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
Moreira Borim, Felipe (Hospital Universitari Vall d'Hebron)
Joshi Jubert, Nayana (Hospital Universitari Vall d'Hebron)
Revertè Vinaixa, Maria Mercedes (Hospital Universitari Vall d'Hebron)
Portas-Torres, Irene (Hospital Universitari Vall d'Hebron)
Pijoan Bueno, Joan (Hospital Universitari Vall d'Hebron)
Sevil Mayayo, Raquel (Hospital Universitari Vall d'Hebron)
Andrés Peiró, José Vicente (Hospital Universitari Vall d'Hebron)
Castellet Feliu, Enric (Hospital Universitari Vall d'Hebron)
Minguell-Monyart, Joan (Hospital Universitari Vall d'Hebron)
Universitat Autònoma de Barcelona

Date:	2023
Abstract:	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. 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. 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. 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.
Note:	Altres ajuts: acords transformatius de la UAB
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Anterior cruciate ligament ; Autografts ; Knee ; Revision ; Tenodesis
Published in:	European journal of orthopaedic surgery & traumatology, Vol. 33 Núm. 7 (october 2023) , p. 3125-3133, ISSN 1432-1068

DOI: 10.1007/s00590-023-03544-8
PMID: 37039899

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