Return to Play of Rugby Players After Anterior Cruciate Ligament Reconstruction Using Hamstring Autograft: Return to Sports and Graft Failure According to Age

Takazawa, Yuji; Ikeda, Hiroshi; Saita, Yoshitomo; Kawasaki, Takayuki; Ishijima, Muneaki; Nagayama, Masataka; Kaneko, Haruka; Kaneko, Kazuo

doi:10.1016/j.arthro.2016.06.009

Cited by 34 publications

(40 citation statements)

References 32 publications

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“…The ACL graft revision rate was 5% after 6 years, in agreement with other studies from the Scandinavian4 5 13 and Kaiser Permanente registries 14. The revision rates in the registries are lower than reported from studies of competitive athletes,9–11 possibly since many of the ACL reconstructions in the registries are performed in recreational athletes with a lower activity level than competitive athletes. The revision rate in this study was about 6% after 10 years.…”

Section: Discussionsupporting

confidence: 87%

“…High ACL graft failure rates for children and adolescents who return to sport (13% graft rupture after mean 6.5 years) have been reported in a systematic review and meta-analysis 10. In rugby players, the ACL graft failure was 16% after a 5-year follow-up period 11. The risk of ACL graft tear may be associated with the type of activity the athletes are engaged in 4.…”

Section: Introductionmentioning

confidence: 99%

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Similar risk of ACL graft revision for alpine skiers, football and handball players: the graft revision rate is influenced by age and graft choice

et al. 2019

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ObjectivesThe risk of graft revision following ACL reconstruction may depend on the sport type the individuals are engaged in. The purpose of this study was to report the ACL graft revision rate in alpine skiers, football and handball players.Materials and methodsPrimary ACL reconstructions and graft revision data from 2004 to December 2016 were obtained from the Norwegian Cruciate Ligament Registry. The graft survival rates were calculated for individuals in each of the three sport types, for bone patellar tendon bone (BPTB) and hamstring tendons (HT) grafts separately, and related to age at primary operation and sex.ResultsA total of 711 grafts in 14 201 primary ACL reconstructions were revised (5.0%) after median 6 years, 3.8% in alpine skiers, 5.0% in soccer and 6.1% in handball players (p<0.001). Adjusted Cox regression showed similar ACL graft survival rates in the three groups. The HR for graft revision was 5 times higher for individuals aged ≤18 years than for those aged ≥35 years (p<0.001). The corresponding HR for graft type was 1.8 times higher for HT than for BPTB grafts (p<0.001), but 2.8 times higher for individuals aged ≤18 years (p<0.001). The 12 years survival of BPTB grafts was 96% compared with 93% for HT grafts (p <0.001).ConclusionThe revision rate for ACL grafts was similar among alpine skiers, football and handball players, and the results support the use of BPTB grafts in young athletes with closed growth zones in the knee.Study designCohort study; level of evidence, 2.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Similar risk of ACL graft revision for alpine skiers, football and handball players: the graft revision rate is influenced by age and graft choice

et al. 2019

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“…Seventy-five studies were included in the systematic review for qualitative synthesis (figure 1), and 54 studies (9624 patients) were appropriate for quantitative synthesis (meta-analysis). The reasons for excluding articles from meta-analysis were clinical diagnosis of meniscal tear only (10 studies35 50–58 and 1 additional study arm24), other ACL surgery than ACL reconstruction (4 studies)59–62 or both (2 studies) 63 64. We excluded studies if there was an unknown number of patients with new meniscal injuries (four studies) 65–68.…”

Section: Resultsmentioning

confidence: 99%

Evidence too weak to guide surgical treatment decisions for anterior cruciate ligament injury: a systematic review of the risk of new meniscal tears after anterior cruciate ligament injury

