Survival of the Anterior Cruciate Ligament Graft and the Contralateral ACL at a Minimum of 15 Years

Bourke, Henry E.; Salmon, Lucy J.; Waller, Alison; Patterson, V.; Pinczewski, Leo A.

doi:10.1177/0363546512454414

Cited by 191 publications

(237 citation statements)

References 22 publications

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“…Shelbourne et al found that a young age increased the risk of ACL graft rupture [42], whilst Bourke et al did not find an effect of age, but did find that male gender and a positive family history of ACL injury were associated with an increased risk of ACL graft rupture [9]. It is not clear whether it was youth per se that was associated with an increased risk in the study by Shelbourne et al or whether youth was a surrogate for other factors such as increased activity, increased risk-taking or incomplete neuromuscular development.…”

Section: Discussionmentioning

confidence: 99%

“…It is not clear whether it was youth per se that was associated with an increased risk in the study by Shelbourne et al or whether youth was a surrogate for other factors such as increased activity, increased risk-taking or incomplete neuromuscular development. With regard to contralateral ACL rupture, female gender [42] and a positive family history, a return to pre-injury sport and an ACL reconstruction with a patellar graft [9] have been identified as risk factors, although there are also studies that did not identify gender as a risk factor [37,50]. One study identified a young age as a important risk for contralateral ACL rupture, despite it not being a risk factor for ACL graft rupture in that particular series [20].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Return to sport following anterior cruciate ligament reconstruction

Feller

Webster

2012

International Orthopaedics (SICOT)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Return to sport following anterior cruciate ligament reconstruction

Feller

Webster

2012

International Orthopaedics (SICOT)

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“…A more effective triage system within various national and international healthcare delivery systems should be developed so high-risk populations are diagnosed and treated in a timely manner. Finally, we must develop more effective return to play assessments following ACL reconstruction, as the data demonstrates unacceptably high rates of ipsilateral and contralateral injuries in this high-risk group of athletes [2,9,10,14,15].…”

Section: Where Do We Need To Go?mentioning

confidence: 99%

CORR Insights®: Meniscal Injury After Adolescent Anterior Cruciate Ligament Injury: How Long Are Patients at Risk?

Cordasco

2014

Clinical Orthopaedics &Amp; Related Research

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“…Overall, rates of sustaining a graft re-rupture or contralateral ACL rupture 15 years after primary ACLR are as high as one in every four individuals (Bourke, Salmon, Waller, Patterson, & Pinczewski, 2012). Additionally, reported rates of re-revision ACLR at an average five years after revision ACLR range from four to five per-cent (Leroux et al, 2014;Lind et al, 2012).…”

Section: Subsequent Injury and Revision Surgerymentioning

confidence: 99%

“…Of further concern is that as many as 1 in 5 ACL-reconstructed individuals undergo subsequent knee surgery within 6 years of ACLR (Hettrich et al, 2013) and 1 in every 4 individuals may experience an ACL graft rupture or contralateral ACL rupture within 15 years of ACLR (Bourke et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Long-term quality of life following anterior cruciate ligament injury and reconstruction

Filbay¹

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The anterior cruciate ligament (ACL) serves to stabilise the knee complex and prevent intraarticular knee structures from sustaining damage during multiaxial, high impact movement. An ACL rupture most commonly occurs in adolescents and young adults taking part in competitive sports and causes substantial disruption to the knee joint. Anterior cruciate ligament reconstruction (ACLR) is the most common treatment offered to ACL-ruptured individuals worldwide. Individuals undergoing this surgery often have high expectations that rarely match surgical outcomes. Return to sport rates are low, re-injury fears are widespread and many individuals develop knee osteoarthritis within ten years of ACLR. This mismatch between expectations and actual outcomes has great potential to impact longer-term quality of life (QOL). The primary aims of this thesis were to: (i) generate a detailed picture of longer-term QOL following ACLR, and (ii) identify factors related to longer-term QOL in people with knee pain, symptoms or functional limitations following ACLR.The first study in this thesis is a systematic review that revealed impaired knee-related QOL at 5 to 20 years after ACLR. However, it became evident that research into factors impacting upon QOL in this population was scarce. The systematic review found that having a subsequent knee injury, an additional knee surgery after ACLR, and developing severe radiographic osteoarthritis were associated with worse QOL outcomes. The second study in this thesis is a systematic review that investigated QOL more than five years after ACL rupture in individuals who remained ACL-deficient (did not undergo ACLR) and compared QOL between ACLdeficient and ACL-reconstructed groups. This systematic review found that ACL-deficient individuals reported comparable QOL outcomes to those who underwent ACLR 5 to 25 years previously. All studies that reported QOL after ACLR included asymptomatic participants without knee difficulties, which may underestimate the degree of QOL impairment experienced by people with ongoing knee difficulties.The third study in this thesis used a cross-sectional design to describe QOL outcomes in 162 individuals with knee pain, symptoms or functional limitations 5 to 20 years following ACLR.It showed that individuals who did not return to sport after ACLR reported poorer knee-related and health-related QOL, compared to people who returned to pre-injury levels of sport. Higher body mass index (BMI) and subsequent surgery were also related to worse QOL after ACLR.This was the first study to show that return to sport was associated with QOL impairment more than five years after ACLR. However, quantitative assessment of QOL may overlook important considerations with regard to an individual's life priorities, expectations, values and concerns.To provide a detailed understanding of QOL following ACLR, qualitative interviews were performed with 17 individuals with knee difficulties 5 to 20 years following ACLR. This was the first qualitative study to explore QOL following...

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Survival of the Anterior Cruciate Ligament Graft and the Contralateral ACL at a Minimum of 15 Years

Cited by 191 publications

References 22 publications

Return to sport following anterior cruciate ligament reconstruction

Return to sport following anterior cruciate ligament reconstruction

CORR Insights®: Meniscal Injury After Adolescent Anterior Cruciate Ligament Injury: How Long Are Patients at Risk?

Long-term quality of life following anterior cruciate ligament injury and reconstruction

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