Michèle N J Keizer1, Reinoud W Brouwer2, Feike de Graaff3, Roy A G Hoogeslag3. 1. Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, UMCG Sector F, FA 23, PO Box 219, 9713 AV, Groningen, The Netherlands. m.n.j.keizer@hotmail.com. 2. Department of Orthopedic Surgery, Martini Hospital, Groningen, The Netherlands. 3. Centre for Orthopaedic Surgery and Sports Medicine OCON, Hengelo, The Netherlands.
Abstract
PURPOSE: To evaluate the rate of return to pre-injury type of sports (RTS type) in patients after revision anterior cruciate ligament reconstruction (ACLR) with lateral extra-articular tenodesis (LET) compared to patients after revision ACLR without LET. METHODS: Seventy-eight patients who underwent revision ACLR with an autologous ipsilateral bone-patellar tendon-bone autograft with and without LET were included at least one year after surgery (mean follow-up: 43.9, SD: 29.2 months). All patients filled in a questionnaire about RTS type, the Knee injury and Osteoarthritis Outcome Score (KOOS), the International Knee Documentation Committee subjective form (IKDCsubjective), and the Tegner activity score. RESULTS: The RTS type for revision ACLR with LET was 22 of 42 (52%), whereas 11 of 36 (31%) of the patients who underwent revision ACLR without LET returned to the pre-injury type of sport (p = 0.05). No significant differences were found in KOOS subscores, IKDCsubjective, and Tegner activity scores. CONCLUSION: An additional LET increases the rate of RTS type after revision ACLR. LEVEL OF EVIDENCE: III.
PURPOSE: To evaluate the rate of return to pre-injury type of sports (RTS type) in patients after revision anterior cruciate ligament reconstruction (ACLR) with lateral extra-articular tenodesis (LET) compared to patients after revision ACLR without LET. METHODS: Seventy-eight patients who underwent revision ACLR with an autologous ipsilateral bone-patellar tendon-bone autograft with and without LET were included at least one year after surgery (mean follow-up: 43.9, SD: 29.2 months). All patients filled in a questionnaire about RTS type, the Knee injury and Osteoarthritis Outcome Score (KOOS), the International Knee Documentation Committee subjective form (IKDCsubjective), and the Tegner activity score. RESULTS: The RTS type for revision ACLR with LET was 22 of 42 (52%), whereas 11 of 36 (31%) of the patients who underwent revision ACLR without LET returned to the pre-injury type of sport (p = 0.05). No significant differences were found in KOOS subscores, IKDCsubjective, and Tegner activity scores. CONCLUSION: An additional LET increases the rate of RTS type after revision ACLR. LEVEL OF EVIDENCE: III.
Authors: Ingrid B de Groot; Marein M Favejee; Max Reijman; Jan A N Verhaar; Caroline B Terwee Journal: Health Qual Life Outcomes Date: 2008-02-26 Impact factor: 3.186