Combined anterior cruciate ligament reconstruction and lateral extra-articular tenodesis does not result in an increased rate of osteoarthritis: a systematic review and best evidence synthesis

Devitt, Brian M.; Bouguennec, Nicolas; Barfod, Kristoffer Weisskirchner; Porter, Tabitha; Webster, Kate E.; Feller, Julian A.

doi:10.1007/s00167-017-4510-1

Cited by 110 publications

(96 citation statements)

References 50 publications

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“…The clinical importance of over constraint of internal rotation is currently unknown, but to date there is no known evidence supporting lateral extra-articular procedures causing or accelerating the development of osteoarthritis [11]. Whilst remaining popular in Europe, the addition of an LET fell out of favour in North America following publications from O'Brien et al [40] and Anderson et al [2].…”

Section: Biomechanics Of Lateralmentioning

confidence: 99%

The anterolateral complex of the knee: results from the International ALC Consensus Group Meeting

Getgood

Brown²,

Lording

et al. 2018

Knee Surg Sports Traumatol Arthrosc

292

265

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The structure and function of the anterolateral complex (ALC) of the knee has created much controversy since the 're-discovery' of the anterolateral ligament (ALL) and its proposed role in aiding control of anterolateral rotatory laxity in the anterior cruciate ligament (ACL) injured knee. A group of surgeons and researchers prominent in the field gathered to produce consensus as to the anatomy and biomechanical properties of the ALC. The evidence for and against utilisation of ALC reconstruction was also discussed, generating a number of consensus statements by following a modified Delphi process. Key points include that the ALC consists of the superficial and deep aspects of the iliotibial tract with its Kaplan fibre attachments on the distal femur, along with the ALL, a capsular structure within the anterolateral capsule. A number of structures attach to the area of the Segond fracture including the capsule-osseous layer of the iliotibial band, the ALL and the anterior arm of the short head of biceps, and hence it is not clear which is responsible for this lesion. The ALC functions to provide anterolateral rotatory stability as a secondary stabiliser to the ACL. Whilst biomechanical studies have shown that these structures play an important role in controlling stability at the time of ACL reconstruction, the optimal surgical procedure has not yet been defined clinically. Concern remains that these procedures may cause constraint of motion, yet no clinical studies have demonstrated an increased risk of osteoarthritis development. Furthermore, clinical evidence is currently lacking to support clear indications for lateral extra-articular procedures as an augmentation to ACL reconstruction. The resulting statements and scientific rationale aim to inform readers on the most current thinking and identify areas of needed basic science and clinical research to help improve patient outcomes following ACL injury and subsequent reconstruction. Level of evidence V.

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Section: Biomechanics Of Lateralmentioning

confidence: 99%

The anterolateral complex of the knee: results from the International ALC Consensus Group Meeting

Getgood

Brown²,

Lording

et al. 2018

Knee Surg Sports Traumatol Arthrosc

292

265

View full text Add to dashboard Cite

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“…26 A 2017 systematic review focused specifically on the occurrence of secondary osteoarthritis following lateral extra-articular tenodesis (LEAT). 7 After analyzing 8 studies with 5-to 10-year follow-up or greater, the authors concluded that ''the best available evidence would suggest that the addition of a LEAT to ACLR does not result in an [increased] rate of osteoarthritis in the knee.'' 7(p1149) As with any study, the results of the STABILITY trial are most pertinent to the participants and methods involved in the investigation, a point the authors emphasize in their discussion.…”

mentioning

confidence: 99%

ACL or ACL+

Reider¹

2020

Am J Sports Med

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“…Long-term considerations include potential overconstraint and the subsequent development of degenerative arthritis. Although there are limited data, Devitt et al 16 reported in a best-evidence study that no increased rate of osteoarthritis developed 11 years after isolated LET and primary ACLR augmented with a LET procedure. 16 Our experience with this technique has shown promising results thus far.…”

Section: Discussionmentioning

confidence: 99%

“…Although there are limited data, Devitt et al 16 reported in a best-evidence study that no increased rate of osteoarthritis developed 11 years after isolated LET and primary ACLR augmented with a LET procedure. 16 Our experience with this technique has shown promising results thus far. To date, 51 patients younger than 20 years of age have undergone the modified Lemaire procedure alongside ACLR with quadriceps tendon autograft.…”

Section: Discussionmentioning

confidence: 99%

Modified Lemaire Lateral Extra-articular Tenodesis in the Pediatric Patient: An Adjunct to Anterior Cruciate Ligament Reconstruction

Schlichte

Aitchison

Green

et al. 2020

Arthroscopy Techniques

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Recent literature has identified a population of active adolescents aged 13 to 15 years who are at high risk for anterior cruciate ligament graft rupture. Addressing the anterolateral complex during primary anterior cruciate ligament reconstruction has recently re-emerged in the literature, with various techniques available. This paper aims to describe a lateral extra-articular tenodesis procedure using the iliotibial band with a modified Lemaire technique. This procedure is recommended for active adolescents at a high risk of graft re-tear as an enhancement to primary anterior cruciate ligament reconstruction with soft-tissue graft.

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Combined anterior cruciate ligament reconstruction and lateral extra-articular tenodesis does not result in an increased rate of osteoarthritis: a systematic review and best evidence synthesis

Abstract: IV.

Cited by 110 publications

References 50 publications

The anterolateral complex of the knee: results from the International ALC Consensus Group Meeting

The anterolateral complex of the knee: results from the International ALC Consensus Group Meeting

ACL or ACL+

Modified Lemaire Lateral Extra-articular Tenodesis in the Pediatric Patient: An Adjunct to Anterior Cruciate Ligament Reconstruction

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