Anterior Cruciate Ligament Repair with Suture Augmentation for Proximal Avulsion Injuries.

MedStar author(s):
Citation: Arthroscopy, Sports Medicine, and Rehabilitation. 2(5):e475-e480, 2020 Oct.PMID: 33134983Institution: MedStar Health Research Institute | MedStar Union Memorial Hospital | MedStar Washington Hospital CenterDepartment: Sports Medicine Research Center | Surgery/Orthopaedic SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2020ISSN:
  • 2666-061X
Name of journal: Arthroscopy, sports medicine, and rehabilitationAbstract: Conclusions: In patients with proximal ACL avulsion, arthroscopic primary ACL repair with suture augmentation demonstrated high functional outcome and improved patient-reported outcomes at 2-year follow-up. The rate of graft failure was 15%.Level of Evidence: Level IV, therapeutic case series. Copyright (c) 2020 by the Arthroscopy Association of North America. Published by Elsevier Inc.Methods: We retrospectively reviewed consecutive suture-augmented ACL repairs performed by a single surgeon between January 2014 and June 2016 for proximal ACL avulsion. Patients were included if they were at least 24 months postoperative from repair surgery. Patients were excluded from the study if they underwent primary ACL reconstruction instead of repair or if they had a concomitant multiligamentous knee injury. Knee Injury and Osteoarthritis Outcome Score (KOOS), visual analog scale (VAS), Veterans RAND-12 (VR-12), Marx Activity, and Single Assessment Numeric Evaluation data were collected.Purpose: To assess failure rate, outcomes, and patient satisfaction in patients who underwent anterior cruciate ligament (ACL) repair with suture augmentation for clinical instability and proximal avulsion of the ACL.Results: Of 172 patients who underwent ACL surgery between January 2014 and June 2016, 28 (16%) with Sherman type I or II ACL tears or high-grade partial avulsion with clinical instability underwent ACL repair with suture augmentation. One patient was not available for follow-up. The 27 patients were age 27.4 +/- 8.6 years, 18 males (66.7%), and 2.8 +/- 0.7 years follow-up (range, 2.0-3.8 years). Of these 27 patients, 4 recurrent ACL injuries (14.8%) required revision to reconstruction. The remaining 23 patients had successful ACL repair with no clinical instability and no subjective complaints at final follow-up. Final scores were KOOS 83.7 +/- 12.8, Marx 8.6 +/- 4.0, VAS 1.1 +/- 1.8, physical VR-12 53.6 +/- 5.2, mental VR-12 53.1 +/- 8.1, and Single Assessment Numeric Evaluation 83.0 +/- 12.9. In the 11 patients with baseline data, significant improvements were observed in composite KOOS (50.4 +/- 11.5 to 85.7 +/- 8.4; P < .001; VAS: 3.9 +/- 2.6 to 0.8 +/- 0.8; P = .002; and physical VR-12: 39.9 +/- 6.5 to 55.5 +/- 3.3; P < .001). All 11 patients (100%) met or exceeded the KOOS composite minimum clinically important difference (mean 34.0 increase).All authors: Bodendorfer BM, Douoguih WA, Lincoln AE, Siddiqui Y, Zade RTFiscal year: FY2021Digital Object Identifier: Date added to catalog: 2020-12-29
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 33134983 Available 33134983

Conclusions: In patients with proximal ACL avulsion, arthroscopic primary ACL repair with suture augmentation demonstrated high functional outcome and improved patient-reported outcomes at 2-year follow-up. The rate of graft failure was 15%.

Level of Evidence: Level IV, therapeutic case series. Copyright (c) 2020 by the Arthroscopy Association of North America. Published by Elsevier Inc.

Methods: We retrospectively reviewed consecutive suture-augmented ACL repairs performed by a single surgeon between January 2014 and June 2016 for proximal ACL avulsion. Patients were included if they were at least 24 months postoperative from repair surgery. Patients were excluded from the study if they underwent primary ACL reconstruction instead of repair or if they had a concomitant multiligamentous knee injury. Knee Injury and Osteoarthritis Outcome Score (KOOS), visual analog scale (VAS), Veterans RAND-12 (VR-12), Marx Activity, and Single Assessment Numeric Evaluation data were collected.

Purpose: To assess failure rate, outcomes, and patient satisfaction in patients who underwent anterior cruciate ligament (ACL) repair with suture augmentation for clinical instability and proximal avulsion of the ACL.

Results: Of 172 patients who underwent ACL surgery between January 2014 and June 2016, 28 (16%) with Sherman type I or II ACL tears or high-grade partial avulsion with clinical instability underwent ACL repair with suture augmentation. One patient was not available for follow-up. The 27 patients were age 27.4 +/- 8.6 years, 18 males (66.7%), and 2.8 +/- 0.7 years follow-up (range, 2.0-3.8 years). Of these 27 patients, 4 recurrent ACL injuries (14.8%) required revision to reconstruction. The remaining 23 patients had successful ACL repair with no clinical instability and no subjective complaints at final follow-up. Final scores were KOOS 83.7 +/- 12.8, Marx 8.6 +/- 4.0, VAS 1.1 +/- 1.8, physical VR-12 53.6 +/- 5.2, mental VR-12 53.1 +/- 8.1, and Single Assessment Numeric Evaluation 83.0 +/- 12.9. In the 11 patients with baseline data, significant improvements were observed in composite KOOS (50.4 +/- 11.5 to 85.7 +/- 8.4; P < .001; VAS: 3.9 +/- 2.6 to 0.8 +/- 0.8; P = .002; and physical VR-12: 39.9 +/- 6.5 to 55.5 +/- 3.3; P < .001). All 11 patients (100%) met or exceeded the KOOS composite minimum clinically important difference (mean 34.0 increase).

English

Powered by Koha