Higher return to pre-injury type of sports after revision anterior ligament reconstruction with lateral extra-articular tenodesis compared to without lateral extra-articular tenodesis.

Autor: Keizer MNJ; Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, UMCG Sector F, FA 23, PO Box 219, 9713 AV, Groningen, The Netherlands. m.n.j.keizer@hotmail.com., Brouwer RW; Department of Orthopedic Surgery, Martini Hospital, Groningen, The Netherlands., de Graaff F; Centre for Orthopaedic Surgery and Sports Medicine OCON, Hengelo, The Netherlands., Hoogeslag RAG; Centre for Orthopaedic Surgery and Sports Medicine OCON, Hengelo, The Netherlands.
Jazyk: angličtina
Zdroj: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA [Knee Surg Sports Traumatol Arthrosc] 2023 May; Vol. 31 (5), pp. 1699-1703. Date of Electronic Publication: 2022 Jun 23.
DOI: 10.1007/s00167-022-07018-y
Abstrakt: Purpose: To evaluate the rate of return to pre-injury type of sports (RTS type) in patients after revision anterior cruciate ligament reconstruction (ACLR) with lateral extra-articular tenodesis (LET) compared to patients after revision ACLR without LET.
Methods: Seventy-eight patients who underwent revision ACLR with an autologous ipsilateral bone-patellar tendon-bone autograft with and without LET were included at least one year after surgery (mean follow-up: 43.9, SD: 29.2 months). All patients filled in a questionnaire about RTS type, the Knee injury and Osteoarthritis Outcome Score (KOOS), the International Knee Documentation Committee subjective form (IKDC subjective ), and the Tegner activity score.
Results: The RTS type for revision ACLR with LET was 22 of 42 (52%), whereas 11 of 36 (31%) of the patients who underwent revision ACLR without LET returned to the pre-injury type of sport (p = 0.05). No significant differences were found in KOOS subscores, IKDC subjective , and Tegner activity scores.
Conclusion: An additional LET increases the rate of RTS type after revision ACLR.
Level of Evidence: III.
(© 2022. The Author(s).)
Databáze: MEDLINE
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