Anterolateral Ligament Reconstruction Improves Anteroposterior Stability As Well As Rotational Stability in Revision Anterior Cruciate Ligament Reconstruction with High-Grade Pivot Shift

Yoon, Kyoung Ho; Hwang, In Uk; Kim, Eung Ju; Kwon, Yoo Beom; Kim, Sang Gyun

doi:10.1055/s-0040-1708055

Cited by 28 publications

(46 citation statements)

References 26 publications

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“…46 Kawanishi et al 47 showed that the combination of ALL reconstruction (ALLR) to primary DB ACLR improved residual knee instability, being effective in preoperative grade-3 subjective pivot shift. At 2-year follow-up, Yoon et al 48 observed significant differences in Lachman's test, pivot shift, and side-to-side difference in stress radiographs comparing SB ACLR and ACLR with ALLR, in patients with grade 2 or more pivot-shift instability.…”

Section: Discussionmentioning

confidence: 99%

Anterior Cruciate Ligament Reconstruction with Autologous Hamstring Single- versus Double-Bundle Graft: A Prospective Study with 10-Year Follow-up

Yela-Verdú

Ares

Albareda³

et al. 2022

J Knee Surg

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The purpose of the present study was to compare the clinical and subjective outcomes of anterior cruciate ligament (ACL) reconstruction using an autologous hamstring double bundle (DB) with a single bundle (SB) after a 10-year follow-up. A prospective comparative cohort study was performed of 47 consecutive patients with ACL rupture included between May 2006 and March 2008. Inclusion criteria were less than 2 years since the injury date, no previous surgery on the affected knee, and having closed growth plates. Patients were divided into two groups: (1) SB group (n = 25) and (2) DB group (n = 22). Patients underwent evaluation before surgery and at 1 and 10 years postoperatively. The clinical evaluation included the International Knee Documentation Committee (IKDC) Questionnaire, pivot shift test, and single hop test, as well as X-rays (anterior drawer X-rays on a Telos stress radiography). Range of motion (ROM) was assessed at 10-year follow-up. Both groups were similar in terms of baseline characteristics. Post hoc power analysis showed that among 30 and 226 patients would be needed for statistical significance, depending on the outcome. With the numbers available, no significant differences were observed in subjective IKDC, anterior stability (measured with Telos), and functional test outcomes (single hop test) between both groups at 1 and 10 years postoperatively. Regarding rotational instability (pivot-shift test), DB group was significantly superior (p = 0.002). Regarding ROM, no significant differences were observed between groups. No failure was registered in any of the groups. ACL reconstruction (ACLR) with an autologous hamstring, both with bundles and DB, shows overall better outcomes compared with the status before surgery. DB ACLR provides better rotational control of the knee, an outcome that is maintained after 10 years.

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Section: Discussionmentioning

confidence: 99%

Anterior Cruciate Ligament Reconstruction with Autologous Hamstring Single- versus Double-Bundle Graft: A Prospective Study with 10-Year Follow-up

Yela-Verdú

Ares

Albareda³

et al. 2022

J Knee Surg

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“…Recently, numerous studies reported signi cantly better knee stability after revision ACLR with additional ALLR. previous studies concentrated on traditional clinical outcomes and stability assessments 5,7 .…”

Section: Discussionmentioning

confidence: 99%

“…Among the many factors contributing to the failure, residual rotational laxity is considered to be one of the most critical [2][3][4] . Recently, anterolateral ligament (ALL) reconstruction (ALLR) has emerged as an effective method to provide rotational stability in ACLR, especially in revision ACLR cases [5][6][7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

Additional anterolateral ligament reconstruction helps patients improve dynamic postural stability in revision anterior cruciate ligament reconstruction

Lee

Cho

Lee

et al. 2022

Preprint

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Introduction: The goal in treating anterior cruciate ligament (ACL) injury, especially in revision cases is to return to sports activity by regaining dynamic postural stability. Additional anterolateral ligament reconstruction (ALLR) is gaining attention to achieve this goal. The purpose was to evaluate the effects of additional ALLR in revision ACL reconstruction (RACLR). Methods: Patients who underwent RACLR between July 2015 and June 2018 were enrolled. The exclusion criteria were less than the 1-year follow-up, age older than 45 years, concomitant multiple ligament injuries, contralateral knee injury, subtotal or total meniscectomized state, and cartilage lesions worse than Outerbridge grade 3. Thirty-nine patients (20 patients; RACLR only (Group A), 19 patients; RACLR with additional ALLR (Group B)) were included. Clinical scores, isokinetic strength test, single-leg-hop for distance test (SLHDT), and Y-balance test (YBT) were checked preoperatively and 1-year postoperatively.Results: Limb symmetry index values in YBT showed significantly better results in Group B 1-year postoperatively, although there were no differences preoperatively between groups. Regarding clinical scores, isokinetic strength tests, and SLHDT, there were no differences between groups preoperatively or 1-year postoperatively.Conclusion: Additional ALLR in RACLR helped patients gain better dynamic postural stability at 1-year postoperative follow-up.

