2025 ISAKOS Biennial Congress ePoster
Good Results With Low Failure Rate And High Patients’ Satisfaction After Selective Bundle Anterior Cruciate Ligament (ACL) Reconstruction For Partial Tears At Average 13-Years Follow-Up
Nicola Pizza, MD SPAIN
Pietro Conte, MD, Milano, Milano ITALY
Marco Concha, MD, Lima PERU
Francisco J. Simón-Sánchez, MD SPAIN
Maximiliano Ibañez, MD, Barcelona SPAIN
Raúl Torres-Claramunt, PhD, Barcelona SPAIN
Michael E. Hantes, MD, PhD, Prof., Larissa GREECE
Alexandros Saridis, MD, LARISSA GREECE
Simone Perelli, MD,PhD, Barcelona SPAIN
Joan Carles Monllau, MD, PhD, Prof., Barcelona, Barcelona SPAIN
Knee and Arthroscopy Unit ICATKnee, ICATME, Hospital Universitari Dexeus, Barcelona, Catalunya, SPAIN
FDA Status Not Applicable
Summary
Long-term results of selective bundle ACL reconstruction for partial ACL tears
ePosters will be available shortly before Congress
Abstract
Purpose
was to report the outcomes, satisfaction rates and survivorship of a cohort of patients treated with a selective bundle ACL reconstruction of a partial tear evaluating functional results as well as failure and satisfaction rates at long term follow up. The hypothesis was that good clinical results, high satisfaction and low failure rates could be obtained.
Methods
Patients treated with selective ACL bundle reconstruction between October 2008
and October 2011 in two institution were studied. Functional assessment was performed with the objective International Knee Documentation Committee (IKDC) ligament evaluation form, the Lysholm knee scale and the Tegner activity level scale.
Results
52 patients were available for follow up. The average follow-up period was 13 years (12-17). 22 had anteromedial bundle tears and 30 had posterolateral bundle tears. On average a significant improvement was obtained from pre-surgery to last follow-up for Lysholm (pre-surg 64.09 ; last follow-up 88.78 ; p<0.001) and subjective IKDC (pre-surg 56.45 ; last-follow-up 84.87 ; p<0.001). The same or no more than one level lower Tegner score was restored in 97.3% of the cases. 3 patients underwent ACL revision surgery in the first-year post-surgery and 3 patients reported subjective instability accounting for a cumulative failure rate of 11.5% (6/52) and 5.7% of dissatisfied patients (3/52).
Conclusion
Selective ACL bundle reconstruction for partial ACL tears enable good to excellent results with high satisfaction and low revision rate at long-term follow-up (minimum 10 years, mean 13 years).