Return to Sport after ACL Surgery: A Comparison between Two Different Reconstructive Techniques

Matteo Baldassarri, Luca Perazzo, Diego Ghinelli, Marco Ricciarelli, Federico Pilla, Roberto Buda

Research output: Contribution to journalArticle

Abstract

The anterior cruciate ligament reconstruction (ACLR) has become a very common surgical procedure. One of the main success indicators of the surgical procedure is the return to preinjury sporting level. In recent years, reconstructive techniques have been geared toward less morbidity and optimized ligaments process to speed up the recovery of sports activity. This study compares clinical and imaging data, to evaluate the timing of return to sport, of two populations undergoing ACLR using two different techniques: ACLR with hamstring maintaining tibial insertion (MHG) and an all-inside technique with complete hamstring detachment (DHG). Patients were clinically evaluated with Marx rating scale, International Knee Documentation Committee (IKDC) score, and Tegner activity scale at a minimum follow-up (FU) of 4 years. The two groups have homogeneous characteristics: age, sex, type, and level of sports activity. Since November 2012, 59 patients with unilateral ACL insufficiency underwent ACLR: 31 patients using the MHG technique and 28 patients using the DHG technique. In both groups, a significant improvement in the clinical scores of the administered tests was observed. The MHG group reported a higher percentage of normal knees (83.8%) compared with the DHG group (78.6%). IKDC subjective score improved at each FU. Comparing the two techniques, at 12 months' FU the MHG group achieved better IKDC results (89.6) compared with the DHG technique (84.2). Marx and Tegner score values improved over time reaching comparable results at final FU. At final FU, 98% of patients returned to the same preinjury professional sporting level. Both techniques have been able to provide good clinical results. The MHG group, however, had a resumption of sports activity of the same level and intensity slightly longer (6.3 months) than that in the DHG group (5.9 months). Furthermore, the resumption of training and athletic gestures for the type of sport practiced was earlier than the DHG group. However, in the long run the level of sporting activity leveled in both groups, demonstrating the effectiveness of both techniques.

Original languageEnglish
Pages (from-to)1-6
Number of pages6
JournalJournal of Knee Surgery
DOIs
Publication statusE-pub ahead of print - May 23 2018

Fingerprint

Anterior Cruciate Ligament Reconstruction
Sports
Knee
Documentation
Gestures
Ligaments
Sex Characteristics
Return to Sport
Morbidity
Population

Keywords

  • anterior cruciate ligament
  • knee
  • sport return

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Return to Sport after ACL Surgery: A Comparison between Two Different Reconstructive Techniques. / Baldassarri, Matteo; Perazzo, Luca; Ghinelli, Diego; Ricciarelli, Marco; Pilla, Federico; Buda, Roberto.

In: Journal of Knee Surgery, 23.05.2018, p. 1-6.

Research output: Contribution to journalArticle

Baldassarri, Matteo ; Perazzo, Luca ; Ghinelli, Diego ; Ricciarelli, Marco ; Pilla, Federico ; Buda, Roberto. / Return to Sport after ACL Surgery: A Comparison between Two Different Reconstructive Techniques. In: Journal of Knee Surgery. 2018 ; pp. 1-6.
@article{d86ca8be08254c46a792776819d0d7c7,
title = "Return to Sport after ACL Surgery: A Comparison between Two Different Reconstructive Techniques",
abstract = "The anterior cruciate ligament reconstruction (ACLR) has become a very common surgical procedure. One of the main success indicators of the surgical procedure is the return to preinjury sporting level. In recent years, reconstructive techniques have been geared toward less morbidity and optimized ligaments process to speed up the recovery of sports activity. This study compares clinical and imaging data, to evaluate the timing of return to sport, of two populations undergoing ACLR using two different techniques: ACLR with hamstring maintaining tibial insertion (MHG) and an all-inside technique with complete hamstring detachment (DHG). Patients were clinically evaluated with Marx rating scale, International Knee Documentation Committee (IKDC) score, and Tegner activity scale at a minimum follow-up (FU) of 4 years. The two groups have homogeneous characteristics: age, sex, type, and level of sports activity. Since November 2012, 59 patients with unilateral ACL insufficiency underwent ACLR: 31 patients using the MHG technique and 28 patients using the DHG technique. In both groups, a significant improvement in the clinical scores of the administered tests was observed. The MHG group reported a higher percentage of normal knees (83.8{\%}) compared with the DHG group (78.6{\%}). IKDC subjective score improved at each FU. Comparing the two techniques, at 12 months' FU the MHG group achieved better IKDC results (89.6) compared with the DHG technique (84.2). Marx and Tegner score values improved over time reaching comparable results at final FU. At final FU, 98{\%} of patients returned to the same preinjury professional sporting level. Both techniques have been able to provide good clinical results. The MHG group, however, had a resumption of sports activity of the same level and intensity slightly longer (6.3 months) than that in the DHG group (5.9 months). Furthermore, the resumption of training and athletic gestures for the type of sport practiced was earlier than the DHG group. However, in the long run the level of sporting activity leveled in both groups, demonstrating the effectiveness of both techniques.",
keywords = "anterior cruciate ligament, knee, sport return",
author = "Matteo Baldassarri and Luca Perazzo and Diego Ghinelli and Marco Ricciarelli and Federico Pilla and Roberto Buda",
year = "2018",
month = "5",
day = "23",
doi = "10.1055/s-0038-1653948",
language = "English",
pages = "1--6",
journal = "Journal of Knee Surgery",
issn = "1538-8506",
publisher = "Thieme Medical Publishers",

