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

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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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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Trauma and Orthopaedics, St George’s Healthcare NHS Trust, Blackshaw Road, Tooting, London, UK, SW17 0QT

    Samer Samir Sayed Mahmoud

  2. Department of Trauma & Orthopaedics, Warrington General Hospital, Warrington, Cheshire, UK, WA5 1QG

    Saurabh Odak

  3. Warrington General Hospital, Warrington, Cheshire, UK, WA5 1QG

    Stephen Coogan

  4. Department of Sports Medicine, Salford University, Bedfordshire, UK

    Michael J. McNicholas

  5. Department of Trauma and Orthopaedics, University Hospital Aintree Teaching Hospital, NHS Foundation Trust, Longmoor Lane, Liverpool, UK, L9 7AL

    Michael J. McNicholas

  6. 49 Ashridge Way, Morden, Surrey, UK, SM4 4ED

    Samer Samir Sayed Mahmoud

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  1. Samer Samir Sayed Mahmoud
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  2. Saurabh Odak
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  3. Stephen Coogan
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  4. Michael J. McNicholas
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Correspondence to Samer Samir Sayed Mahmoud.

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Mahmoud, S.S.S., Odak, S., Coogan, S. et al. A prospective study to assess the outcomes of revision anterior cruciate ligament reconstruction. International Orthopaedics (SICOT) 38, 1489–1494 (2014). https://doi.org/10.1007/s00264-014-2324-z

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  • DOI: https://doi.org/10.1007/s00264-014-2324-z

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