Double-bundle non-anatomic ACL revision reconstruction with allograft resulted in a low revision rate at 10 years.
ACL
ACL revision
ACL survival
Allograft
Double bundle
Revision
Journal
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
ISSN: 1433-7347
Titre abrégé: Knee Surg Sports Traumatol Arthrosc
Pays: Germany
ID NLM: 9314730
Informations de publication
Date de publication:
Jan 2023
Jan 2023
Historique:
received:
19
05
2022
accepted:
30
08
2022
pubmed:
8
9
2022
medline:
25
1
2023
entrez:
7
9
2022
Statut:
ppublish
Résumé
This study aimed at reporting the long-term second revision rate and subjective clinical outcomes from a cohort of patients who underwent a double-bundle (DB) ACLR first revision with allograft at a single institution. The Institutional database was searched according to the following inclusion criteria: (1) patients that underwent DB-ACL first revision with Achilles tendon allograft, (2) surgery performed between January 2000 and December 2012, (3) age at revision ≥ 18 y/o. Patients' general information, history, surgical data, and personal contacts were extracted from charts. An online survey platform was implemented to collect responses via email. The survey questions included: date of surgeries, surgical data, date of graft failure and subsequent second ACL revision surgery, any other surgery of the index knee, contralateral ACLR, KOOS score, and Tegner scores. Eighty-one patients were included in the survival analysis, mean age at revision 32 ± 9.2 y/o, 71 males, mean BMI 24.7 ± 2.7, mean time from ACL to revision 6.8 ± 5.4 years, mean follow-up time 10.7 ± 1.4 years. There were 12 (15%) second ACL revisions during the follow-up period, three females and nine males, at a mean of 4.5 ± 3 years after the index surgery. The overall survival rates were 85% from a second ACL revision and 68% from all reoperations of the index knee. Considering only the successful procedures (61 patients), at final follow-up, the mean values for the KOOS subscales were 84 ± 15.5 for Pain, 88.1 ± 13.6 for Symptoms, 93 ± 11.6 for ADL, 75 ± 24.5 for Sport, and 71 ± 19.6 for Qol. Twenty-nine (48%) patients performed sports activity at the same level as before ACLR failure. Double-bundle ACL revision with fresh-frozen Achilles allograft yields satisfactory results at long-term follow-up, with an 85% survival rate from a second ACL revision at mean 10 years' follow-up and good patient-reported clinical scores. Level IV.
Identifiants
pubmed: 36070000
doi: 10.1007/s00167-022-07151-8
pii: 10.1007/s00167-022-07151-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
340-348Informations de copyright
© 2022. The Author(s) under exclusive licence to European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA).
Références
Beer AJ, Tauro TM, Redondo ML, Christian DR, Cole BJ, Frank RM (2019) Use of allografts in orthopaedic surgery: safety, procurement, storage, and outcomes. Orthop J Sports Med 7(12):2325967119891435
Chougule S, Tselentakis G, Stefan S, Stefanakis G (2015) Revision of failed anterior cruciate ligament reconstruction with quadrupled semitendinosus allograft: intermediate term outcome. Eur J Orthop Surg Traumatol 25:515–523
doi: 10.1007/s00590-014-1549-2
Condello V, Zdanowicz U, Di Matteo B, Spalding T, Gelber PE, Adravanti P, Heuberer P, Dimmen S, Sonnery-Cottet B, Hulet C, Bonomo M, Kon E (2019) Allograft tendons are a safe and effective option for revision ACL reconstruction: a clinical review. Knee Surg Sports Traumatol Arthrosc 27(6):1771–1781
