medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2016, Number 2

<< Back Next >>

Acta Ortop Mex 2016; 30 (2)

Risk factors and frequency in re-ruptures of the anterior cruciate ligament in adults

Velázquez-Rueda ML, Martínez-Ávila JP, Pérez-Serna AG, Gómez-García F

Language: Spanish
References: 30
Page: 61-66
PDF size: 161.94 Kb.


ABSTRACT

Background: The anterior cruciate ligament (ACL) takes part in the knee’s articular cinematic regulation, which is why its rupture should be repaired as soon as possible. The surgical treatment is targeted to substitute the ruptured ACL with a graft that recreates the anatomical and biomechanical functions. Nevertheless, there are different factors that may produce a second rupture. Objective: To determine the risk factors and frequency of failure in the ACL reconstruction. Material and methods: Retrospective study evaluating the frequency and etiology of the failure in the ACL reconstruction in an adult population during a three-year period. Risk factors such as age, gender, trauma background, previous joint injuries, type of the graft previously used, lapse between surgeries, lapse between rupture and surgery and other comorbidities were analyzed. Results: We obtained 34 patients with ACL reconstruction failure and 111 with native ACL rupture (145 patients in total). In the ACL reconstruction failure group, 31 were males with an average age of 33 years, produced by a traumatic mechanism (85.2%) and with other associated injuries (41%). Conclusions: We found a significant statistical association for graft failure with male patients, traumatic mechanism, isolated cartilage lesions or combined articular injuries.


REFERENCES

  1. Forriol F, Maestro A, Vaquero MJ: The anterior cruciate ligament: morphology and function. Trauma Fund MAPFRE. 2008; 19 (Supl. 1): 7-18.

  2. Zantop T, Brucker PU, Vidal A, Zelle BA, Fu FH: Intraarticular rupture pattern of the ACL. Clin Orthop Relat Res. 2007; 454: 48-53.

  3. Cimino F, Volk BS, Setter D: Anterior cruciate ligament injury: diagnosis, management, and prevention. Am Fam Physician. 2010; 82(8): 917-22.

  4. Forriol F, Ripoll PL: La reparación del ligamento cruzado anterior: solución de un problema histórico en el siglo XX. Trauma Fund

  5. MAPFRE. 2012; 23(1): 29-47.

  6. Menetrey J, Duthon VB, Laumonier T, Fritschy D: “Biological failure” of the anterior cruciate ligament graft. Knee Surg Sports Traumatol Arthrosc. 2008; 16(3): 224-31.

  7. Van Dijck RA, Saris DB, Willems JW, Fievez AW: Additional surgery after anterior cruciate ligament reconstruction: can we improve technical aspects of the initial procedure? Arthroscopy. 2008; 24(1): 88-95.

  8. Arriaza-Loureda R, Couceiro-Sánchez G, Burgos-Guerra R: Etiología del fracaso de las ligamentoplastías del LCA. Acta Ortop Gallega. 2006; 2(1): 29-32.

  9. Rincón-Plata GA, Correa-Posada JR, Mejía-González A: Cirugía de revisión para la reconstrucción fallida del ligamento cruzado anterior. Rev Col Or Tra. 2012; 26(3): 177-187.

  10. Mayr R, Rosenberger R, Agraharam D: Revision anterior cruciate ligament reconstruction: an update. Arch Orthop Trauma Surg. 2012; 132(9): 1299-313.

  11. Van Eck CF, Kropf EJ, Romanowski JR, Lesniak BP, Tranovich MJ, van Dijk CN, et al: Factors that influence the intra-articular rupture pattern of the ACL graft following single-bundle reconstruction. Knee Surg Sports Traumatol Arthrosc. 2011; 19(8): 1243-8.

  12. Van Eck CF, Schreiber VM, Liu TT, Fu FH: The anatomic approach to primary, revision and augmentation anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2010; 18(9): 1154-63.

  13. Mae T, Shino K, Miyama T, Shinjo H, Ochi T, Yoshikawa H, et al: Single- versus two-femoral socket anterior cruciate ligament reconstruction technique: Biomechanical analysis using a robotic simulator. Arthroscopy. 2001; 17(7): 708-16.

