Good to Excellent Functional Short-Term Outcome and Low Revision Rates Following Primary Anterior Cruciate Ligament Repair Using Suture Augmentation

The aim of this study was to evaluate the functional outcome of primary anterior cruciate ligament (ACL) repair using suture augmentation (SA) in 93 consecutive patients (67 female) with a minimum follow-up of 12 months. Patients’ outcomes were determined using International Knee Documentation Commi...

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Main Authors: Kristian Nikolaus Schneider, Benedikt Schliemann, Georg Gosheger, Christoph Theil, Jan Weller, Pranai K Buddhdev, Georg Ahlbäumer
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/9/10/3068
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author Kristian Nikolaus Schneider
Benedikt Schliemann
Georg Gosheger
Christoph Theil
Jan Weller
Pranai K Buddhdev
Georg Ahlbäumer
author_facet Kristian Nikolaus Schneider
Benedikt Schliemann
Georg Gosheger
Christoph Theil
Jan Weller
Pranai K Buddhdev
Georg Ahlbäumer
author_sort Kristian Nikolaus Schneider
collection DOAJ
description The aim of this study was to evaluate the functional outcome of primary anterior cruciate ligament (ACL) repair using suture augmentation (SA) in 93 consecutive patients (67 female) with a minimum follow-up of 12 months. Patients’ outcomes were determined using International Knee Documentation Committee (IKDC) score, Lysholm score (LS) and Tegner score (TS). Knee-laxity was assessed using the KT-1000 arthrometer. Eighty-eight patients (67 female, mean age 42 years ± standard deviation (SD) 13) were available for follow-up after a mean time of 21 months (range 12–39). Three patients (3%) underwent revision surgery and were excluded from functional analysis. The mean IKDC score was 87.4 ± 11, mean LS was 92.6 ± 11, mean pre-traumatic TS was 6 ± 2 and mean postoperative TS was 6 ± 2, with a mean difference (TS<sub>Diff</sub>) of 1 ± 1. The interval from injury to surgery had no significant impact on the postoperative IKDC (<i>p</i> = 0.228), LS (<i>p</i> = 0.377) and TS<sub>Diff</sub> (<i>p</i> = 0.572). Patients’ age (>40 years), BMI (>30) and coexisting ligament or meniscal injuries did not seem to influence postoperative functional results. Primary ACL repair using SA provides good to excellent functional outcomes with a low probability of revision surgery at a minimum of 12 months.
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spelling doaj.art-f4655c9757784c26bf568a001dbded022023-11-20T14:51:06ZengMDPI AGJournal of Clinical Medicine2077-03832020-09-01910306810.3390/jcm9103068Good to Excellent Functional Short-Term Outcome and Low Revision Rates Following Primary Anterior Cruciate Ligament Repair Using Suture AugmentationKristian Nikolaus Schneider0Benedikt Schliemann1Georg Gosheger2Christoph Theil3Jan Weller4Pranai K Buddhdev5Georg Ahlbäumer6Department of Orthopedics and Trauma Surgery, Klinik Gut, St. Moritz, 7500 St. Moritz, SwitzerlandDepartment of Trauma-, Hand- and Reconstructive Surgery, University Hospital of Münster, 48149 Münster, GermanyDepartment of Orthopedics and Tumor Orthopedics, University Hospital of Münster, 48149 Münster, GermanyDepartment of Orthopedics and Tumor Orthopedics, University Hospital of Münster, 48149 Münster, GermanyDepartment of Orthopedics and Trauma Surgery, Klinik Gut, St. Moritz, 7500 St. Moritz, SwitzerlandDepartment of Trauma Surgery, Broomfield Hospital Essex, Chelmsford CM1 7ET, UKDepartment of Orthopedics and Trauma Surgery, Klinik Gut, St. Moritz, 7500 St. Moritz, SwitzerlandThe aim of this study was to evaluate the functional outcome of primary anterior cruciate ligament (ACL) repair using suture augmentation (SA) in 93 consecutive patients (67 female) with a minimum follow-up of 12 months. Patients’ outcomes were determined using International Knee Documentation Committee (IKDC) score, Lysholm score (LS) and Tegner score (TS). Knee-laxity was assessed using the KT-1000 arthrometer. Eighty-eight patients (67 female, mean age 42 years ± standard deviation (SD) 13) were available for follow-up after a mean time of 21 months (range 12–39). Three patients (3%) underwent revision surgery and were excluded from functional analysis. The mean IKDC score was 87.4 ± 11, mean LS was 92.6 ± 11, mean pre-traumatic TS was 6 ± 2 and mean postoperative TS was 6 ± 2, with a mean difference (TS<sub>Diff</sub>) of 1 ± 1. The interval from injury to surgery had no significant impact on the postoperative IKDC (<i>p</i> = 0.228), LS (<i>p</i> = 0.377) and TS<sub>Diff</sub> (<i>p</i> = 0.572). Patients’ age (>40 years), BMI (>30) and coexisting ligament or meniscal injuries did not seem to influence postoperative functional results. Primary ACL repair using SA provides good to excellent functional outcomes with a low probability of revision surgery at a minimum of 12 months.https://www.mdpi.com/2077-0383/9/10/3068anterior cruciate ligamentACLinjurytearrupturerepair
spellingShingle Kristian Nikolaus Schneider
Benedikt Schliemann
Georg Gosheger
Christoph Theil
Jan Weller
Pranai K Buddhdev
Georg Ahlbäumer
Good to Excellent Functional Short-Term Outcome and Low Revision Rates Following Primary Anterior Cruciate Ligament Repair Using Suture Augmentation
Journal of Clinical Medicine
anterior cruciate ligament
ACL
injury
tear
rupture
repair
title Good to Excellent Functional Short-Term Outcome and Low Revision Rates Following Primary Anterior Cruciate Ligament Repair Using Suture Augmentation
title_full Good to Excellent Functional Short-Term Outcome and Low Revision Rates Following Primary Anterior Cruciate Ligament Repair Using Suture Augmentation
title_fullStr Good to Excellent Functional Short-Term Outcome and Low Revision Rates Following Primary Anterior Cruciate Ligament Repair Using Suture Augmentation
title_full_unstemmed Good to Excellent Functional Short-Term Outcome and Low Revision Rates Following Primary Anterior Cruciate Ligament Repair Using Suture Augmentation
title_short Good to Excellent Functional Short-Term Outcome and Low Revision Rates Following Primary Anterior Cruciate Ligament Repair Using Suture Augmentation
title_sort good to excellent functional short term outcome and low revision rates following primary anterior cruciate ligament repair using suture augmentation
topic anterior cruciate ligament
ACL
injury
tear
rupture
repair
url https://www.mdpi.com/2077-0383/9/10/3068
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AT benediktschliemann goodtoexcellentfunctionalshorttermoutcomeandlowrevisionratesfollowingprimaryanteriorcruciateligamentrepairusingsutureaugmentation
AT georggosheger goodtoexcellentfunctionalshorttermoutcomeandlowrevisionratesfollowingprimaryanteriorcruciateligamentrepairusingsutureaugmentation
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