Subsequent Surgery After Revision Anterior Cruciate Ligament Reconstruction: Rates and Risk Factors From a Multicenter Cohort
Autor: | David Y, Ding, Alan L, Zhang, Christina R, Allen, Allen F, Anderson, Daniel E, Cooper, Thomas M, DeBerardino, Warren R, Dunn, Amanda K, Haas, Laura J, Huston, Brett Brick A, Lantz, Barton, Mann, Kurt P, Spindler, Michael J, Stuart, Rick W, Wright, John P, Albright, Annunziato Ned, Amendola, Jack T, Andrish, Christopher C, Annunziata, Robert A, Arciero, Bernard R, Bach, Champ L, Baker, Arthur R, Bartolozzi, Keith M, Baumgarten, Jeffery R, Bechler, Jeffrey H, Berg, Geoffrey A, Bernas, Stephen F, Brockmeier, Robert H, Brophy, Charles A, Bush-Joseph, J Brad, Butler, John D, Campbell, James L, Carey, James E, Carpenter, Brian J, Cole, Jonathan M, Cooper, Charles L, Cox, R Alexander, Creighton, Diane L, Dahm, Tal S, David, David C, Flanigan, Robert W, Frederick, Theodore J, Ganley, Elizabeth A, Garofoli, Charles J, Gatt, Steven R, Gecha, James Robert, Giffin, Sharon L, Hame, Jo A, Hannafin, Christopher D, Harner, Norman Lindsay, Harris, Keith S, Hechtman, Elliott B, Hershman, Rudolf G, Hoellrich, Timothy M, Hosea, David C, Johnson, Timothy S, Johnson, Morgan H, Jones, Christopher C, Kaeding, Ganesh V, Kamath, Thomas E, Klootwyk, Bruce A, Levy, C Benjamin, Ma, G Peter, Maiers, Robert G, Marx, Matthew J, Matava, Gregory M, Mathien, David R, McAllister, Eric C, McCarty, Robert G, McCormack, Bruce S, Miller, Carl W, Nissen, Daniel F, O'Neill, Brett D, Owens, Richard D, Parker, Mark L, Purnell, Arun J, Ramappa, Michael A, Rauh, Arthur C, Rettig, Jon K, Sekiya, Kevin G, Shea, Orrin H, Sherman, James R, Slauterbeck, Matthew V, Smith, Jeffrey T, Spang, Steven J, Svoboda, Timothy N, Taft, Joachim J, Tenuta, Edwin M, Tingstad, Armando F, Vidal, Darius G, Viskontas, Richard A, White, James S, Williams, Michelle L, Wolcott, Brian R, Wolf, James J, York |
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Rok vydání: | 2017 |
Předmět: |
Adult
Male Reoperation medicine.medical_specialty Anterior cruciate ligament reconstruction Knee Joint medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Knee Injuries Article 03 medical and health sciences Young Adult 0302 clinical medicine Risk Factors medicine Humans Orthopedics and Sports Medicine Meniscus Prospective Studies Anterior Cruciate Ligament 030222 orthopedics Anterior Cruciate Ligament Reconstruction business.industry Anterior Cruciate Ligament Injuries 030229 sport sciences Middle Aged Surgery Tibial Meniscus Injuries Cartilage Patient Satisfaction Second-Look Surgery Case-Control Studies Cohort Female business |
Zdroj: | The American journal of sports medicine. 45(9) |
ISSN: | 1552-3365 |
Popis: | Background: While revision anterior cruciate ligament reconstruction (ACLR) can be performed to restore knee stability and improve patient activity levels, outcomes after this surgery are reported to be inferior to those after primary ACLR. Further reoperations after revision ACLR can have an even more profound effect on patient satisfaction and outcomes. However, there is a current lack of information regarding the rate and risk factors for subsequent surgery after revision ACLR. Purpose: To report the rate of reoperations, procedures performed, and risk factors for a reoperation 2 years after revision ACLR. Study Design: Case-control study; Level of evidence, 3. Methods: A total of 1205 patients who underwent revision ACLR were enrolled in the Multicenter ACL Revision Study (MARS) between 2006 and 2011, composing the prospective cohort. Two-year questionnaire follow-up was obtained for 989 patients (82%), while telephone follow-up was obtained for 1112 patients (92%). If a patient reported having undergone subsequent surgery, operative reports detailing the subsequent procedure(s) were obtained and categorized. Multivariate regression analysis was performed to determine independent risk factors for a reoperation. Results: Of the 1112 patients included in the analysis, 122 patients (11%) underwent a total of 172 subsequent procedures on the ipsilateral knee at 2-year follow-up. Of the reoperations, 27% were meniscal procedures (69% meniscectomy, 26% repair), 19% were subsequent revision ACLR, 17% were cartilage procedures (61% chondroplasty, 17% microfracture, 13% mosaicplasty), 11% were hardware removal, and 9% were procedures for arthrofibrosis. Multivariate analysis revealed that patients aged Conclusion: There was a significant reoperation rate after revision ACLR at 2 years (11%), with meniscal procedures most commonly involved. Independent risk factors for subsequent surgery on the ipsilateral knee included age |
Databáze: | OpenAIRE |
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