et al. 2020

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ObjectiveTo investigate the risk of new meniscal tears after treatment for anterior cruciate ligament (ACL) injury, in children and adults with and without ACL reconstruction.DesignPrognosis systematic review (PROSPERO registration number CRD42016036788).MethodsWe searched Embase, Ovid Medline, Cochrane, CINAHL, SPORTDiscus, PEDro and Google Scholar from inception to 3rd May 2018. Eligible articles included patients with ACL injury (diagnosis confirmed by MRI and/or diagnostic arthroscopy), reported the number of meniscal tears at the time of ACL injury diagnosis/start of treatment and reported the number of new meniscal tears that subsequently occurred. Articles with fewer than 20 patients at follow-up, and articles limited to ACL revision surgery or multi-ligament knee injuries were excluded. Two independent reviewers screened articles, assessed eligibility, assessed risk of bias and extracted data. We judged the certainty of evidence using the Grading of Recommendations Assessment Development and Evaluation (GRADE) working group methodology.ResultsOf 75 studies included in the systematic review, 54 studies with 9624 patients and 501 new meniscal tears were appropriate for quantitative analysis. Heterogeneity precluded data pooling. The risk of new meniscal tears was 0%–21% when follow-up was <2 years, 0%–29% when follow-up was 2 to 5 years, 5%–52% when follow-up was 5 to 10 years and 4%–31% when follow-up was longer than 10 years. The proportion of studies with high risk of selection, misclassification and detection bias was 84%, 69% and 68%, respectively. Certainty of evidence was very low.ConclusionNew meniscal tears occurred in 0%–52% of patients between 4 months and 20 years (mean 4.9±4.4 years) following treatment for ACL injury. The certainty of evidence was too low to guide surgical treatment decisions. This review cannot conclude that the incidence of new meniscal tears is lower if ACL injury is treated with surgery compared with treatment with rehabilitation only.

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“…However, Yoshida et al showed that no significant correlations were observed between the SWE modulus and age <40 years in gastrocnemius muscle and tendon (Yoshida et al, ). Moreover, Takazawa et al reported a higher clinical risk of graft failure after ACL reconstruction in patients aged <20 years than in rugby players ≥20 years old (Takazawa et al, ). Herein, subjects who aged 20–39 years were investigated.…”

Section: Discussionmentioning

confidence: 99%

“…ACL reconstruction is usually successful, with satisfactory outcomes in 75%–97% of the patients (Samitier et al, ). Moreover, patients are generally able to return to the preinjury level of their sports capabilities, even for contact sports, such as rugby, after ACL reconstruction using an autograft or allograft (Takazawa et al, ). However, ACL reconstruction still fails in some cases (Borchers et al, ; Shelbourne et al, ; Barrett et al, ; Bourke et al, ; Magnussen et al, ; Wasserstein et al, ), and persistent or recurrent instability is the most frequent reason for early revision ACL reconstruction (Shelbourne et al, ; Magnussen et al, ; Wasserstein et al, ; Samitier et al, ).…”

Section: Introductionmentioning

confidence: 99%

A new technique of surgical planning for anterior cruciate ligament reconstruction

et al. 2017

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There is currently no method to quantify the quality of the harvested graft before anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to explore a method for measuring stiffness of the normal tendon of the semitendinosus muscle using shear wave elastography (SWE). Our investigation comprised two steps. First, we determined orientation of the semitendinosus tendon fibers in 20 lower legs of embalmed cadavers. Second, we investigated the feasibility of quantifying stiffness of the normal semitendinosus tendon by SWE in 24 subjects (48 legs: 24 male and 24 female subjects) in vivo. Measured values were compared between male and female subjects. The point at the intersection of the semitendinosus tendon with the axial section through the center of the patella mostly was the middle of the semitendinosus tendon in the cadavers. The SWE modulus in all of the subjects could be measured on this point in vivo. The SWE modulus of males and females were 474.0 ± 71.9 kPa and 396.9 ± 104.5 kPa, respectively. The SWE modulus of males was significantly larger than that of females (P < 0.01). This study demonstrates that stiffness of the tendon of the semitendinosus muscle can be measured by SWE. It also shows that tendon of the semitendinosus muscle in males is stiffer than in females. Clin. Anat. 31:404-408, 2018. © 2017 Wiley Periodicals, Inc.

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Return to Play of Rugby Players After Anterior Cruciate Ligament Reconstruction Using Hamstring Autograft: Return to Sports and Graft Failure According to Age

Cited by 34 publications

References 32 publications

Similar risk of ACL graft revision for alpine skiers, football and handball players: the graft revision rate is influenced by age and graft choice

Similar risk of ACL graft revision for alpine skiers, football and handball players: the graft revision rate is influenced by age and graft choice

Evidence too weak to guide surgical treatment decisions for anterior cruciate ligament injury: a systematic review of the risk of new meniscal tears after anterior cruciate ligament injury

A new technique of surgical planning for anterior cruciate ligament reconstruction

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