Revision ACL reconstruction and return to sport
Revision anterior cruciate ligament (ACL) reconstruction is an increasingly performed procedure due to the high number of primary ACL reconstructions and failures. The following systematic review identified that 84% of patients who had revision ACL reconstruction returned to any kind of sport activity, with 53% returning to their previous level.
Two important outcomes after both primary and revision ACL reconstructions include the ability to return to sport and pre-injury level. The purpose of the following meta-analysis was to determine the return to sport rate following revision ACL reconstruction.
A systematic search was conducted, with 16 studies identified and selected that specifically reported return to sport, return to pre-injury sport level and return to high level/competitive sport.
The mean return to sport activity following revision ACL reconstruction at the final follow-up was 4.7 years. The return to pre-injury sport level was achieved in 53.4% of cases. Less than 5mm of side-to-side difference during anthrometric evaluations and grade I-II pivot-shift test were reported in 88% and 93% of subjects, respectively. Despite the fact that 8 in 10 patients returned to sport post revision ACL reconstruction, only half returned to their previous level.
> From: Grassi et al., Br J Sports Med (2015) (Epub ahead of print). All rights reserved to BMJ Publishing Group Ltd. Click here for the Pubmed summary.