Objective: To evaluate clinical outcomes and return-to-sport (RTS) rates after arthroscopic all‑inside anterior cruciate ligament (ACL) reconstruction. Methods: A prospective case‑series study on 92 patients with ACL injuries at 199‑Hospital (2022–2025). Functional outcomes were assessed using Lysholm, IKDC 2000, ACL‑RSI, and three functional tests (single‑leg hop, triple crossover hop, quadriceps strength) at 12 and 24 months. Prespecified thresholds: IKDC 2000 ≥85, ACL‑RSI ≥56, limb symmetry index (LSI) for hop tests ≥90%, and for quadriceps strength ≥80%. Results: Excellent/good Lysholm scores were achieved in 96.7% at 24 months. Actual RTS rates were 45.7% (42/92) at 12 months and 63.0% (58/92) at 24 months. Only 16.3% met all five thresholds. In logistic regression, IKDC 2000 (OR=4.1; p=0.002) and ACL‑RSI (OR=4.8; p=0.001) were the strongest independent predictors. Conclusion: The all‑inside technique yields good clinical outcomes. The proportion of patients meeting all RTS criteria at 12 months remains low, particularly in quadriceps strength and psychology, requiring prolonged individualized rehabilitation.
EVALUATION OF CLINICAL OUTCOMES AND RETURN TO SPORT FOLLOWING ARTHROSCOPIC ACL RECONSTRUCTION AT HOSPITAL 199
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Keywords
anterior cruciate ligament; reconstruction; all‑inside technique; return to sport; ACL‑RSI.
Abstract
References
[1]
[1] D’Ambrosi, R., Carrozzo, A., Monaco, E., Meena, A., Sconfienza, L. M., Herbst, E., Abermann, E., & Fink, C. (2025). Slower but Not Safer: A Systematic Review and Meta-Analysis of Return to Play and Graft Re-Rupture After ACL Reconstruction in Professional Soccer Players. Sports Medicine-Open, 11(1), 157.
Google Scholar
[2]
[2] Đỗ, Q. C., Đào, Q. H., Đỗ, T. H., Phạm, T. T., & Bùi, C. S. (2022). Kết quả điều trị nội soi tái tạo dây chằng chéo trước khớp gối bằng phương pháp tất cả bên trong tại Bệnh viện Quân y 175. Tạp chí Y học Việt Nam, 513(1).
Google Scholar
[3]
[3] Elliott, D. A., Gill, S. S., & Gupte, C. M. (2025). Are There Sex Disparities in Return to Sport After Anterior Cruciate Ligament Reconstruction? A Systematic Review and Exploratory Meta-analysis. The American journal of sports medicine, 03635465261448489.
Google Scholar
[4]
[4] Gokeler, A., Dingenen, B., Mouton, C., & Seil, R. (2017). Clinical course and recommendations for patients after anterior cruciate ligament injury and subsequent reconstruction: a narrative review. EFORT Open Reviews, 2(10), 410-420.
Google Scholar
[5]
[5] Grindem, H., Snyder-Mackler, L., Moksnes, H., Engebretsen, L., & Risberg, M. A. (2016). Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study. British journal of sports medicine, 50(13), 804-808.
Google Scholar
[6]
[6] Kumar, R., Singh, V., & Reddy, T. O. (2025). Optimizing return to sports after anterior cruciate ligament reconstruction: A multi-factorial umbrella review on rehabilitation strategies. Journal of Clinical Orthopaedics and Trauma, 103176.
Google Scholar
[7]
[7] Liu, C., Liu, H., Sun, Z., Jiang, X., & Liu, B. (2026). Comparison of gait characteristics at different postoperative phases following anterior cruciate ligament reconstruction. BMC Sports Science, Medicine & Rehabilitation, 18(1), 157-157.
Google Scholar
[8]
[8] Nawasreh, Z., Logerstedt, D., Cummer, K., Axe, M., Risberg, M. A., & Snyder-Mackler, L. (2018). Functional performance 6 months after ACL reconstruction can predict return to participation in the same preinjury activity level 12 and 24 months after surgery. British journal of sports medicine, 52(6), 375-375.
Google Scholar
[9]
[9] Nordenvall, R., Bahmanyar, S., Adami, J., Stenros, C., Wredmark, T., & Felländer-Tsai, L. (2012). A population-based nationwide study of cruciate ligament injury in Sweden, 2001-2009: incidence, treatment, and sex differences. The American journal of sports medicine, 40(8), 1808-1813.
Google Scholar
[10]
[10] Okutan, A. E., Kehribar, L., Putnis, S. E., Gürün, E., & Mahiroğulları, M. (2026). All-inside ACL reconstruction offers no advantage in clinical outcomes, graft healing, or tunnel widening compared with the complete tibial tunnel technique: a prospective randomized trial. Clinical Orthopaedics and Related Research®, 484(1), 149-161.
Google Scholar
[11]
[11] Welling, W., Benjaminse, A., Seil, R., Lemmink, K., Zaffagnini, S., & Gokeler, A. (2018). Low rates of patients meeting return to sport criteria 9 months after anterior cruciate ligament reconstruction: a prospective longitudinal study. Knee Surgery, Sports Traumatology, Arthroscopy, 26(12), 3636-3644.
Google Scholar
[12]
[12] Zhu, Z., Lin, Y., Shen, S., & Lu, J. (2025). All‐inside anterior cruciate ligament reconstruction exhibited superior functional outcomes but increased knee laxity to the traditional technique in mid‐to‐long term: A systematic review and meta‐analysis. Knee Surgery, Sports Traumatology, Arthroscopy.
Google Scholar