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“…25,26 The association of lateral tenodesis with the intra-articular graft resulted in lower rates of graft rupture and improved clinical outcomes. 2,19,37,42 Lee et al, 19 in their series of 87 ACLR revisions, compared isolated ACLR versus ACL 1 ALL reconstruction using allografts at a mean follow-up of 40 months. ALLR allowed a higher rate of return to the same level of sports activity than did revision ACLR alone (57.1% vs 25.6%, respectively; P = .008).…”

Section: Discussionmentioning

confidence: 99%

Revision Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Graft Combined With Modified Lemaire Technique Versus Hamstring Graft Combined With Anterolateral Ligament Reconstruction: A Clinical Comparative Matched Study With a Mean Follow-up of 5 Years From The SANTI Study Group

Rayes

Ouanezar²,

Haidar

et al. 2021

Am J Sports Med

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Background: Additional lateral extra-articular tenodesis (LET) has recently been correlated with improved clinical outcomes and reduced failure rates in revision anterior cruciate ligament (ACL) reconstruction (ACLR). However, no data are available on clinical outcomes and reoperation after revision ACLR using different LET procedures. Purpose: To compare the clinical outcomes of ACL + anterolateral ligament (ALL) reconstruction using hamstring tendon graft (HT-ALL) and a bone–patellar tendon–bone (BPTB) graft + modified Lemaire tenodesis procedure (BPTB-Lemaire) in the setting of revision ACLR and to determine whether ALL reconstruction is associated with an increased rate of adverse outcomes when compared with a modified Lemaire tenodesis procedure. Study Design: Cohort study; Level of evidence, 3. Methods: Descriptive data and clinical outcomes were prospectively collected from patients who underwent revision ACLR with LET between 2009 and 2018 with a minimum follow-up of 2 years. Patients with an HT autograft combined with ALL reconstruction (HT-ALL group) were matched in a 1:1 propensity ratio to patients with a BPTB autograft combined with a modified Lemaire LET procedure (BPTB-Lemaire group). The evaluated parameters included complications and reoperations; knee laxity tests; return to sports; and various scores, including the Lysholm knee score, Tegner activity scale, Anterior Cruciate Ligament Return to Sport After Injury scale, Marx activity rating scale, International Knee Documentation Committee subjective knee evaluation form, and Knee injury and Osteoarthritis Outcome Score. Results: In total, 36 matched pairs were included in the analysis. The mean follow-up durations for the BPTB-Lemaire and HT-ALL groups were 56 ± 35 and 57 ± 23 months, respectively ( P = .91). No significant differences were found in graft rupture rate (HT-ALL, 0%; BPTB-Lemaire, 11.1%; P = .13) or reoperations (HT-ALL, 8.3%; BPTB-Lemaire, 22.2%; P = .23). No specific complications with regard to LET were noted in either group. Additionally, there were no significant differences in knee laxity parameters, return to sports, or clinical scores between the groups at the final follow-up, except for the Tegner activity scale score (HT-ALL, 6.4; BPTB-Lemaire, 7.3; P = .03). HT-ALL was associated with a shorter surgical time (41.4 vs 59.8 minutes; P < .0001). Conclusion: HT-ALL was at least equivalent, in terms of clinical outcomes, to the more commonly performed procedure, BPTB-Lemaire. Performing ALL reconstruction in the setting of revision ACLR is therefore safe and effective.

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Anterolateral Ligament Reconstruction Improves Anteroposterior Stability As Well As Rotational Stability in Revision Anterior Cruciate Ligament Reconstruction with High-Grade Pivot Shift

Cited by 28 publications

References 26 publications

Anterior Cruciate Ligament Reconstruction with Autologous Hamstring Single- versus Double-Bundle Graft: A Prospective Study with 10-Year Follow-up

Anterior Cruciate Ligament Reconstruction with Autologous Hamstring Single- versus Double-Bundle Graft: A Prospective Study with 10-Year Follow-up

Additional anterolateral ligament reconstruction helps patients improve dynamic postural stability in revision anterior cruciate ligament reconstruction

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