caa a22 4500 605458286 CHVBK 20210128100228.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00167-015-3702-9 doi (NATIONALLICENCE)springer-10.1007/s00167-015-3702-9 Revision anterior cruciate ligament reconstruction: clinical outcome and evidence for return to sport [Elektronische Daten] [Luca Andriolo, Giuseppe Filardo, Elizaveta Kon, Margherita Ricci, Francesco Della Villa, Stefano Della Villa, Stefano Zaffagnini, Maurilio Marcacci] Purpose: An increasing number of patients undergo revision anterior cruciate ligament (ACL) reconstruction, with the intention of returning to sport being a major indication. The aim of this study is to assess the available evidence for clinical improvement and return to sport, to understand the real potential of this procedure in regaining functional activity, and to facilitate improved counselling of patients regarding the expected outcome after revision ACL reconstruction. Methods: The search was conducted on the PubMed database. Articles reporting clinical results for revision ACL reconstruction were included. A meta-analysis was performed on return to sport, and results were compared to the literature on primary ACL reconstruction. Other specific clinical outcomes (Lysholm, Tegner, IKDC Objective scores) were also included in the meta-analysis. Results: Of the 503 identified records, a total of 59 studies involving 5365 patients were included in the qualitative data synthesis. Only 31 articles reported the rate of return to sport. Whereas 73% of good objective results and satisfactory subjective results were documented, 57% of patients did not return to the same level of sport activity, significantly inferior to that of a primary procedure. Conclusion: The real potential of revision ACL reconstruction should not be overestimated due to the low number of patients able to return to their previous activity level, significantly inferior with respect to that reported for primary ACL reconstruction. This finding will help physicians in the clinical practice providing realistic expectations to the patients. Future studies should focus on participation-based outcome measures such as return to sport and in strategies to improve the results in terms of return to previous activities after revision ACL reconstruction. Level of evidence: Systematic review and meta-analysis including Level IV studies, Level IV. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 Revision ACL nationallicence Meta-analysis nationallicence Clinical outcome nationallicence Return to sport nationallicence Andriolo Luca II Orthopaedic and Traumatologic Clinic - Biomechanics and Technology Innovation Laboratory, Rizzoli Orthopaedic Institute, Via Di Barbiano, 1/10, 40136, Bologna, Italy aut Filardo Giuseppe II Orthopaedic and Traumatologic Clinic - Biomechanics and Technology Innovation Laboratory, Rizzoli Orthopaedic Institute, Via Di Barbiano, 1/10, 40136, Bologna, Italy aut Kon Elizaveta II Orthopaedic and Traumatologic Clinic - Biomechanics and Technology Innovation Laboratory, Rizzoli Orthopaedic Institute, Via Di Barbiano, 1/10, 40136, Bologna, Italy aut Ricci Margherita Isokinetic Medical Group, FIFA Medical Centre of Excellence, Bologna, Italy aut Della Villa Francesco Isokinetic Medical Group, FIFA Medical Centre of Excellence, Bologna, Italy aut Della Villa Stefano Isokinetic Medical Group, FIFA Medical Centre of Excellence, Bologna, Italy aut Zaffagnini Stefano II Orthopaedic and Traumatologic Clinic - Biomechanics and Technology Innovation Laboratory, Rizzoli Orthopaedic Institute, Via Di Barbiano, 1/10, 40136, Bologna, Italy aut Marcacci Maurilio II Orthopaedic and Traumatologic Clinic - Biomechanics and Technology Innovation Laboratory, Rizzoli Orthopaedic Institute, Via Di Barbiano, 1/10, 40136, Bologna, Italy aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/10(2015-10-01), 2825-2845 0942-2056 23:10<2825 2015 23 167 https://doi.org/10.1007/s00167-015-3702-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-015-3702-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Andriolo Luca II Orthopaedic and Traumatologic Clinic - Biomechanics and Technology Innovation Laboratory, Rizzoli Orthopaedic Institute, Via Di Barbiano, 1/10, 40136, Bologna, Italy aut NATIONALLICENCE 700 1- Filardo Giuseppe II Orthopaedic and Traumatologic Clinic - Biomechanics and Technology Innovation Laboratory, Rizzoli Orthopaedic Institute, Via Di Barbiano, 1/10, 40136, Bologna, Italy aut NATIONALLICENCE 700 1- Kon Elizaveta II Orthopaedic and Traumatologic Clinic - Biomechanics and Technology Innovation Laboratory, Rizzoli Orthopaedic Institute, Via Di Barbiano, 1/10, 40136, Bologna, Italy aut NATIONALLICENCE 700 1- Ricci Margherita Isokinetic Medical Group, FIFA Medical Centre of Excellence, Bologna, Italy aut NATIONALLICENCE 700 1- Della Villa Francesco Isokinetic Medical Group, FIFA Medical Centre of Excellence, Bologna, Italy aut NATIONALLICENCE 700 1- Della Villa Stefano Isokinetic Medical Group, FIFA Medical Centre of Excellence, Bologna, Italy aut NATIONALLICENCE 700 1- Zaffagnini Stefano II Orthopaedic and Traumatologic Clinic - Biomechanics and Technology Innovation Laboratory, Rizzoli Orthopaedic Institute, Via Di Barbiano, 1/10, 40136, Bologna, Italy aut NATIONALLICENCE 700 1- Marcacci Maurilio II Orthopaedic and Traumatologic Clinic - Biomechanics and Technology Innovation Laboratory, Rizzoli Orthopaedic Institute, Via Di Barbiano, 1/10, 40136, Bologna, Italy aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/10(2015-10-01), 2825-2845 0942-2056 23:10<2825 2015 23 167