Sistema de Salut de Catalunya
Institut Català de la Salut
[Moreira Borim F] Cirurgia i Ciències Morfològiques, Universitat Autònoma de Barcelona, Bellaterra, Spain. Servei de Cirurgia Ortopèdica i Traumatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup de Recerca de Bioenginyeria, Teràpia Cel·lular i Cirurgia en Malformacions Congènites, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Jubert NJ, Castellet Feliu E] Cirurgia i Ciències Morfològiques, Universitat Autònoma de Barcelona, Bellaterra, Spain. Servei de Cirurgia Ortopèdica i Traumatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup de Recerca en Cirurgia Reconstructiva de l’Aparell Locomotor, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Revertè Vinaixa MM, Pijoan Bueno J, Monyart JM] Cirurgia i Ciències Morfològiques, Universitat Autònoma de Barcelona, Bellaterra, Spain. Servei de Cirurgia Ortopèdica i Traumatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup de Recerca en Cirurgia Reconstructiva de l’Aparell Locomotor, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Vall d’Hebron Hospital Universitari, Barcelona, Spain. Knee Surgery Unit, Clínica Corachan, Barcelona, Spain. [Portas-Torres I] Servei de Cirurgia Ortopèdica i Traumatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Sevil Mayayo R] Servei de Cirurgia Ortopèdica i Traumatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Knee Surgery Unit, Clínica Corachan, Barcelona, Spain. [Andrés Peiró JP] Cirurgia i Ciències Morfològiques, Universitat Autònoma de Barcelona, Bellaterra, Spain. Grup de Recerca en Cirurgia Reconstructiva de l’Aparell Locomotor, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Vall d’Hebron Hospital Universitari, Barcelona, Spain. Knee Surgery Unit, Clínica Corachan, Barcelona, Spain
Vall d'Hebron Barcelona Hospital Campus
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).
Article
Published version
English
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
Springer
European Journal of Orthopaedic Surgery & Traumatology;33(7)
https://doi.org/10.1007/s00590-023-03544-8
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
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