  14. Woo SL, Kanamori A, Zeminski J, Yagi M, Papageorgiou C, Fu FH: The effectiveness of reconstruction of the anterior cruciate ligament with hamstrings and patellar tendon. A cadaveric study comparing anterior tibial and rotational loads. J Bone Joint Surg Am. 2002; 84-A(6): 907-14.

  15. Cugat-Bertomeu R, Samitier-Solís G, Álvarez-Díaz P, et al: Fracaso de la cirugía del LCA. Trauma Fund MAPFRE. 2008; 19 (Supl. 1): 55-75.

  16. Crawford SN, Waterman BR, Lubowitz JH: Long-term failure of anterior cruciate ligament reconstruction. Arthroscopy. 2013; 29(9): 1566-71.

  17. Kamien PM, Hydrick JM, Replogle WH: Age, graft size, and Tegner activity level as predictors of failure in anterior cruciate ligament reconstruction with hamstring autograft. Am J Sports Med. 2013; 41(8): 1808-12.

  18. MARS Group: Effect of graft choice on the outcome of revision anterior cruciate ligament reconstruction in the Multicenter ACL Revision Study (MARS) Cohort. Am J Sports Med. 2014; 42(10): 2301-10.

  19. Ryan J, Magnussen RA, Cox CL: ACL reconstruction: do outcomes differ by sex? A systematic review. J Bone Joint Surg Am. 2014; 96(6): 507-12.

  20. Wasserstein D, Khoshbin A, Dwyer T, Chahal J, Gandhi R, Mahomed Net al: Risk factors for recurrent anterior cruciate ligament reconstruction: a population study in Ontario, Canada, with 5-year follow-up. Am J Sports Med. 2013; 41(9): 2099-107.

  21. Andernord D, Desai N, Björnsson H, Ylander M, Karlsson J, Samuelsson K: Patient predictors of early revision surgery after anterior cruciate ligament reconstruction: a cohort study of 16,930 patients with 2-year follow-up. Am J Sports Med. 2015; 43(1): 121-7.

  22. Maletis GB, Inacio MC, Desmond JL: Reconstruction of the anterior cruciate ligament: association of graft choice with increased risk of early revision. Bone Joint J. 2013; 95-B(5): 623-8.

  23. Ma Y, Ao YF, Yu JK: Failed anterior cruciate ligament reconstruction: analysis of factors leading to instability after primary surgery. Chin Med J (Engl). 2013; 126(2): 280-5.

  24. Wegrzyn J, Chouteau J, Philippot R, Fessy MH, Moyen B: Repeat revision of anterior cruciate ligament reconstruction: a retrospective review of management and outcome of 10 patients with an average 3-year follow-up. Am J Sports Med. 2009; 37(4): 776-85.

  25. Smith TO, Davies L, Hing CB: Early versus delayed surgery for anterior cruciate ligament reconstruction: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2010; 18(3): 304-11.

  26. Andernord D, Karlsson J, Musahl V, Bhandari M, Fu FH, Samuelsson K: Timing of surgery of the anterior cruciate ligament. Arthroscopy. 2013; 29(11): 1863-71.

  27. Mascarenhas R, Erickson BJ, Sayegh ET, Verma NN, Cole BJ, Bush-Joseph C, et al: Is there a higher failure rate of allografts compared with autografts in anterior cruciate ligament reconstruction: a systematic review of overlapping meta-analyses. Arthroscopy. 2015; 31(2): 364-72.

  28. Chen JL, Allen CR, Stephens TE, Haas AK, Huston LJ, Wright RW, et al: Differences in mechanisms of failure, intraoperative findings, and surgical characteristics between single- and multiple-revision ACL reconstructions: a MARS cohort study. Am J Sports Med. 2013; 41(7): 1571-8.

  29. Karim A, Pandit H, Murray J, Wandless F, Thomas NP: Smoking and reconstruction of the anterior cruciate ligament. J Bone Joint Surg Br. 2006; 88(8): 1027-31.

  30. Brophy RH, Wright RW, Huston LJ, Nwosu SK; MOON Knee Group, Spindler KP: Factors associated with infection following anterior cruciate ligament reconstruction. J Bone Joint Surg Am. 2015; 97(6): 450-4.




2020     |     www.medigraphic.com