Revision Anterior Cruciate Ligament Reconstruction in the Nonathlete Population

Autor: Raghu Nagaraj, Malhar N. Kumar
Rok vydání: 2019
Předmět:
Zdroj: Indian Journal of Orthopaedics
Indian Journal of Orthopaedics, Vol 53, Iss 1, Pp 154-159 (2019)
ISSN: 1998-3727
0019-5413
DOI: 10.4103/ortho.ijortho_673_17
Popis: Background: There is considerable literature about revision anterior cruciate ligament (ACL) reconstruction in athletes vut there is little published evidence about the same in the nonathletes. The injury itself may remain underdiagnosed and untreated in nonsports persons. This study highlights the high incidence of ACL injury in the nonathletic patient cohort, revision rates, and the outcomes of revision ACL reconstruction. Materials and Methods: 856 nonathletic patients who underwent primary ACL reconstruction were included in this retrospective study. Patients were asked on phone whether they had undergone revision surgery and whether they had symptoms severe enough to seek reintervention. Clinical assessment and preoperative and postoperative International Knee Documentation Committee (IKDC) and Lysholm scoring were used to followup patients who underwent revision intervention. Results: Clinically, symptomatic revision rate was 5.9% (51 out of 856 patients), and 33 out of these 856 patients (3.9%) underwent revision ACL reconstruction. The reasons for revision were rupture of the previous graft in 21 and laxity (incompetence) of the graft in 12 patients. The mean preoperative and postoperative IKDC scores were 44.1 and 69.8, respectively, and the improvement was statistically significant (P < 0.001). The IKDC score following revision ACL reconstruction was significantly better in those patients who underwent revision
Databáze: OpenAIRE
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