title: Return to sports and functional results after revision anterior cruciate ligament reconstruction by fascia lata autograft.
abstract: The surgical revision rate following anterior cruciate ligament (ACL) surgery is 3% at 2 years and 4% at 5 years. Revision ACL surgery raises the question of the type of graft to be used. The present study assessed return to sports and functional results after revision ACL reconstruction by fascia lata graft. The hypothesis was that fascia lata provides a reliable graft in revision ACL surgery.
  
  
  
  A single-center retrospective continuous study included 30 sports players with a mean age of 26.8±8 years undergoing surgical revision for iterative ACL tear between 2004 and 2013. Multi-ligament lesions were excluded. Type and level of sports activity were assessed preoperatively, after primary surgery and at end of follow-up. Clinical assessment used subjective IKDC, Lysholm and KOOS scores.
  
  
  
  At a mean 4.6±1.6 years' follow-up, all patients had resumed sport activity, but only 12 with the same sport at the same level. Median subjective IKDC score increased from 57 [54.3; 58.5] preoperatively to 82 [68.3; 90] at last follow-up, and Lysholm score from 46 [42.3; 51] to 90.5 [80.8; 96.8]; KOOS score at last follow-up was 94.7 [83; 100].
  
  
  
  Functional results in revision ACL reconstruction by fascia lata graft were satisfactory, with similar return-to-sports rates as with other techniques. Fascia lata provides a reliable graft in revision ACL surgery.
  
  
  
  IV, retrospective study.
authors.affiliation: Département de Chirurgie Orthopédique et Traumatologie du Sport, Groupe Hospitalier Pitié-Salpêtrière-Charles Foix, Assistance Publique-Hôpitaux de Paris (APHP), Paris, France. Electronic address: gmirouse@gmail.com.
authors.forename: G
authors.initials: G
authors.lastname: Mirouse
authors.affiliation: Département de Chirurgie Orthopédique et Traumatologie du Sport, Groupe Hospitalier Pitié-Salpêtrière-Charles Foix, Assistance Publique-Hôpitaux de Paris (APHP), Paris, France.
authors.forename: R
authors.initials: R
authors.lastname: Rousseau
authors.affiliation: Département de Chirurgie Orthopédique et Traumatologie du Sport, Groupe Hospitalier Pitié-Salpêtrière-Charles Foix, Assistance Publique-Hôpitaux de Paris (APHP), Paris, France.
authors.forename: L
authors.initials: L
authors.lastname: Casabianca
authors.affiliation: Département de Chirurgie Orthopédique et Traumatologie du Sport, Groupe Hospitalier Pitié-Salpêtrière-Charles Foix, Assistance Publique-Hôpitaux de Paris (APHP), Paris, France.
authors.forename: M A
authors.initials: MA
authors.lastname: Ettori
authors.affiliation: Département de Biostatistiques, de Santé Publique et d'Information Médicale, Groupe Hospitalier Pitié-Salpêtrière-Charles Foix, Assistance Publique-Hôpitaux de Paris (APHP), Paris, France.
authors.forename: B
authors.initials: B
authors.lastname: Granger
authors.affiliation: Département de Chirurgie Orthopédique et Traumatologie du Sport, Groupe Hospitalier Pitié-Salpêtrière-Charles Foix, Assistance Publique-Hôpitaux de Paris (APHP), Paris, France.
authors.forename: H
authors.initials: H
authors.lastname: Pascal-Moussellard
authors.affiliation: Département de Chirurgie Orthopédique et Traumatologie du Sport, Groupe Hospitalier Pitié-Salpêtrière-Charles Foix, Assistance Publique-Hôpitaux de Paris (APHP), Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Khiami
mesh_terms: D000293:Adolescent; D000328:Adult; D000070598:Anterior Cruciate Ligament Injuries / Q000503:physiopathology / Q000534:rehabilitation / Q000601:surgery*; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods*; D001265:Athletic Injuries / Q000503:physiopathology / Q000534:rehabilitation / Q000601:surgery*; D005206:Fascia Lata / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D012086:Reoperation / Q000379:methods*; D012189:Retrospective Studies; D000068958:Return to Sport / Q000502:physiology*; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D055815:Young Adult
keywords: Anterior cruciate ligament; Fascia lata; Ligament reconstruction; Return to sports; Revision surgery