What predicts ACL revision surgery?

Catherine Logan

September 8th, 2020

Predictors of Revision Surgery After Primary ACL Reconstruction
Source: OJSM first published September 27, 2016

Clinical Purpose: To determine predictors of revision ACL surgery after failed primary ACL reconstruction.

Bottom Line: Overall revision rate following ACL surgery was found to be 8.4%. Univariate analysis showed that younger age at time of surgery (P=.003), sports participation at a competitive level (P=0.23) and a double-bundle ACLR (P=.024) predicted increased risk of revision.

Points to Consider: This study was a case-control study design, level of evidence 3. There were 251 participants with mean age 26.1. Authors investigated many potential predictors, such as age at time of surgery, time from injury to surgery, sex, BMI, concomitant injuries, surgical technique and post-operative course. Data encompasses patients from one regional institution.

Takeaway: Univariate predictors of revision ACLR included younger age at time of surgery, competitive baseline activity level and double-bundle ACLR.

About the Author:
Catherine A. Logan, MD, MBA, MSPT is a sports medicine Orthopaedic Surgeon and writer. Based in Denver, CO, she is an attending at Colorado Sports Medicine & Orthopaedics at Rose Medical Center. Dr. Logan is the Head League Physician for Premier Lacrosse League (PLL) member of the team physician pool for the US Ski & Snowboard teams each year. Dr. Logan completed her Orthopaedic Surgery residency at the Harvard Combined Orthopaedic Residency Program and her Sports Medicine Fellowship training at the prestigious Steadman Philippon Research Institute/The Steadman Clinic in Vail, CO. Logan is also on the board of The Chill Foundation.