the complexity of the challenge to acquire stable graft fixation (8). Consequently, inferior outcomes to primary ACL reconstructions were reported, although significant improvements have been demonstrated after revision reconstruction (10)(11)(12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Double-bundle revision anterior cruciate ligament reconstruction is effective in rescuing failed primary reconstruction and re-introducing patients to physical exercise

Jiang

Chen

et al. 2017

Exp Ther Med

View full text Add to dashboard Cite

Abstract. The anterior cruciate ligament (ACL) is one of a pair of cruciate ligaments in the human knee and is critical for knee stability, as it limits anterior tibial translation on the femur, restrains rotation and resists varus and valgus joint forces. The present study aimed to assess the effect of double-bundle revision anterior cruciate ligament (ACL) reconstruction in improving the subjective and objective functions and re-introducing patients to physical activity after primary ACL reconstruction had failed. A total of 34 patients who underwent double-bundle ACL revision surgeries were included in the present retrospective study. Lysholm, Tegner and IKDC scores as well as KT-2000 arthrometry measures were obtained pre-and post-operatively. The follow-up time was at least 2 years. The results indicated that the IKDC, Lysholm and Tegner scores as well as KT-2000 flexion scores were significantly improved after revision ACL reconstruction. All patients resumed to performing physical exercise activities after revision surgeries, 65% of whom reached pre-injury levels. In conclusion, these results demonstrated that double-bundle revision ACL reconstruction was consistently effective in rescuing failed primary ACL reconstruction and re-introducing patients to physical exercise.

show abstract

Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Double-bundle revision anterior cruciate ligament reconstruction is effective in rescuing failed primary reconstruction and re-introducing patients to physical exercise

Jiang

Chen

et al. 2017

Exp Ther Med

View full text Add to dashboard Cite

show abstract

“…Eleven review articles were identified from the past 10 years on the topic of revision ACL surgery and related subjects. Five reviews focused on risks and causes of primary ACL reconstruction failure,8 10–13 four on indications/strategies and techniques of revision surgeries,8 10 14 15 and four on clinical outcomes;16–19 two of them focused on return to sports 17 18. In addition, one recent article described strategies for revision surgery after primary double-bundle (DB) ACL reconstruction 20.…”

Section: Introductionmentioning

confidence: 99%