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.

Keizer, Michèle N J; Brouwer, Reinoud W; de Graaff, Feike; Hoogeslag, Roy A G · Knee Surg Sports Traumatol Arthrosc · 2023

retrospective_cohort · Level III

Where this comes from

Abstract

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. 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 (IKDC<sub>subjective</sub>), and the Tegner activity score. 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, IKDC<sub>subjective</sub>, and Tegner activity scores. An additional LET increases the rate of RTS type after revision ACLR. III.

Medical subject headings

Anatomy