Article

The surgical revision rate following anterior cruciate ligament
(ACL) surgery is 3% at 2 years and 4% at 5 years. Revision ACL surgery raises the
question of the type of graft to be used. The present study assessed return to
sports and functional results after revision ACL reconstruction by fascia lata
graft. The hypothesis was that fascia lata provides a reliable graft in revision
ACL surgery. METHODS: A single-center retrospective continuous study
included 30 sports players with a mean age of 26.8+/-8 years undergoing surgical
revision for iterative ACL tear between 2004 and 2013. Multi-ligament lesions
were excluded. Type and level of sports activity were assessed preoperatively,
after primary surgery and at end of follow-up. Clinical assessment used
subjective IKDC, Lysholm and KOOS scores. RESULTS: At a mean 4.6+/-1.6 years'
follow-up, all patients had resumed sport activity, but only 12 with the same
sport at the same level. Median subjective IKDC score increased from 57 [54.3;
58.5] preoperatively to 82 [68.3; 90] at last follow-up, and Lysholm score from
46 [42.3; 51] to 90.5 [80.8; 96.8]; KOOS score at last follow-up was 94.7 [83;
100]. CONCLUSION: Functional results in revision ACL reconstruction by fascia
lata graft were satisfactory, with similar return-to-sports rates as with other
techniques. Fascia lata provides a reliable graft in revision ACL surgery. LEVEL
OF EVIDENCE: IV, retrospective study.
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Langue : FRANCAIS