Medium to longterm followup after ACL revision

Authors: Martin Lind Bent Lund Peter Faunø Sinan Said Lene Lindberg Miller Svend Erik Christiansen

Publish Date: 2011/07/29

Volume: 20, Issue: 1, Pages: 166-172

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Abstract

A retrospective study of patients treated with ACL revision from 2001 to 2007 at a university referral clinic was conducted Study followup was performed in 2010 this followup included objective IKDC scores KOOS Tegner and SANE subjective scores KT1000 knee laxity measurements and registration of reoperations and complicationsOne hundred and twentyeight patients were available for followup Median followup time was 6 2–9 years Mean age was 32 years 50 were men Eleven percent required staged procedures 30 were reconstructed with allograft tendons and 23 had collateral ligament reconstruction in combination with the ACL revision SANE knee global score 0–100 was 74 at followup KOOS subscores were preoperatively 66 69 77 42 and 39 for pain symptoms activity of daily living sports and quality of life respectively At followup scores were 70 76 81 50 and 50 respectively Sport and quality of life scores increased significantly KT1000 was 62 mm preoperatively and 25 at followup P  005 Six percent were rerevised and 2 patients had total knee replacementsDespite objective findings of acceptable sagittal knee stability at followup subjective outcome scores indicate significant knee impairment with low scores in sport and quality of life A rerevision rate of 6 after 6 years is acceptable It is imperative that patients eligible for ACL revision receive proper counseling in terms of outcome expectancies

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