Details of patient populations, follow-up duration, time from primary to revision ACL reconstruction, objective outcomes at final follow-up (objective IKDC, difference of laxity between indexed and healthy knee and pivot-shift test) and return to sport outcomes for each study
Authors and year | Patients | Follow-up duration | Age at revision ACL reconstruction (ACLR) | Time from primary to revision ACL reconstruction (ACLR) | Final IKDC | Final laxity | Final pivot-shift n (%) | Return to sport n (%) |
---|---|---|---|---|---|---|---|---|
Noyes and Barber-Westin (1996)21 | 65 | 3.5 years | 25 years | NA | NA | 3.4±4.8 mm | 34 (52%) negative | 51 (79%) Return to sport |
30 (53%) <3 mm | 24 (37%) grade I | |||||||
17 (30%) 3–5.5 mm | 4 (6%) grade II | |||||||
10 (17%) >5.5 mm | 3 (5%) grade III | |||||||
22 | 2.3 years | 27 years | NA | NA | 1.9±4.4 mm | 12 (60%) negative | 16 (80%) Return to sport | |
12 (66%) <3 mm | 7 (35%) grade I | |||||||
3 (17%) 3–5.5 mm | 1 (5%) grade II | |||||||
3 (17%) >5.5 mm | 0 (0%) grade III | |||||||
Johnson et al (1996)22 | 25 | 2.3 years | 25 years | 30 months | NA | 3.7±3.5 mm | 20 (80%) negative—grade I | 22 (88%) Return to sport |
22 M/3F | 5 (20%) <2.5 mm | 5 (20%) grade II | ||||||
11 (44%) 3–5 mm | 0 (0%) grade III | |||||||
9 (36%) 5.5–10 mm | ||||||||
Noyes and Barber-Westin (2001)23 | 52 knees | 2.8 years | 27 years | NA | NA | 2.2±4.9 mm | NA | 40 (72%) Return to sport |
51 patients | ||||||||
O'Shea and Shelbourne (2002)12 | 11 | 4.1 years | 24 years | 71 months | NA | 1.6±1.2 mm | NA | 11 (100%) Return to sport |
11 (100%) <3 mm | 5.1±2.2 weeks to light sports | |||||||
5.4±1.5 months to full sport | ||||||||
Taggart et al (2004)24 | 20 | 3.4 years | 30 years | 49 months | NA | 3 (15%) <1 mm | 3 (15%) negative | 8 (40%) Same pre-injury sport level |
14 M/6F | 5 (25%) 1–3 mm | 9 (45%) grade I | 6 (30%) Lower level | |||||
5 (25%) 3–5 mm | 4 (20%) grade II | |||||||
7 (35%) >5 mm | 4 (20%) grade III | |||||||
Carson et al (2004)25 | 43 | Minimum 2 years | NA | NA | NA | 2.9 mm | 37 (86%) negative | 12 (28%) Sport without limitation |
20 (47%) <3 mm | 20 (46%) Sport with limitation | |||||||
13 (30%) 3–4 mm | ||||||||
6 (14%) 4–5 mm | ||||||||
4 (9%) >5 mm | ||||||||
O'Neill (2004)26 | 48 | 7.5 years | 33 years | 60 months | 20 (42%) A | 10 (21%) 0 mm | NA | 36 (75%) Same pre-injury sport level |
28 M/20F | 20 (42%) B | 22 (46%) 0–2 mm | 21 (44%) High impact activities | |||||
6 (12%) C | 3 (6%) 2–3 mm | |||||||
2 (4%) D | 10 (21%) 3–5 mm | |||||||
3 (6%) >5 mm | ||||||||
Grossman et al (2005)10 | 29 | 5.6 years | 30.2 years | 56 months | 17 (58%) A | 2.8 mm | 27 (93%) negative | 20 (68%) Same pre-injury sport level |
22 M/7F | 8 (28%) B | 2 (7%) grade I | ||||||
4 (14%) C | 0 (0%) grade II | |||||||
0 (0%) D | 0 (0%) grade III | |||||||
Thomas et al (2005)13 | 49 | 6.2 years | 35.4 years | NA | 12 (24%) A | 1.9±2.4 mm | 43 (88%) negative | 0 (0%) Same pre-injury sport level |
37 M/12F | 28 (58%) B | 46 (94%) 0–2 mm | 5 (10%) grade I | |||||
8 (16%) C | 1 (2%) 3–4 mm | 1 (2%) grade II | ||||||
1 (2%) D | 2 (4%) >5 mm | 0 (0%) grade III | ||||||
Ferretti et al (2006)27 | 28 | 5.0 years | 34 years | 60 months | 15 (53%) A | 2.5±1.8 mm | 15 (54%) negative | 6 (20%) Same pre-injury sport level |
11 (39%) B | 20 (71%) 0–3 mm | 11 (39%) grade I | 9 (30%) Lower level | |||||
2 (8%) C | 6 (21%) 3–5 mm | 2 (7%) grade II | 30 (100%) Return to sport | |||||
0 (0%) D | 2 (8%) >5 mm | 0 (0%) grade III | ||||||
Garofalo et al (2006)28 | 28 | 4.2 years | 27 years | 26 months | 5 (18%) A | 3.1±2.0 mm | 21 (75%) negative | 26 (93%) Same pre-injury sport level |
16 M/12F | 21 (75%) B | 18 (65%) <3 mm | 7 (25%) grade I | 18 (64%) High competitive | ||||
