PMID- 37451280
OWN - NLM
STAT- MEDLINE
DCOM- 20240314
LR  - 20240314
IS  - 1938-2480 (Electronic)
IS  - 1538-8506 (Linking)
VI  - 37
IP  - 5
DP  - 2024 Apr
TI  - Primary Anterior Cruciate Ligament Reconstruction with Suture Tape Augmentation: 
      A Case Series of 252 Patients.
PG  - 381-390
LID - 10.1055/a-2129-8893 [doi]
AB  - Anterior cruciate ligament reconstruction (ACLR) using suture tape augmentation 
      to internally brace is a relatively new technique. The primary goal of this study 
      was to prospectively collect patient-reported outcomes (PROs) and surgical 
      history from patients who underwent primary ACLR with internal bracing to 
      determine if internal bracing resulted in a low graft failure rate while 
      maintaining acceptable PROs. A total of 252 patients with a mean age of 23.6 
      years (95% confidence interval [CI]: 22.1-25.1) and a mean follow-up of 37.9 
      months (95% CI: 35.8-40.0) were included in this study. Patients who underwent 
      primary ACLR with internal brace augmentation between July 12, 2016 and July 31, 
      2021 were eligible. A total of 222 patients were contacted via telephone and 
      administered the visual analog scale (VAS), the single assessment numeric 
      evaluation (SANE), the Lysholm knee score scale, and, if applicable, the short 
      version ACL return to sport after injury (SV-ACL-RSI) survey. Additionally, 
      patients were asked to give an updated orthopaedic history. Thirty additional 
      patients were included from either our institution's registry or by completing 
      their surveys in-office or by e-mail. The minimal clinically important difference 
      (MCID) and patient-acceptable symptom states (PASS) were calculated based on our 
      patient population and applied to each individual patient. The patients' 
      electronic health record (EHR) was searched for pre- and postoperative clinical 
      data including KT-1000 arthrometer measurements. Two patients (0.8%) had 
      subsequent graft failures and one patient (0.4%) required a revision surgery. 
      MCID was achieved in 242 patients (96.0%) for the Lysholm, 227 patients (90.1%) 
      for the SANE, and 146 patients (57.9%) for the VAS. PASS was achieved in 214 
      patients (84.9%) for the Lysholm, 198 patients (78.6%) for the SANE, and 199 
      (80.0%) patients for the VAS, postoperatively. Of note, 65 patients (25.8%) 
      exceeded the PASS threshold for the VAS preoperatively. A total of 127 patients 
      (84.4%) met the cutoff of >/=60/100 for the SV-ACL-RSI survey postoperatively. 
      Postoperative KT-1000 measurements showed near-identical side-to-side differences 
      at both the 13.6-kg pull and manual maximum pull. When stratifying patients based 
      on age at the time of surgery, it was noted that patients younger than 25 years 
      had significantly higher SANE scores (91.6 [95% CI: 90.2-92.9] vs. 82.6 [95% CI: 
      79.0-86.2]; p < 0.0001) and lower VAS pain scores (0.7 [95% CI: 0.5-0.8] vs. 1.2 
      [95% CI: 0.8-1.5]; p = 0.004). Primary ACLR with internal bracing led to 
      acceptable patient outcomes and a graft failure rate of less than 1%. LEVEL OF 
      EVIDENCE:: case series, IV.
CI  - Thieme. All rights reserved.
FAU - Daniel, Adam V
AU  - Daniel AV
AUID- ORCID: 0000-0002-2367-2702
AD  - Department of Orthopaedic Surgery, Columbia Orthopaedic Group, Columbia, 
      Missouri.
FAU - Sheth, Chirag D
AU  - Sheth CD
AD  - Department of Orthopaedic Surgery, University of Missouri-Columbia, Columbia, 
      Missouri.
FAU - Shubert, Daniel J
AU  - Shubert DJ
AD  - Department of Orthopaedic Surgery, University of Missouri-Columbia, Columbia, 
      Missouri.
FAU - Smith, Patrick A
AU  - Smith PA
AUID- ORCID: 0000-0001-6735-1153
AD  - Department of Orthopaedic Surgery, Columbia Orthopaedic Group, Columbia, 
      Missouri.
AD  - Department of Orthopaedic Surgery, University of Missouri-Columbia, Columbia, 
      Missouri.
LA  - eng
PT  - Journal Article
DEP - 20230714
PL  - Germany
TA  - J Knee Surg
JT  - The journal of knee surgery
JID - 101137599
SB  - IM
MH  - Humans
MH  - Young Adult
MH  - Adult
MH  - *Anterior Cruciate Ligament Injuries/surgery
MH  - *Anterior Cruciate Ligament Reconstruction/methods
MH  - Lysholm Knee Score
MH  - Reoperation
MH  - Sutures
COIS- None declared.
EDAT- 2023/07/15 10:42
MHDA- 2024/03/14 06:47
CRDT- 2023/07/14 18:53
PHST- 2024/03/14 06:47 [medline]
PHST- 2023/07/15 10:42 [pubmed]
PHST- 2023/07/14 18:53 [entrez]
AID - 10.1055/a-2129-8893 [doi]
PST - ppublish
SO  - J Knee Surg. 2024 Apr;37(5):381-390. doi: 10.1055/a-2129-8893. Epub 2023 Jul 14.