Activity Level and Graft Type as Risk Factors for Anterior Cruciate Ligament Graft Failure

2009 ◽  
Vol 37 (12) ◽  
pp. 2362-2367 ◽  
Author(s):  
James R. Borchers ◽  
Angela Pedroza ◽  
Christopher Kaeding
Keyword(s):  
Risk Factors ◽  
Anterior Cruciate Ligament ◽  
Graft Failure ◽  
Cruciate Ligament ◽  
Activity Level ◽  
Anterior Cruciate Ligament Graft ◽  
Anterior Cruciate

scholarly journals Geometric Risk Factors Associated With Noncontact Anterior Cruciate Ligament Graft Rupture

2016 ◽  
Vol 44 (10) ◽  
pp. 2537-2545 ◽  
Author(s):  
James G. Levins ◽  
Daniel R. Sturnick ◽  
Erin C. Argentieri ◽  
Mack Gardner-Morse ◽  
Pamela M. Vacek ◽  
...  
Keyword(s):  
Risk Factors ◽  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Anterior Cruciate Ligament Graft ◽  
Factors Associated ◽  
Graft Rupture ◽  
Anterior Cruciate

scholarly journals Risk factors for bilateral anterior cruciate ligament injuries

2015 ◽  
Vol 68 (5-6) ◽  
pp. 192-197 ◽  
Author(s):  
Vladimir Ristic ◽  
Sinisa Ristic ◽  
Mirsad Maljanovic ◽  
Vladimir Djan ◽  
Vukadin Milankov ◽  
...  
Keyword(s):  
Risk Factors ◽  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Activity Level ◽  
The Other ◽  
Ligament Injury ◽  
Concomitant Injuries ◽  
Contralateral Knee ◽  
Anterior Cruciate ◽  
Injured Knee

Introduction. The aim of this study has been to identify which risk factors can influence bilateral anterior cruciate ligament injury. Material and Methods. Thirty-two operated patients took part in this survey during the period of ten years. There were 5 women and 27 men, with average age of 30.46 years (19-55). The respondents filled in the questionnaire by answering the questions regarding the time when getting injured and operated, mechanism of injuries, genetic and anthropometric data, characteristics of sports and every day activities. Results. The incidence of reconstructed bilateral injuries in relation to unilateral ones was 2.3% (50/2168). The age of respondents and side of the injured knee did not correlate significantly with the achieved subjective physical activity level after the second knee surgery. The average time from the first injury to operation was 10 months and 4.3 years since that moment up to the injury of the other knee. It took more than 9 months on average until the reconstruction of contralateral anterior cruciate ligament. The most of athletes were injured in football matches. Three-quarters of athletes returned to competition activities after the first operation, which caused the same injury of the contralateral knee. Discussion and Conclusion. Anterior cruciate ligament rupture of the contralateral knee most often occurs in young active athletes within the first four years after the initial reconstruction. Its frequency is not affected by sex, side of extremity, genetic predisposition, type of sport, concomitant injuries and the choice of graft. Returning to the same or higher level of sports activities after the first reconstruction is one of the preconditions for injuring the other knee in the same way.

Anterior Cruciate Ligament Graft Failure

2011 ◽  
Vol 39 (10) ◽  
pp. 2194-2198 ◽  
Author(s):  
Austin M. Barrett ◽  
Jason A. Craft ◽  
William H. Replogle ◽  
Josie M. Hydrick ◽  
Gene R. Barrett
Keyword(s):  
Anterior Cruciate Ligament ◽  
Graft Failure ◽  
Cruciate Ligament ◽  
Anterior Cruciate Ligament Graft ◽  
Anterior Cruciate

More Than a 2-Fold Risk of Contralateral Anterior Cruciate Ligament Injuries Compared With Ipsilateral Graft Failure 10 Years After Primary Reconstruction

2020 ◽  
Vol 48 (2) ◽  
pp. 310-317 ◽  
Author(s):  
Alberto Grassi ◽  
Luca Macchiarola ◽  
Gian Andrea Lucidi ◽  
Federico Stefanelli ◽  
Mariapia Neri ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Acl Reconstruction ◽  
Graft Failure ◽  
Cruciate Ligament ◽  
Activity Level ◽  
Acl Injuries ◽  
Contralateral Knee ◽  
Acl Revision ◽  
Anterior Cruciate

Background: Failure of anterior cruciate ligament (ACL) reconstruction or an injury to the ACL in the contralateral knee represents a devastating event for patients, especially those young and physically active. However, controversies are still present regarding long-term failure rates and risk factors. Purpose: To assess the long-term rate of ipsilateral graft failure and contralateral ACL injuries after ACL reconstruction performed at a single center using the same surgical technique with a hamstring autograft and to investigate the effect of sex, age, and preinjury activity level as predictors of second ACL injuries. Study Design: Case series; Level of evidence, 4. Methods: The study cohort consisted of 244 consecutive patients (mean age, 30.7 years) who underwent ACL reconstruction with a single bundle plus lateral plasty technique using the hamstring tendon between November 2007 and May 2009. The number of subsequent ACL injuries (ipsilateral ACL revision or contralateral ACL reconstruction) was determined at a minimum follow-up of 10 years. Survivorship of either knee and subgroup analysis included sex, age, preoperative Tegner activity level, timing of ACL reconstruction, body mass index, and smoking status. Results: Ipsilateral ACL revision was performed in 8 (3.4%) patients and contralateral ACL reconstruction in 19 (7.8%) patients. Only 1 patient had both ipsilateral and contralateral injuries. No predictors were found for ipsilateral ACL revision, while age <18 years and preoperative Tegner level ≥7 had a higher risk of contralateral ACL reconstruction. The highest rate of a second ACL reconstruction procedure was in young (<18 years) and active (Tegner ≥7) patients, in whom the 10-year survival of either knee was 61.1%. Six years after primary ACL reconstruction, the rate of contralateral ACL reconstruction was significantly higher than that of ipsilateral ACL revision (hazard ratio, 2.4-3.6). Conclusion: In the long term, a second injury to either the ipsilateral or the contralateral knee in young and active populations could reach 40%, with a more than double-fold risk of contralateral ACL reconstruction compared with ipsilateral ACL revision.

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