}

TY - JOUR

T1 - Return to Sport after ACL Surgery: A Comparison between Two Different Reconstructive Techniques

AU - Baldassarri, Matteo

AU - Perazzo, Luca

AU - Ghinelli, Diego

AU - Ricciarelli, Marco

AU - Pilla, Federico

AU - Buda, Roberto

PY - 2018/5/23

Y1 - 2018/5/23

N2 - The anterior cruciate ligament reconstruction (ACLR) has become a very common surgical procedure. One of the main success indicators of the surgical procedure is the return to preinjury sporting level. In recent years, reconstructive techniques have been geared toward less morbidity and optimized ligaments process to speed up the recovery of sports activity. This study compares clinical and imaging data, to evaluate the timing of return to sport, of two populations undergoing ACLR using two different techniques: ACLR with hamstring maintaining tibial insertion (MHG) and an all-inside technique with complete hamstring detachment (DHG). Patients were clinically evaluated with Marx rating scale, International Knee Documentation Committee (IKDC) score, and Tegner activity scale at a minimum follow-up (FU) of 4 years. The two groups have homogeneous characteristics: age, sex, type, and level of sports activity. Since November 2012, 59 patients with unilateral ACL insufficiency underwent ACLR: 31 patients using the MHG technique and 28 patients using the DHG technique. In both groups, a significant improvement in the clinical scores of the administered tests was observed. The MHG group reported a higher percentage of normal knees (83.8%) compared with the DHG group (78.6%). IKDC subjective score improved at each FU. Comparing the two techniques, at 12 months' FU the MHG group achieved better IKDC results (89.6) compared with the DHG technique (84.2). Marx and Tegner score values improved over time reaching comparable results at final FU. At final FU, 98% of patients returned to the same preinjury professional sporting level. Both techniques have been able to provide good clinical results. The MHG group, however, had a resumption of sports activity of the same level and intensity slightly longer (6.3 months) than that in the DHG group (5.9 months). Furthermore, the resumption of training and athletic gestures for the type of sport practiced was earlier than the DHG group. However, in the long run the level of sporting activity leveled in both groups, demonstrating the effectiveness of both techniques.

AB - The anterior cruciate ligament reconstruction (ACLR) has become a very common surgical procedure. One of the main success indicators of the surgical procedure is the return to preinjury sporting level. In recent years, reconstructive techniques have been geared toward less morbidity and optimized ligaments process to speed up the recovery of sports activity. This study compares clinical and imaging data, to evaluate the timing of return to sport, of two populations undergoing ACLR using two different techniques: ACLR with hamstring maintaining tibial insertion (MHG) and an all-inside technique with complete hamstring detachment (DHG). Patients were clinically evaluated with Marx rating scale, International Knee Documentation Committee (IKDC) score, and Tegner activity scale at a minimum follow-up (FU) of 4 years. The two groups have homogeneous characteristics: age, sex, type, and level of sports activity. Since November 2012, 59 patients with unilateral ACL insufficiency underwent ACLR: 31 patients using the MHG technique and 28 patients using the DHG technique. In both groups, a significant improvement in the clinical scores of the administered tests was observed. The MHG group reported a higher percentage of normal knees (83.8%) compared with the DHG group (78.6%). IKDC subjective score improved at each FU. Comparing the two techniques, at 12 months' FU the MHG group achieved better IKDC results (89.6) compared with the DHG technique (84.2). Marx and Tegner score values improved over time reaching comparable results at final FU. At final FU, 98% of patients returned to the same preinjury professional sporting level. Both techniques have been able to provide good clinical results. The MHG group, however, had a resumption of sports activity of the same level and intensity slightly longer (6.3 months) than that in the DHG group (5.9 months). Furthermore, the resumption of training and athletic gestures for the type of sport practiced was earlier than the DHG group. However, in the long run the level of sporting activity leveled in both groups, demonstrating the effectiveness of both techniques.

KW - anterior cruciate ligament

KW - knee

KW - sport return

UR - http://www.scopus.com/inward/record.url?scp=85047291955&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85047291955&partnerID=8YFLogxK

U2 - 10.1055/s-0038-1653948

DO - 10.1055/s-0038-1653948

M3 - Article

SP - 1

EP - 6

JO - Journal of Knee Surgery

JF - Journal of Knee Surgery

SN - 1538-8506

ER -