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Outcomes after bone grafting in patients with and without ACL revision surgery: a retrospective study

BACKGROUND: Current literature is lacking of data regarding functional outcomes in patients following bone tunnel grafting with or without revision anterior cruciate ligament (ACL) reconstruction. Therefore, the aim of the present study was to evaluate the clinical outcome in patients with (RACL) or...

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Autores principales: Diermeier, Theresa, Herbst, Elmar, Braun, Sepp, Saracuz, Emine, Voss, Andreas, Imhoff, Andreas B., Achtnich, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6054851/
https://www.ncbi.nlm.nih.gov/pubmed/30031398
http://dx.doi.org/10.1186/s12891-018-2174-8
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author Diermeier, Theresa
Herbst, Elmar
Braun, Sepp
Saracuz, Emine
Voss, Andreas
Imhoff, Andreas B.
Achtnich, Andrea
author_facet Diermeier, Theresa
Herbst, Elmar
Braun, Sepp
Saracuz, Emine
Voss, Andreas
Imhoff, Andreas B.
Achtnich, Andrea
author_sort Diermeier, Theresa
collection PubMed
description BACKGROUND: Current literature is lacking of data regarding functional outcomes in patients following bone tunnel grafting with or without revision anterior cruciate ligament (ACL) reconstruction. Therefore, the aim of the present study was to evaluate the clinical outcome in patients with (RACL) or without revision ACL reconstruction (OBG) following bone grafting. METHODS: Fifty-nine patients (18 female, 41 male) who underwent bone grafting due to recurrent, symptomatic ACL deficiency following ACL reconstruction between 2011 and 2014 were retrospectively analyzed. In 44 patients (mean age: 30,5 ± 8,5 years) a staged revision ACL reconstruction (RACL) was performed after bone grafting. 10 patients (mean age: 33.2 ± 10.3 years) refused to have ACL revision surgery after bone grafting (OBG). Outcome measures included instrumented laxity testing, the International Knee Documentation Committee (IKDC) score, the Knee Injury and Osteoarthritis Outcome Score (KOOS), Lysholm score and Tegner activity scale. RESULTS: After mean period of 33,9 ± 17.0 months, 54 patients were available for follow up examination. In the RACL group, the Lysholm score was 77,2 ± 15,5 (range 35–100), the mean IKDC subjective knee score was 69,0 ± 13,4 (range 39,1–97,7) and the mean Tegner activity score was 4,1 ± 1,5 (range, 1–9). Similarly, in the OBG group the mean Lysholm score was 72,90 ± 18,7 (range 50–100), the mean IKDC subjective score was 69,3 ± 20,0 (range 44,1–100) and the mean Tegner activity score was 4,6 ± 1,2 (range, 3–6). No significant difference was observed between the two groups. Knee laxity measurements were elevated without revision ACL surgery, however the difference was not significant. CONCLUSION: Bone tunnel grafting with or without second stage ACL revision surgery showed no significant difference in functional outcome score. Thus, in case of revision ACL instability careful patient selection is necessary and expectations should be discussed openly with the patients.
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spelling pubmed-60548512018-07-23 Outcomes after bone grafting in patients with and without ACL revision surgery: a retrospective study Diermeier, Theresa Herbst, Elmar Braun, Sepp Saracuz, Emine Voss, Andreas Imhoff, Andreas B. Achtnich, Andrea BMC Musculoskelet Disord Research Article BACKGROUND: Current literature is lacking of data regarding functional outcomes in patients following bone tunnel grafting with or without revision anterior cruciate ligament (ACL) reconstruction. Therefore, the aim of the present study was to evaluate the clinical outcome in patients with (RACL) or without revision ACL reconstruction (OBG) following bone grafting. METHODS: Fifty-nine patients (18 female, 41 male) who underwent bone grafting due to recurrent, symptomatic ACL deficiency following ACL reconstruction between 2011 and 2014 were retrospectively analyzed. In 44 patients (mean age: 30,5 ± 8,5 years) a staged revision ACL reconstruction (RACL) was performed after bone grafting. 10 patients (mean age: 33.2 ± 10.3 years) refused to have ACL revision surgery after bone grafting (OBG). Outcome measures included instrumented laxity testing, the International Knee Documentation Committee (IKDC) score, the Knee Injury and Osteoarthritis Outcome Score (KOOS), Lysholm score and Tegner activity scale. RESULTS: After mean period of 33,9 ± 17.0 months, 54 patients were available for follow up examination. In the RACL group, the Lysholm score was 77,2 ± 15,5 (range 35–100), the mean IKDC subjective knee score was 69,0 ± 13,4 (range 39,1–97,7) and the mean Tegner activity score was 4,1 ± 1,5 (range, 1–9). Similarly, in the OBG group the mean Lysholm score was 72,90 ± 18,7 (range 50–100), the mean IKDC subjective score was 69,3 ± 20,0 (range 44,1–100) and the mean Tegner activity score was 4,6 ± 1,2 (range, 3–6). No significant difference was observed between the two groups. Knee laxity measurements were elevated without revision ACL surgery, however the difference was not significant. CONCLUSION: Bone tunnel grafting with or without second stage ACL revision surgery showed no significant difference in functional outcome score. Thus, in case of revision ACL instability careful patient selection is necessary and expectations should be discussed openly with the patients. BioMed Central 2018-07-21 /pmc/articles/PMC6054851/ /pubmed/30031398 http://dx.doi.org/10.1186/s12891-018-2174-8 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Diermeier, Theresa
Herbst, Elmar
Braun, Sepp
Saracuz, Emine
Voss, Andreas
Imhoff, Andreas B.
Achtnich, Andrea
Outcomes after bone grafting in patients with and without ACL revision surgery: a retrospective study
title Outcomes after bone grafting in patients with and without ACL revision surgery: a retrospective study
title_full Outcomes after bone grafting in patients with and without ACL revision surgery: a retrospective study
title_fullStr Outcomes after bone grafting in patients with and without ACL revision surgery: a retrospective study
title_full_unstemmed Outcomes after bone grafting in patients with and without ACL revision surgery: a retrospective study
title_short Outcomes after bone grafting in patients with and without ACL revision surgery: a retrospective study
title_sort outcomes after bone grafting in patients with and without acl revision surgery: a retrospective study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6054851/
https://www.ncbi.nlm.nih.gov/pubmed/30031398
http://dx.doi.org/10.1186/s12891-018-2174-8
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