2 (7%) C | 9 (32%) 3–5 mm | 0 (0%) grade II | 6 (21%) Recreational | |||||
0 (0%) D | 1 (3%) 6–10 mm | 0 (0%) grade III | 2 (7%) Light sport | |||||
0 (0%) >10 mm | ||||||||
Noyes and Barber-Westin (2006)29 | 21 | 4.1 years | 33 years | NA | 5 (24%) A | 2.1±2.2 mm | 10 (48%) negative | 15 (71%) Return to sport |
15 M/6F | 11 (52%) B | 8 (38%) <3 mm | 7 (33%) grade I | |||||
3 (14%) C | 7 (33%) 3–5 mm | 3 (14%) grade II | ||||||
2 (10%) D | 4 (19%) >5 mm | 1 (5%) grade III | ||||||
Salmon et al (2006)30 | 50 | 7.4 years | 27 years | 36 months | 33 (73%) A/B | 2.5 mm | 31 (69%) negative | 26 (58%) Return to level I-II activity |
12 (27%) C/D | 17 (50%) <3 mm | 14 (31%) grade I | ||||||
17 (50%) 3–5 mm | 0 (0%) grade II | |||||||
0 (0%) >5 mm | 0 (0%) grade III | |||||||
Battaglia et al (2007)31 | 63 | 6.1 years | 31 years | 61 months | NA | 3.9±2.4 mm | NA | 42 (66%) Return to sport |
36 M/27F | 30 (48%) <3 mm | |||||||
20 (31%) 3–5 mm | ||||||||
10 (21%) >5 mm | ||||||||
Denti et al (2008)32 | 60 | 3.5 years | 31 years | NA | 18 (36%) A | 28 (56%) <3 mm | NA | 47 (78%) Same pre-injury sport level |
23 (46%) B | 17 (34%) 3–5 mm | 8 (14%) Lower level | ||||||
9 (18%) C | 5 (10%) 6–10 mm | 30 (50%) High competitive activities | ||||||
0 (0%) D | 0 (0%) >10 mm | |||||||
Diamantopoulos et al (2008)33 | 107 | 6.0 years | 39 years | 60 months | 79 (74%) A | 0.9±1.1 mm (KT) | 79 (74%) negative | 39 (36%) Same pre-injury sport level |
64 M/43F | 17 (16%) B | 17 (16%) grade I | ||||||
11 (10%) C | 11 (10%) grade II | |||||||
0 (0%) D | 0 (0%) grade III | |||||||
Wegrzyn et al (2009)34 | 10 | 3.2 years | 30 years | 26 months | 4 (40%) A | 1.3±1.9 mm | NA | 1st revision: |
8 M/2F | 5 (50%) B | 9 (90%)<5 mm | 5 (50%) Same pre-injury sport level | |||||
1 (10%) C | 1 (10%) >5 mm | 4 (40%) Lower level | ||||||
0 (0%) D | ||||||||
2nd revision: | ||||||||
2 (20%) Same pre-injury sport level | ||||||||
4 (40%) Lower level | ||||||||
Muneta et al (2010)35 | 21 | 3.3 years | 27 years | NA | NA | 1.7±1.8 mm | 14 (78%) negative | 13 (76%) Same pre-injury sport level |
14 M/7F | 3 (17%) grade I | 18 (86%) Return to sport | ||||||
1 (5%) grade II | ||||||||
0 (0%) grade III | ||||||||
Reinhardt et al (2012)36 | 21 | 3.0 years | 16.9 years | NA | NA | NA | 20 (95%) negative | 11 (52%) Same pre-injury sport level |
1 (5%) grade I | 20 (95%) Return to sport | |||||||
0 (0%) grade II | ||||||||
0 (0%) grade III | ||||||||
Franceschi et al (2013)37 | 30 | 6.8 years | 29.1 years | 34 months | 27 (90%) A/B | 3.1 mm | 25 (83%) Negative | 20 (67%) Same pre-injury sport level |
19 M/11F | 3 (10%) C | 5 (17%) grade I | 7 (25%) Lower activity | |||||
0 (0%) D | 0 (0%) grade II | |||||||
0 (0%) grade III | ||||||||
Gifstad et al (2013)11 | 56 | 7.5 years | 26.5 years | 38 months | NA | 3.3±2.7 mm | 45 (80%) negative—grade I | 7 (13%) Same pre-injury sport level |
25 M/31F | 28 (52%) <3 mm | 11 (20%) grade II-III | ||||||
17 (23%) 3–5 mm | ||||||||
8 (15%) >5 mm | ||||||||
Buda et al (2013)38 | 24 | 3.3 years | NA | NA | 4 (17%) A | 3.1±1.1 mm | 4 (17%) negative | 17 (71%) Same pre-injury sport level |
24 M/0F | 16 (67%) B | 18 (75%) grade I | 3 (13%) Lower level | |||||
2 (8%) C | 2 (8%) grade II | |||||||
2 (8%) D | 0 (0%) grade III | |||||||
Shelbourne et al (2014)39 | 259 | 7.2 years | 22.4 years | NA | NA | 2.3±1.8 mm | NA | 178 (69%) Same pre-injury sport level |
Pre-injury level is referred to the initial injury before primary ACL reconstruction. Values are expressed as the mean or absolute number and percentage, according to variable.
F, females; M, males; IKDC, International Knee Documentation Committee; NA, not applicable.