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International Orthopaedics
Published in: International Orthopaedics 7/2014

01-07-2014 | Original Paper

A prospective study to assess the outcomes of revision anterior cruciate ligament reconstruction

Authors: Samer Samir Sayed Mahmoud, Saurabh Odak, Stephen Coogan, Michael J. McNicholas

Published in: International Orthopaedics | Issue 7/2014

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Abstract

Purpose

Continuously increasing numbers of primary anterior cruciate ligament (ACL) reconstructions invites a parallel increase in graft failures and need for revision ACL reconstruction surgery. High failure rates has previously stigmatised the revision surgery. We performed this study using multiple outcome measures together with clinical examination to offer a full assessment of the outcomes of this procedure.

Methods

Twenty patients, with mean age of 29.4 years (17–50 years), were included in this study prior to their revision ACL reconstruction surgery. All patients were followed prospectively collecting the Knee injury and Osteoarthritis Outcome (KOOS), International Knee Documentation Committee (IKDC) and Tegner-Lysholm scores pre- and post-operatively together with clinical assessment of the antero-posterior knee laxity.

Results

After a mean follow up interval of 30 months (16–60 months) significant post-operative improvement of IKDC, Tegner-Lysholm scores and knee antero-posterior laxity together with the Symptoms, Activities of Daily Living (ADL) and Quality of Life (QOL) components of the KOOS score was noticed (P < 0.05). However, there was no similar improvement in pain and sports components of the KOOS score (P > 0.05). There was no difference in the outcomes of different graft types.

Conclusion

Good outcomes of revision ACL reconstruction surgery are achievable. The use of different graft types did not affect the outcome of the procedure. Most of the patients opted to less aggressive sports participation after the revision procedure.
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Metadata
Title
A prospective study to assess the outcomes of revision anterior cruciate ligament reconstruction
Authors
Samer Samir Sayed Mahmoud
Saurabh Odak
Stephen Coogan
Michael J. McNicholas
Publication date
01-07-2014
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 7/2014
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-014-2324-z

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