CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(04): 432-437
DOI: 10.1055/s-0039-3402461
Artigos Originais
Joelho

Return to Sports after ACL Reconstruction with Resection or Remnant-Preserving Technique[*]

Article in several languages: português | English
1  Grupo do Joelho da Ortocity, SP, Brasil
,
1  Grupo do Joelho da Ortocity, SP, Brasil
2  Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo, São Paulo, SP, Brasil
,
1  Grupo do Joelho da Ortocity, SP, Brasil
,
2  Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo, São Paulo, SP, Brasil
,
1  Grupo do Joelho da Ortocity, SP, Brasil
3  Programa de Pós-Graduação em Saúde e Meio Ambiente, Universidade Metropolitana de Santos Santos, SP, Brasil
,
Aires Duarte  Junior
1  Grupo do Joelho da Ortocity, SP, Brasil
4  Departamento de Ortopedia e Traumatologia, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil
› Author Affiliations

Abstract

Objectives To analyze the results of anterior cruciate ligament (ACL) reconstruction with remnant-preserving versus remnant-resecting technique, concerning the return to pre-lesion activity level.

Methods The present retrospective cohort study has assessed adults > 18 years old who underwent ACL anatomical reconstruction between 2010 and 2014. The main outcomes assessed were: level of physical activity (4-point scale), sports participation rate, ACL rerupture defined as documented lesion requiring revision surgery and the numeric pain scale rate (NPSR).

Results A total of 83 individuals were included in the study, with a mean age of 31.8 years old and follow-up mean time of 4.2 years after the surgery. A total of 34 patients underwent ACL reconstruction with remnant-preserving technique, and 49 without remnant preservation. No statistically significant difference was found between groups in all outcomes assessed: level of physical activity before the lesion and after the surgery, ACL rerupture rates and postoperative pain level. Subgroup analysis has shown a statistically significant decrease in the activity level in both groups. The most practiced sport was football; 72% of patients in the remnant group have resumed football activity versus 52.6% of the control group.

Conclusion Based in these findings, the comparison between ACL reconstruction with remnant preserving technique and remnant resecting technique has shown no differences concerning the return to prelesion activity level.

* Work developed by the Knee Group from Ortocity, São Paulo, SP, Brazil, and the Knee Group, Orthopedics and Traumatology Department, Universidade Federal de São Paulo, São Paulo (UNIFESP/EPM), SP, Brazil.




Publication History

Received: 24 January 2019

Accepted: 21 August 2019

Publication Date:
07 February 2020 (online)

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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