Return to sports and functional results after revision anterior cruciate ligament reconstruction by fascia lata autograft

Autor: G. Mirouse, Hugues Pascal-Moussellard, M.A. Ettori, F. Khiami, Romain Rousseau, L. Casabianca, Benjamin Granger
Rok vydání: 2016
Předmět:
Adult
Male
Reoperation
medicine.medical_specialty
Adolescent
Anterior cruciate ligament reconstruction
medicine.medical_treatment
Anterior cruciate ligament
Poison control
Transplantation
Autologous
Return to sport
Young Adult
03 medical and health sciences
0302 clinical medicine
Fascia lata
Fascia Lata
medicine
Humans
Orthopedics and Sports Medicine
Sports activity
Retrospective Studies
030222 orthopedics
Anterior Cruciate Ligament Reconstruction
business.industry
Anterior Cruciate Ligament Injuries
Retrospective cohort study
Mean age
Recovery of Function
030229 sport sciences
Middle Aged
musculoskeletal system
Return to Sport
Surgery
body regions
Treatment Outcome
surgical procedures
operative
medicine.anatomical_structure
Athletic Injuries
Female
business
human activities
Follow-Up Studies
Zdroj: Orthopaedics & Traumatology: Surgery & Research. 102:863-866
ISSN: 1877-0568
Popis: Introduction The surgical revision rate following anterior cruciate ligament (ACL) surgery is 3% at 2 years and 4% at 5 years. Revision ACL surgery raises the question of the type of graft to be used. The present study assessed return to sports and functional results after revision ACL reconstruction by fascia lata graft. The hypothesis was that fascia lata provides a reliable graft in revision ACL surgery. Material and methods A single-center retrospective continuous study included 30 sports players with a mean age of 26.8 ± 8 years undergoing surgical revision for iterative ACL tear between 2004 and 2013. Multi-ligament lesions were excluded. Type and level of sports activity were assessed preoperatively, after primary surgery and at end of follow-up. Clinical assessment used subjective IKDC, Lysholm and KOOS scores. Results At a mean 4.6 ± 1.6 years’ follow-up, all patients had resumed sport activity, but only 12 with the same sport at the same level. Median subjective IKDC score increased from 57 [54.3; 58.5] preoperatively to 82 [68.3; 90] at last follow-up, and Lysholm score from 46 [42.3; 51] to 90.5 [80.8; 96.8]; KOOS score at last follow-up was 94.7 [83; 100]. Conclusion Functional results in revision ACL reconstruction by fascia lata graft were satisfactory, with similar return-to-sports rates as with other techniques. Fascia lata provides a reliable graft in revision ACL surgery. Level of evidence IV, retrospective study.
Databáze: OpenAIRE
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