Intra-articular reconstruction of the anterior cruciate ligament with and without extra-articular supplementation by transfer of the biceps femoris tendon.

Roth, J H; Kennedy, John C.; Lockstadt, Harry; Mccallum, Catherine L.; Cunning, L.A.

doi:10.2106/00004623-198769020-00017

Cited by 82 publications

(70 citation statements)

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“…Many studies have already investigated the role of such extraarticular procedures. 5,6,[8][9][10]29,30 Anderson et al, 31 as well as Roth et al, 5 showed no improvement by the addition of an extra-articular procedure. Completely …”

Section: Figmentioning

confidence: 99%

“…1 Because of limitations of current intra-articular techniques and inability to fully restore normal knee kinematics, insufficient anterolateral structures may play a role in residual knee laxity. 1,3,4 The role of extra-articular procedures improving knee stability has been a matter of debate, especially with regard to the rotational component (glide), and although authors such as Roth et al, 5 Strum et al, 6 and Barrett et al 7 found no significant improvements with the use of extra-articular plasty, Lerat et al, 8 Noyes et al, 9 and Zaffagnini et al 10 found increased success rates with the addition of an extra-articular procedure.…”

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confidence: 99%

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Percutaneous Reconstruction of the Anterolateral Ligament of the Knee With a Polyester Tape

Wagih¹,

Elguindy²

2016

Arthroscopy Techniques

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Recent advances in surgeons' understanding of the anatomic, biomechanical, and radiologic features of the anterolateral ligament (ALL) of the knee have led to an increased interest in reconstruction of this structure as part of the management of knee instability. Even without any technical flaws and proper positioning of the bone tunnels, there is a small subset of patients, approximately 7% of all patients, who experience some residual anterolateral rotational instability after anterior cruciate ligament reconstruction. For this reason, some researchers have turned again toward the anterolateral aspect of the knee and specifically the ALL. In this technical note, the surgical steps for percutaneous reconstruction of ALL of the knee using a polyester tape are described.

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Section: Figmentioning

confidence: 99%

mentioning

confidence: 99%

Percutaneous Reconstruction of the Anterolateral Ligament of the Knee With a Polyester Tape

Wagih¹,

Elguindy²

2016

Arthroscopy Techniques

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“…The combined reconstruction technique is more technically demanding, requires an additional incision, and is more time-consuming [38]. Increased incidence of patellofemoral crepitation and loss of knee motion also are associated with certain extraarticular techniques [3].…”

Section: Introductionmentioning

confidence: 99%

Does Combined Intra- and Extraarticular ACL Reconstruction Improve Function and Stability? A Meta-analysis

Rezende

Moraes

Martimbianco

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background ACL reconstruction aims to restore knee function and stability; however, rotational stability may not be completely restored by use of standard intraarticular reconstruction alone. Although individual studies have not shown the superiority of combined ACL reconstruction compared with isolated intraarticular reconstruction in terms of function and stability, biomechanical principles suggest a combined approach may be helpful, therefore pooling (meta-analyzing) the available randomized clinical studies may be enlightening. Questions/purposes We performed a meta-analysis to determine whether combining extraarticular with intraarticular ACL reconstruction would lead to: (1) similar knee function measured by the IKDC evaluation, return-toactivity, and Tegner Lysholm scores, compared with isolated intraarticular reconstruction; (2) increased stability measured by pivot shift and instrumented Lachman examination; and (3) any differences in complications and adverse events? Methods To identify randomized controlled trials (RCTs) comparing combined intra-and extrarticular ACL reconstruction (combined reconstruction) with intraarticular ACL reconstruction only, we searched MEDLINE, EMBASE, SPORTDiscus, Latin American and Caribbean Health Sciences (LILACS), and the Cochrane Central Register of Controlled Trials, and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria. The main outcomes we sought were patient function and stability and complications after ACL reconstruction. Of 386 identified studies, eight RCTs were included (n = 682 participants; followup, 12-84 months; men to women ratio, 2.17:1) in our meta-analysis. Study quality (internal validity) was assessed using the Cochrane risk-of-bias tool; in general, we found a moderate quality of evidence of the included studies. Results When functional outcomes were compared, we found no difference between patients who underwent intraarticular ACL reconstruction only and those who underwent combined reconstruction (IKDC, return-to-activity, and Tegner Lysholm scores). However, patients who underwent combined reconstruction were more likely to show improved stability based on the pivot shift test (risk ratio [RR], 0.95; 95% CI, 0.91-0.99; p = 0.02) and Lachman test (RR, 0.93; 95% CI, 0.88-0.98; p = 0.01). In addition, our meta-analysis found no difference between the two treatments in terms of general complications or adverse events (RR, 1.31; 95% CI, 0.70-2.34; p = 0.40) and the proportion of patients whose reconstructions failed (RR, 2.88; 95% CI, 0.73-11.47; p = 0.13).

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“…La utilización de este refuerzo en cirugías de revisión del LCA también mejora la estabilidad de la rodilla (106) . Sin embargo, Anderson et al (108) y Roth et al (109) no encontraron ningún beneficio al añadir este refuerzo lateral, al igual que otro estudio actual (110) . Sonnery-Cottet et al (38) , en un estudio clínico prospectivo con 2 años de evolución, evidenciaron mejoría en los pacientes con esta plastia de refuerzo lateral tanto en estabilidad como en fallos y complicaciones.…”

Section: Tratamientounclassified

Revisión sistemática: ligamento anterolateral de la rodilla

Cáceres¹,

Vázquez²,

Espejo-Reina³

et al. 2018

REACA

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Intra-articular reconstruction of the anterior cruciate ligament with and without extra-articular supplementation by transfer of the biceps femoris tendon.

Cited by 82 publications

References 0 publications

Percutaneous Reconstruction of the Anterolateral Ligament of the Knee With a Polyester Tape

Percutaneous Reconstruction of the Anterolateral Ligament of the Knee With a Polyester Tape

Does Combined Intra- and Extraarticular ACL Reconstruction Improve Function and Stability? A Meta-analysis

Revisión sistemática: ligamento anterolateral de la rodilla

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