2026-04-13T01:07:55Zhttps://recercat.cat/oai/requestoai:recercat.cat:11351/103502024-12-13T10:15:11Zcom_2072_378071com_2072_378040col_2072_378097
RECERCAT
author
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
2023-11-08T15:23:39Z
2023-11-08T15:23:39Z
2023-09-26T10:16:01Z2023-09-26T10:16:01Z2023-10
http://hdl.handle.net/11351/10350
Anterior cruciate ligament; Autografts; TenodesisLigamento cruzado anterior; Autoinjertos; TenodesisLligament creuat anterior; Autoempelts; TenodesiBackground
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).
Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess
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
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion