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Two-stage procedure in anterior cruciate ligament revision surgery: a five-year follow-up prospective study |
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| Authors: | Francesco Franceschi Rocco Papalia Angelo Del Buono Biagio Zampogna Lorenzo Diaz Balzani Nicola Maffulli Vincenzo Denaro |
| Institution: | 1. Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo, Rome, Italy 2. Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, 275 Bancroft Road, London, E1 4DG, UK 3. Department of Musculoskeletal Disorders, University of Salerno, Salerno, Italy |
| Abstract: | PurposeThe purpose of this study was to show that this two-stage procedure for ACL (anterior cruciate ligament) revision surgery could be straight-forward and provide satisfactory clinical and functional outcomes.MaterialsThis is a five-year prospective analysis of clinical and functional data on 30 patients (19 men and 11 women; average age 29.1 ± 5.4) who underwent a two-stage ACL revision procedure after traumatic re-rupture of the ACL. Diagnosis was on Lachman and pivot-shift tests, arthrometer 30-lb KT-1000 side-to-side findings, and on MRI and arthroscopic assessments.ResultsPostoperative IKDC and Lysholm scores were significantly improved compared to baseline values (P?p?ConclusionsIn ACL revision surgery, when the first femoral tunnel has been correctly placed, this procedure allows safe filling of large bony defects, with no donor site comorbidities. It provides comfortable clinical, functional and imaging outcomes. |
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