2026-04-13T15:09:57Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/103502024-12-13T10:15:11Zcom_2072_378071com_2072_378040col_2072_378097

00925njm 22002777a 4500 dc Pijoan Bueno, Joan author Sevil-Mayayo, Raquel author Castellet Feliu, Enric author Moreira Borim, Felipe author Joshi Jubert, Nayana author Reverte-Vinaixa, Maria Mercedes author Portas Torres, Irene author Andrés Peiró, José Vicente author Minguell-Monyart, Joan author 2023-09-26T10:16:01Z 2023-09-26T10:16:01Z 2023-10 Anterior cruciate ligament; Autografts; Tenodesis Ligamento cruzado anterior; Autoinjertos; Tenodesis Lligament creuat anterior; Autoempelts; Tenodesi Background Most athletes who undergo revision of the anterior cruciate ligament reconstruction (ACLR) aim to return to their preinjury sport at a similar level of performance while minimizing the risk for reinjury. Additional lateral extra-articular tenodesis (LET) has recently been correlated with improved outcomes and low complication rate. Yet, there are few series evaluating return-to-sport (RTS) and clinical outcomes after revision ACLR using bone-patellar tendon-bone (BPTB) and LET in athletes. Methods The study cohort consisted of 19 eligible athletes who had undergone their first revision ACLR using BPTB and LET (modified Lemaire) between January 2019 and 2020. Patients were prospectively followed and interviewed in a sports activity survey during a 2-year follow-up. Results Despite all patients returning to sports after revision ACLR surgery, 52.6% resumed playing at their preinjury level. Furthermore, patient-reported functional outcomes improved significantly following revision surgery, as evidenced by improvements in IKDC [64.4 (± 12) to 87.8 (± 6)], Lysholm [71.27 (± 12) to 84.2 (± 9.7)], and SF-12 scales [Physical: 53.3 (± 3) 57 (± 1.2); Mental: 50.2 (± 3.3) to 52.7 (± 2.4)]. One case (5.3%) experienced persistent pain and underwent reoperation for a partial meniscectomy. Conclusion After revision ACLR using autologous BPTB and LET, all active individuals are expected to RTS, similar to primary ACLR. The difference comes down to returning to the preinjury level, where the levels are lower depending on the sport and initial level of play. Good mid-term functional outcomes with a low complication rate can be expected in most cases. Open Access Funding provided by Universitat Autonoma de Barcelona. This work was carried out as part of the Doctorate in Surgery and Morphological Sciences of the Autonomous University of Barcelona. The “Post-FSE Carles Margarit” grant was awarded by the VHIR—Vall d'Hebron Institut de Investigación to one of the authors (FMB). http://hdl.handle.net/11351/10350 Esports Artroplàstia Genolls - Cirurgia Lligament encreuat anterior ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Orthopedic Procedures::Arthroplasty::Anterior Cruciate Ligament Reconstruction ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Surgical Procedures, Operative::Wound Closure Techniques::Suture Techniques::Tenodesis ANATOMY::Musculoskeletal System::Ligaments::Ligaments, Articular::Patellar Ligament ANTHROPOLOGY, EDUCATION, SOCIOLOGY, AND SOCIAL PHENOMENA::Human Activities::Leisure Activities::Recreation::Sports::Return to Sport TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos ortopédicos::artroplastia::reconstrucción del ligamento cruzado anterior TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::intervenciones quirúrgicas::técnicas de cierre de heridas::técnicas de sutura::tenodesis ANATOMÍA::sistema musculoesquelético::ligamentos::ligamentos articulares::ligamento rotuliano ANTROPOLOGÍA, EDUCACIÓN, SOCIOLOGÍA Y FENÓMENOS SOCIALES::actividades humanas::actividades de ocio::recreo::deportes::vuelta al deporte Good rates of return-to-sport in athletes after revision anterior cruciate ligament reconstruction using autologous patellar tendon and lateral extra-articular tenodesis: a 2-year follow-up prospective study