doi: 10.1007/s00167-018-5147-4
Eagan MJ, McAllister DR (2009) Biology of allograft incorporation. Clin Sports Med 28(2):203–214
doi: 10.1016/j.csm.2008.10.009
Erickson BJ, Cvetanovich GL, Frank RM, Riff AJ, Bach BR Jr (2017) Revision ACL reconstruction: a critical analysis review. JBJS Rev 5(6):e1
doi: 10.2106/JBJS.RVW.16.00094
Fiil M, Nielsen TG, Lind M (2022) A high level of knee laxity after anterior cruciate ligament reconstruction results in high revision rates. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-022-06940-5
doi: 10.1007/s00167-022-06940-5
Fox JA, Pierce M, Bojchuk J, Hayden J, Bush-Joseph CA, Bach BR Jr (2004) Revision anterior cruciate ligament reconstruction with non-irradiated fresh-frozen patellar tendon allograft. Arthroscopy 20(8):787–794
doi: 10.1016/S0749-8063(04)00812-6
Getelman MH, Friedman MJ (1999) Revision anterior cruciate ligament reconstruction surgery. J Am Acad Orthop Surg 7(3):189–198
doi: 10.5435/00124635-199905000-00005
Glogovac G, Schumaier AP, Grawe BM (2019) Return to sport following revision anterior cruciate ligament reconstruction in athletes: a systematic review. Arthroscopy 35(7):2222–2230
doi: 10.1016/j.arthro.2019.01.045
Grassi A, Kim C, Marcheggiani Muccioli GM, Zaffagnini S, Amendola A (2017) What is the mid-term failure rate of revision ACL reconstruction? A systematic review. Clin Orthop Relat Res 475(10):2484–2499
doi: 10.1007/s11999-017-5379-5
Grassi A, Macchiarola L, Lucidi GA, Silvestri A, Dal Fabbro G, Marcacci M, Zaffagnini S (2021) Ten-year survivorship, patient-reported outcome measures, and patient acceptable symptom state after over-the-top hamstring anterior cruciate ligament reconstruction with a lateral extra-articular reconstruction: analysis of 267 consecutive cases. Am J Sports Med 49(2):374–383
doi: 10.1177/0363546520986875
Grassi A, Macchiarola L, Lucidi GA, Stefanelli F, Neri M, Silvestri A, Della Villa F, Zaffagnini S (2020) More than a 2-fold risk of contralateral anterior cruciate ligament injuries compared with ipsilateral graft failure 10 years after primary reconstruction. Am J Sports Med 48(2):310–317
doi: 10.1177/0363546519893711
Grassi A, Nitri M, Moulton SG, MarcheggianiMuccioli GM, Bondi A, Romagnoli M, Zaffagnini S (2017) Does the type of graft affect the outcome of revision anterior cruciate ligament reconstruction? A meta-analysis of 32 studies. Bone Joint J 99-B(6):714–723
doi: 10.1302/0301-620X.99B6.BJJ-2016-0929.R2
Grassi A, Zaffagnini S, Marcheggiani Muccioli GM, Neri MP, Della Villa S, Marcacci M (2015) After revision anterior cruciate ligament reconstruction, who returns to sport? A systematic review and meta-analysis. Br J Sports Med 49(20):1295–1304
doi: 10.1136/bjsports-2014-094089
Grossman MG, ElAttrache NS, Shields CL, Glousman RE (2005) Revision anterior cruciate ligament reconstruction: three- to nine-year follow-up. Arthroscopy 21(4):418–423
doi: 10.1016/j.arthro.2004.12.009
Harrell CR, Djonov V, Fellabaum C, Volarevic V (2018) Risks of using sterilization by gamma radiation: the other side of the coin. Int J Med Sci 15(3):274–279
doi: 10.7150/ijms.22644
Herzog MM, Marshall SW, Lund JL et al (2018) Trends in incidence of ACL reconstruction and concomitant procedures among commercially insured individuals in the United States, 2002–2014. Sports Health 10:523–531
doi: 10.1177/1941738118803616
