| Form of presentation | Articles in international journals and collections |
| Year of publication | 2021 |
| Язык | английский |
|
Baltina Tatyana Valerevna, author
|
|
Babaskin Dmitriy Vladimirovich, author
Yumashev Aleksey Valerevich, author
|
| Bibliographic description in the original language |
Yumashev A.V, Baltina T.V, Babaskin D.V., Outcomes after arthroscopic revision surgery for anterior cruciate ligament injuries//Acta Orthopaedica. - 2021. - Vol.92, Is.. Art№162.DOI:10.1080/17453674.2021.1897744 |
| Annotation |
Background and purpose — The frequency of primary anterior cruciate ligament (ACL) reconstruction is increasing resulting in more ACL revision surgeries. Therefore, we assessed survival rates of 2 different grafts for ACL revision surgery at 1- and 5-year follow-ups, as well as physical activity levels of patients after revision surgery.
Patients and methods — This is a retrospective cohort
study involving 218 patients (176 males) who had revision
surgery for anterior cruciate ligament injuries between 2008
and 2017 at the Clinic of Traumatology, Orthopedics and
Joint Pathology Clinic (I.M. Sechenov First Moscow State
Medical University). A comparison group involved 189
patients with only primary surgery. Surgical interventions
were performed according to the standard procedure using
bone–patellar tendon–bone (BTB) and semitendinosus/gracilis (ST/G) autografts. The results of revision surgery were assessed at 1- and 5-year follow-ups by using the Lysholm and International Knee Documentation Committee scores.
Results — Malpositioned bone tunnels were found in
87/218 patients (40%). At 1 and 5 years postoperatively, the
revision BTB group had significantly better results in terms
of IKDC and Lysholm scores than the revision ST/G group (p
= 0.03, Mann–Whitney U-test), and these results were comparable to those in the comparison group. Graft survival after
revision was lower than after the primary operation. However, the survival rate of 80% is quite high and is consistent
with previous findings. There were no statistically reliable
differences in survival between ST/G and BTB autografts.
Interpretation — The graft choice for revision ACL surgery should be decided upon before surgery based on, among
other things, the state of bone tunnels, in particular their
position and degree of bone resorption. Tunnel widening that
exceeds 14 mm (osteolysis) would require 2-stage surgery
using a BTB autograft with bone plugs because it is larger
than the ST/G autograft. |
| Keywords |
arthroscopic, revision surgery. humen |
| The name of the journal |
Acta Orthopaedica
|
| URL |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85102963291&doi=10.1080%2f17453674.2021.1897744&partnerID=40&md5=8f8f0a5ed1d71f83ebbc0f4220829849 |
| Please use this ID to quote from or refer to the card |
https://repository.kpfu.ru/eng/?p_id=251174&p_lang=2 |
Full metadata record  |
| Field DC |
Value |
Language |
| dc.contributor.author |
Baltina Tatyana Valerevna |
ru_RU |
| dc.contributor.author |
Babaskin Dmitriy Vladimirovich |
ru_RU |
| dc.contributor.author |
Yumashev Aleksey Valerevich |
ru_RU |
| dc.date.accessioned |
2021-01-01T00:00:00Z |
ru_RU |
| dc.date.available |
2021-01-01T00:00:00Z |
ru_RU |
| dc.date.issued |
2021 |
ru_RU |
| dc.identifier.citation |
Yumashev A.V, Baltina T.V, Babaskin D.V., Outcomes after arthroscopic revision surgery for anterior cruciate ligament injuries//Acta Orthopaedica. - 2021. - Vol.92, Is.. Art№162.DOI:10.1080/17453674.2021.1897744 |
ru_RU |
| dc.identifier.uri |
https://repository.kpfu.ru/eng/?p_id=251174&p_lang=2 |
ru_RU |
| dc.description.abstract |
Acta Orthopaedica |
ru_RU |
| dc.description.abstract |
Background and purpose — The frequency of primary anterior cruciate ligament (ACL) reconstruction is increasing resulting in more ACL revision surgeries. Therefore, we assessed survival rates of 2 different grafts for ACL revision surgery at 1- and 5-year follow-ups, as well as physical activity levels of patients after revision surgery.
Patients and methods — This is a retrospective cohort
study involving 218 patients (176 males) who had revision
surgery for anterior cruciate ligament injuries between 2008
and 2017 at the Clinic of Traumatology, Orthopedics and
Joint Pathology Clinic (I.M. Sechenov First Moscow State
Medical University). A comparison group involved 189
patients with only primary surgery. Surgical interventions
were performed according to the standard procedure using
bone–patellar tendon–bone (BTB) and semitendinosus/gracilis (ST/G) autografts. The results of revision surgery were assessed at 1- and 5-year follow-ups by using the Lysholm and International Knee Documentation Committee scores.
Results — Malpositioned bone tunnels were found in
87/218 patients (40%). At 1 and 5 years postoperatively, the
revision BTB group had significantly better results in terms
of IKDC and Lysholm scores than the revision ST/G group (p
= 0.03, Mann–Whitney U-test), and these results were comparable to those in the comparison group. Graft survival after
revision was lower than after the primary operation. However, the survival rate of 80% is quite high and is consistent
with previous findings. There were no statistically reliable
differences in survival between ST/G and BTB autografts.
Interpretation — The graft choice for revision ACL surgery should be decided upon before surgery based on, among
other things, the state of bone tunnels, in particular their
position and degree of bone resorption. Tunnel widening that
exceeds 14 mm (osteolysis) would require 2-stage surgery
using a BTB autograft with bone plugs because it is larger
than the ST/G autograft. |
ru_RU |
| dc.language.iso |
ru |
ru_RU |
| dc.subject |
arthroscopic |
ru_RU |
| dc.subject |
revision surgery. humen |
ru_RU |
| dc.title |
Outcomes after arthroscopic revision surgery for anterior cruciate ligament injuries |
ru_RU |
| dc.type |
Articles in international journals and collections |
ru_RU |
|
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