Outcome evaluation of arthroscopic anterior cruciate ligament repair using reinforced tape: a two-year follow-up
ESSKA Academy. Mioduszewski A. Nov 8, 2019; 284441; epESMA-35 Topic: Sports Related Injuries
Dr. Andrzej Mioduszewski
Dr. Andrzej Mioduszewski
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Outcome evaluation of arthroscopic anterior cruciate ligament repair using reinforced tape: a two-year follow-up

ePoster - epESMA-35

Topic: Sports Trauma

Mioduszewski A.1, Wrobel M.1, Sroczynski J.1, Pasnik M.2, Kłos G.1, Zielinska A.3,4, Ciszkowska-Lyson B.2,5, Smigielski R.4,6
1ORTOPEDIKA Specialised Surgery Center, Trauma and Orthopaedics Dept., Warsaw, Poland, 2Carolina Medical Center, Radiology Dept., Warsaw, Poland, 3MIRAI Institute - Trauma, Orthopaedics, Physical Therapy, Research Dept., Warsaw, Poland, 4ARS MEDICINALIS Foundation, Warsaw, Poland, 5MIRAI Institute - Trauma, Orthopaedics, Physical Therapy, Radiology Dept., Warsaw, Poland, 6MIRAI Institute - Trauma, Orthopaedics, Physical Therapy, Depts. of Trauma and Orthopaedics, and Sports Medicine, Warsaw, Poland

Introduction: Surgical augmentation of the ruptured anterior cruciate ligament (ACL) has been performed for over 100 years and after it has lost popularity in the 90s, ACL repair (ACLr) makes
a grand comeback.
Objectives: To evaluate the results of arthroscopic ACLr and to draw preliminary conclusions allowing to determine clear guidelines specifying both indications and contraindications for this type of surgery.
Methods: The study was prospective, informed consent was signed by the participants. Procedures were performed by two experienced surgeons using reinforcing suture tape. The study group included 62 patients (26 women and 36 men; mean age 35 y.o.) admitted between 2013 and 2016. In 30 cases the injury occurred while skiing, 10 patients were playing soccer, whereas the rest participated in other sports at the time of the injury with a few cases resulting from a fall.
In 38 cases the pre-operative MRI indicated isolated ACL injury. Mean time from the rupture to surgery was 8 weeks (median), the mechanism and energy of the trauma were determined based on the medical interview (low-energy or other (medium to high) trauma). The average follow-up time was 35 months (min.24-max.55). Patients with isolated ACL rupture were invited for follow-up screenings including physical and ultrasound examinations along with an MRI scan, stress X-Ray, rolimeter test, and Lysholm Knee Scoring Scale and Knee Injury and Osteoarthritis Outcome Score (KOOS) surveys. 24 patients turned up for the follow-up however, only 18 patients/19 knees
(11 women, 8 men) underwent the complete assessment.
Results: Re-injury occurred in 9 cases (14,5%): 3 men < 20 y.o. playing soccer; in 6 (10%) cases
a single-stage revision surgery was done using BPtB graft. The mean Lysholm scale score was 95 (85-100) whereas KOOS score was 91 (84-95). 12 cases were defined as low-energy injury. In 15 cases Lachman test indicated a clear end point. Positive pivot shift was recorded in 2 cases. Statistical analysis (Spearman´s correlation test; p < 0.05) revealed that low energy injury mechanism of ACL rupture correlates negatively with positive pivot shift test and trauma energy was usually lower in older patients ( and the ACL was often ruptured proximally.
Conclusions: The analysis combined with authors' observations and experience indicates that ACLr using reinforced tape works better in older patients who suffered a low-energy injury, while the procedure is not recommended to young soccer players.
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