A study published in The American Journal of Sports Medicine examined subsequent surgeries after revision anterior cruciate ligament reconstruction.
David Ding, MD, of UC San Francisco, and colleagues conducted a case-controlled study of 1,205 patients who underwent revisions ACLR procedures using the Multicenter ACL Revision Study.
MARS had two-fear follow-up data for 989 patients and telephone follow-up data for 1,112 patients. Researchers collected operative reports detailing subsequent procedures if a patient reported a subsequent surgery.
Approximately 122 patients of the patients underwent a total of 172 subsequent ipsilateral knee procedures at the two-year follow-up.
Here's what you should know.
1. Concerning the reoperations procedures:
- 27 percent were meniscal
- 19 percent were subsequent ACLR revisions
- 17 percent were cartilage
- 17 percent were microfracture
- 11 percent were hardware removal
- 9 percent were arthrofibrosis
2. Patients under 20-years-old had twice the odds of patients between 20- and 29-years-old of undergoing a reoperation.
3. Allograft use was a significant predictor for reoperations at two years, staged revisions did not reach significance.
4. Patients with grade 4 cartilage damage during grade 4 cartilage damage observed during a revision ACLR were 78 percent less likely to need a second operation.
5. Gender, body mass index, smoking history, Marx activity score, technique for femoral tunnel placement and meniscal tearing had no effect.
Researchers concluded, "There was a significant reoperation rate after revision ACLR at two years with meniscal procedures most commonly involved."