Lower anxiety level to perform movements after revision anterior cruciate ligament reconstruction with lateral extra-articular tenodesis compared to without lateral extra-articular tenodesis

• Published in: Musculoskeletal surgery Vol. 108; no. 2; pp. 225 - 230
• Main Authors: Vendrig, T., Keizer, M. N. J., Brouwer, R. W., Houdijk, H., Hoogeslag, R. A. G.
• Format: Journal Article
• Language: English
• Published: Milan Springer Milan 2024; Springer Nature B.V
• Subjects: Adolescent; Adult; Anterior Cruciate Ligament Injuries - surgery; Anterior Cruciate Ligament Reconstruction - methods; Anxiety; Anxiety - etiology; Female; Follow-Up Studies; Humans; Male; Medicine; Medicine & Public Health; Middle Aged; Movement; Original; Original Article; Orthopedics; Reoperation; Retrospective Studies; Surgical Orthopedics; Surveys and Questionnaires; Tenodesis - methods; Treatment Outcome; Young Adult; Kinesiophobia; Iliotibial band; Revision ACL reconstruction; Anxiety; Lateral extra-articular tenodesis; Fear of reinjury
• ISSN: 2035-5106; 2035-5114
• DOI: 10.1007/s12306-024-00818-0

Purpose To evaluate the anxiety level to perform movements in patients after revision anterior cruciate ligament reconstruction (ACLR) combined with lateral extra-articular tenodesis (LET) compared to patients after revision ACLR without LET. Methods Ninety patients who underwent revision ACLR with ipsilateral bone-patellar tendon-bone autograft and with a minimum of 12 months follow-up were included in this study. Patients were divided into two groups: patients who received revision ACLR in combination with LET (revision ACLR_LET group; mean follow-up: 29.4 months, range: 12–80 months), and patients who received revision ACLR without LET (revision ACLR group; mean follow-up: 61.1 months, range: 22–192 months). All patients filled in a questionnaire about anxiety level related to physical activity and sports, the Knee injury and Osteoarthritis Outcome Score (KOOS), the International Knee Documentation Committee subjective form (IKDC subjective ), and the Tegner Activity Score. Results Patients in the revision ACLR_LET group had a significantly lower anxiety level to perform movements than patients in the revision ACLR group ( p  < 0.05). No significant differences were found in KOOS, IKDC subjective , and Tegner Activity Scores. Conclusions Patients who received LET in addition to revision ACLR have a lower anxiety level to perform movements than patients with revision ACLR alone, despite non-different subjective functional outcomes. Study design Retrospective cohort study, Level of evidence: III.