Horvath A, Senorski EH, Westin O, Karlsson J, Samuelsson K, Svantesson E (2019) Outcome after anterior cruciate ligament revision. Curr Rev Musculoskelet Med 12(3):397–405
doi: 10.1007/s12178-019-09571-5
Jiang C, Chen G, Chen P, Li W, Zhang H, Zhang W (2018) Double-bundle revision anterior cruciate ligament reconstruction is effective in rescuing failed primary reconstruction and re-introducing patients to physical exercise. Exp Ther Med 15(2):2074–2080
Kievit AJ, Jonkers FJ, Barentsz JH, Blankevoort L (2013) A cross sectional study comparing the rates of osteoarthritis, laxity, and quality of life in primary and revision anterior cruciate ligament reconstructions. Arthroscopy 29:898
doi: 10.1016/j.arthro.2013.01.020
Legnani C, Zini S, Borgo E, Ventura A (2016) Can graft choice affect return to Sport following revision anterior cruciate ligament reconstruction surgery? Arch Orthop Trauma 136(4):527–531
doi: 10.1007/s00402-015-2387-3
Marcacci M, Zaffagnini S, Bonanzinga T, Marcheggiani Muccioli GM, Bruni D, Iacono F (2012) Over-the-top double-bundle revision ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 20(7):1404–1408
doi: 10.1007/s00167-011-1753-0
Mardani-Kivi M, Leili EK, Shirangi A, Azari Z (2020) Return to sports activity in the revision of anterior cruciate ligament reconstruction: a 2–6 Year follow-up study. J Clin Orthop Trauma 16:80–85
doi: 10.1016/j.jcot.2020.12.022
MARS Group (2014) Effect of graft choice on the outcome of revision anterior cruciate ligament reconstruction in the multicenter ACL revision study (MARS) Cohort. Am J Sports Med 42(10):2301–2310
doi: 10.1177/0363546514549005
MARS Group, Bigouette JP, Owen EC, Lantz BBA, Hoellrich RG, Wright RW, Huston LJ, Haas AK, Allen CR et al (2022) Returning to activity after anterior cruciate ligament revision surgery: an analysis of the multicenter anterior cruciate ligament revision study (MARS) cohort at 2 years postoperative. Am J Sports Med 50(7):1788–1797
doi: 10.1177/03635465221094621
Matassi F, Giabbani N, Arnaldi E, Tripodo A, Bonaspetti G, Bait C, Ronga M, Di Benedetto P, Zaffagnini S, Jannelli E, Schiavone Panni A, Berruto M (2022) Controversies in ACL revision surgery: Italian expert group consensus and state of the art. J Orthop Traumatol 23(1):32
doi: 10.1186/s10195-022-00652-9
Mayr H, Willkomm D, Stoehr A, Schettle M, Suedkamp N, Bernstein A, Hube R (2012) Revision of anterior cruciate ligament reconstruction with patellar tendon allograft and autograft: 2- and 5-year results. Arch Orthop Trauma Surg 132:867–874
doi: 10.1007/s00402-012-1481-z
Mohan R, Webster KE, Johnson NR, Stuart MJ, Hewett TE, Krych AJ (2018) Clinical outcomes in revision anterior cruciate ligament reconstruction: a meta-analysis. Arthroscopy 34(1):289–300
doi: 10.1016/j.arthro.2017.06.029
Monticone M, Ferrante S, Salvaderi S, Rocca B, Totti V, Foti C, Roi GS (2012) Development of the Italian version of the knee injury and osteoarthritis outcome score for patients with knee injuries: cross-cultural adaptation, dimensionality, reliability, and validity. Osteoarthritis Cartilage 20(4):330–335
doi: 10.1016/j.joca.2012.01.001
Muehlhausen W, Doll H, Quadri N, Fordham B, O’Donohoe P, Dogar N, Wild DJ (2015) Equivalence of electronic and paper administration of patient-reported outcome measures: a systematic review and meta-analysis of studies conducted between 2007 and 2013. Health Qual Life Outcomes 13:167
doi: 10.1186/s12955-015-0362-x
