This article is more than 5 years old. Information may no longer be current.

Revision ACL surgery returns some to pre-injury activity levels

Reinhardt KR. Clin Orthop Relat Res. 2011. doi: 10.1007/s11999-011-1956-1.

Add topic to email alerts

Receive an email when new articles are posted on

Please provide your email address to receive an email when new articles are posted on .

Subscribe

Added to email alerts

You've successfully added to your alerts. You will receive an email when new content is published.

Click Here to Manage Email Alerts

You've successfully added to your alerts. You will receive an email when new content is published.

Click Here to Manage Email Alerts

Back to Healio

We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com.

Back to Healio

Although revision ACL reconstruction restores knee stability in young, active, skeletally mature patients, half of them return to pre-injury activity levels, according to New York City researchers.

In this study, Keith R. Reinhardt, MD, of Hospital for Special Surgery, and colleagues retrospectively identified 36 patients who had an initial ACL reconstruction between 12 years and 17 years of age, and underwent subsequent revision between 13 years and 18 years of age. Two-year follow-up was available for 21 (75%) patients.

There were several causes for primary graft failure. There were 30 cases of traumatic re-rupture (23 noncontact, 7 contact), five cases of persistent instability and one infection. At the time of revision, one patient had open physes. All patients underwent single-stage transosseous reconstructions, and had a minimum of 24 months follow-up.

The investigators found that 19 of the 21 patients with 2-year follow-up had a negative or IA Lachman. Twenty patients had a negative pivot shift. The mean International Knee Documentation Committee subjective score was 89, according to the study abstract. Eleven patients returned to the same or higher pre-injury activity/sport level. Two patients had subjective knee instability, and two had repeat revision reconstruction for failure.