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Publications

Revision Anterior Cruciate Ligament Reconstruction in Pediatric and Adolescent Patients Yields Low Rates of Graft Failure and Good Functional Scores, but Low Rates of Return to Sport

Purpose: To evaluate graft failure rates, patient outcomes, and return-to-sport following revision ACL reconstruction in pediatric and adolescent patients. 

Summary:

  • This study evaluated graft failure rates and functional outcomes of revision ACL reconstruction (ACLR) in pediatric and adolescent populations. 
  • A total of 239 knees were included, with 48% of cases using allografts. 
  • Graft failure rates ranged from 6–12% for autografts and 0–22% for allografts. 


JRF Takeaways: The study demonstrated generally favorable patient-reported outcomes following revision ACL reconstruction, with relatively low graft failure rates. However, return-to-sport rates were modest, highlighting the need for careful graft selection and thorough patient counseling in revision cases to optimize outcomes. 

Click here for complete abstract. 

Authors: Nikolaos K. Paschos, MD, PhD, Kristen Reikersdorfer, BS, Christopher Jayne, MD, Jon Brodeur, BS, Giovanna Medina, MD, PhD, Mark Cote, PT, DPT, MSCTR

Published: The Journal of Arthroscopic and Related Surgery

Institution: Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts and Department of Orthopaedic Surgery, St. Joseph's/Alpine Orthopaedics, Stockton, California. 

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