Muller B, Yabroudi MA, Lynch A et al (2016) Defining thresholds for the patient acceptable symptom state for the IKDC subjective knee form and KOOS for patients who underwent ACL reconstruction. Am J Sports Med 44(11):2820–2826
doi: 10.1177/0363546516652888
Nissen KA, Eysturoy NH, Nielsen TG, Lind M (2018) Allograft use results in higher re-revision rate for revision anterior cruciate ligament reconstruction. Orthop J Sports Med 6(6):2325967118775381
Noyes FR, Barber-Westin SD, Roberts CS (1994) Use of allografts after failed treatment of rupture of the anterior cruciate ligament. J Bone Joint Surg Am 76(7):1019–1031
doi: 10.2106/00004623-199407000-00010
Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD (1998) Knee injury and osteoarthritis outcome score (KOOS): development of a self-administered outcome measure. J Orthop Sports Phys Ther 28:88–96
doi: 10.2519/jospt.1998.28.2.88
Sanders TL, Maradit Kremers H, Bryan AJ et al (2016) Incidence of anterior cruciate ligament tears and reconstruction: a 21- year population- based study. Am J Sports Med 44:1502–1507
doi: 10.1177/0363546516629944
Schlumberger M, Schuster P, Schulz M, Immendörfer M, Mayer P, Bartholomä J, Richter J (2017) Traumatic graft rupture after primary and revision anterior cruciate ligament reconstruction: retrospective analysis of incidence and risk factors in 2915 cases. Knee Surg Sports Traumatol Arthrosc 25(5):1535–1541
doi: 10.1007/s00167-015-3699-0
Sherman SL, Calcei J, Ray T, Magnussen RA, Musahl V, Kaeding CC, Clatworthy M, Bergfeld JA, Arnold MP (2021) ACL study group presents the global trends in ACL reconstruction: biennial survey of the ACL study group. J ISAKOS 6(6):322–328
doi: 10.1136/jisakos-2020-000567
So SY, Suh DW, Lee SS, Jung EY, Ye DH, Ryu D, Kwon KB, Wang JH (2020) Revision anterior cruciate ligament reconstruction after primary anatomic double-bundle anterior cruciate ligament reconstruction: a case series of 40 patients. Arthroscopy 36(2):546–555
doi: 10.1016/j.arthro.2019.08.038
Sylvia SM, Toppo AJ, Perrone GS, Miltenberg B, Power LH, Richmond JC, Salzler MJ (2022) Revision soft tissue allograft anterior cruciate ligament reconstruction is associated with lower patient reported outcomes compared with primary anterior cruciate ligament reconstruction in patients aged 40 and older. Arthroscopy. https://doi.org/10.1016/j.arthro.2022.06.035
doi: 10.1016/j.arthro.2022.06.035
Tapasvi S, Shekhar A (2021) Revision ACL reconstruction: principles and practice. Indian J Orthop 55(2):263–275
doi: 10.1007/s43465-020-00328-8
Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 198:43–49
doi: 10.1097/00003086-198509000-00007
Tischer T, Condello V, Menetrey J, Dejour D, Beaufils P, Becker R (2022) Time to focus on ACL revision: ESSKA 2022 consensus. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-022-06950-3
doi: 10.1007/s00167-022-06950-3
Weitz FK, Sillanpää PJ, Mattila VM (2020) The incidence of paediatric ACL injury is increasing in Finland. Knee Surg Sports Traumatol Arthrosc 28:363–368
doi: 10.1007/s00167-019-05553-9
Wright RW, Huston LJ, Haas AK, Pennings JS, Allen CR, Cooper DE, DeBerardino TM et al (2021) Association between graft choice and 6-year outcomes of revision anterior cruciate ligament reconstruction in the MARS cohort. Am J Sports Med 49(10):2589–2598
doi: 10.1177/03635465211027170
Zbrojkiewicz D, Vertullo C, Grayson JE (2018) Increasing rates of anterior cruciate ligament reconstruction in young Australians, 2000–2015. Med J Aust 208:354–358
doi: 10.5694/mja17.00974