Higher return to pre-injury type of sports after revision anterior ligament reconstruction with lateral extra-articular tenodesis compared to without lateral extra-articular tenodesis

Michèle N. J. Keizer, Reinoud W. Brouwer, Feike de Graaff, Roy A. G. Hoogeslag

Research output: Contribution to JournalArticleAcademicpeer-review

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.
Original languageEnglish
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Early online date2022
DOIs
Publication statusE-pub ahead of print - 2022

Keywords

  • ACL
  • Lateral extra-articular tenodesis
  • Return to sport
  • Revision

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