A composite test 6 months after an Anterior Cruciate Ligament Reconstruction cannot predict graft failure: A prospective analysis of 498 patients with a mean 5-year follow-up from MERIScience cohort.
Thibault Marty-Diloy, Pierre Laboudie, Clément Cazemajou, Nicolas Graveleau, Nicolas Bouguennec
{"title":"A composite test 6 months after an Anterior Cruciate Ligament Reconstruction cannot predict graft failure: A prospective analysis of 498 patients with a mean 5-year follow-up from MERIScience cohort.","authors":"Thibault Marty-Diloy, Pierre Laboudie, Clément Cazemajou, Nicolas Graveleau, Nicolas Bouguennec","doi":"10.1016/j.otsr.2025.104434","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to investigate a correlation between various components of the composite test and graft failure at mid-term follow up after an Anterior Cruciate Ligament (ACL) reconstruction.</p><p><strong>Methods: </strong>This single-center study includes patients who underwent primary ACL reconstruction surgery and received an identical 6-months postoperative composite evaluation at the institution (isokinetic tests, jump tests and ACL - Return to Sport and Injury (RSI) psychological evaluation) between 2017 and 2020. To be eligible, a minimum follow-up period of 3 years was necessary, with evaluations conducted at the longest follow-up interval to assess the rates of graft failure.</p><p><strong>Results: </strong>Overall, 498 patients were analyzed, with a mean follow-up of 4.9 ± 1.23 years. The overall ACL graft failure rate was 5.4% (27 patients). The mean ACL-RSI at 6 months was 64.9 ± 19.4% for patients without graft failure, compared to 60.8 ± 16.3% for patients who experienced graft failure. No statistically significant difference was observed between the two groups (p > 0.05). There was no statistically significant between-group difference for any of the other composite test items (p > 0.05).</p><p><strong>Conclusion: </strong>The composite test performed 6 months after an ACL reconstruction was not predictive of the risk of graft failure. Although it can be used to guide recovery and re-athletization, other predictive factors for the risk of graft failure, or a modification of the test items, should be considered for post-operative follow-up and evaluation after ACL reconstruction. Doctors should strive to readjust patients' expectations of these composite tests, which appear to be useful only for assessing a return to sport.</p><p><strong>Level of evidence: </strong>IV; Case-control study.</p>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":" ","pages":"104434"},"PeriodicalIF":2.2000,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orthopaedics & Traumatology-Surgery & Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.otsr.2025.104434","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: The aim of this study was to investigate a correlation between various components of the composite test and graft failure at mid-term follow up after an Anterior Cruciate Ligament (ACL) reconstruction.
Methods: This single-center study includes patients who underwent primary ACL reconstruction surgery and received an identical 6-months postoperative composite evaluation at the institution (isokinetic tests, jump tests and ACL - Return to Sport and Injury (RSI) psychological evaluation) between 2017 and 2020. To be eligible, a minimum follow-up period of 3 years was necessary, with evaluations conducted at the longest follow-up interval to assess the rates of graft failure.
Results: Overall, 498 patients were analyzed, with a mean follow-up of 4.9 ± 1.23 years. The overall ACL graft failure rate was 5.4% (27 patients). The mean ACL-RSI at 6 months was 64.9 ± 19.4% for patients without graft failure, compared to 60.8 ± 16.3% for patients who experienced graft failure. No statistically significant difference was observed between the two groups (p > 0.05). There was no statistically significant between-group difference for any of the other composite test items (p > 0.05).
Conclusion: The composite test performed 6 months after an ACL reconstruction was not predictive of the risk of graft failure. Although it can be used to guide recovery and re-athletization, other predictive factors for the risk of graft failure, or a modification of the test items, should be considered for post-operative follow-up and evaluation after ACL reconstruction. Doctors should strive to readjust patients' expectations of these composite tests, which appear to be useful only for assessing a return to sport.
期刊介绍：
Orthopaedics & Traumatology: Surgery & Research (OTSR) publishes original scientific work in English related to all domains of orthopaedics. Original articles, Reviews, Technical notes and Concise follow-up of a former OTSR study are published in English in electronic form only and indexed in the main international databases.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
