Short-term outcomes of anterior cruciate ligament reconstruction with or without lateral tenodesis or anterolateral ligament reconstruction: a retrospective cohort
<h3>Purpose</h3><p dir="ltr">This study aimed to compare the short-term outcomes of ACL reconstruction (ACLR) alone, ACLR with lateral tenodesis, and ACL and ALL reconstruction.</p><h3>Methods</h3><p dir="ltr">A retrospective cohort of pr...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , , , , , , , |
| منشور في: |
2023
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| _version_ | 1864513534795186176 |
|---|---|
| author | Ashraf T. Hantouly (14150319) |
| author2 | Abdulaziz F. Ahmed (14150082) Theodorakys Marin Fermin (17704422) Luca Macchiarola (8085791) Vasileios Sideris (11827854) Emmanouil Papakostas (14070861) Pieter D’ Hooghe (17704425) Khalid Al-Khelaifi (17704404) Bruno Olory (17704428) Bashir Zikria (14150328) |
| author2_role | author author author author author author author author author |
| author_facet | Ashraf T. Hantouly (14150319) Abdulaziz F. Ahmed (14150082) Theodorakys Marin Fermin (17704422) Luca Macchiarola (8085791) Vasileios Sideris (11827854) Emmanouil Papakostas (14070861) Pieter D’ Hooghe (17704425) Khalid Al-Khelaifi (17704404) Bruno Olory (17704428) Bashir Zikria (14150328) |
| author_role | author |
| dc.creator.none.fl_str_mv | Ashraf T. Hantouly (14150319) Abdulaziz F. Ahmed (14150082) Theodorakys Marin Fermin (17704422) Luca Macchiarola (8085791) Vasileios Sideris (11827854) Emmanouil Papakostas (14070861) Pieter D’ Hooghe (17704425) Khalid Al-Khelaifi (17704404) Bruno Olory (17704428) Bashir Zikria (14150328) |
| dc.date.none.fl_str_mv | 2023-08-26T03:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s00264-023-05931-6 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Short-term_outcomes_of_anterior_cruciate_ligament_reconstruction_with_or_without_lateral_tenodesis_or_anterolateral_ligament_reconstruction_a_retrospective_cohort/24906735 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Anterior cruciate ligament Lateral tenodesis Anterolateral ligament reconstruction Extra-articular augmentation |
| dc.title.none.fl_str_mv | Short-term outcomes of anterior cruciate ligament reconstruction with or without lateral tenodesis or anterolateral ligament reconstruction: a retrospective cohort |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Purpose</h3><p dir="ltr">This study aimed to compare the short-term outcomes of ACL reconstruction (ACLR) alone, ACLR with lateral tenodesis, and ACL and ALL reconstruction.</p><h3>Methods</h3><p dir="ltr">A retrospective cohort of prospectively collected data on all ACL procedures was performed at Aspetar Specialized Orthopaedic and Sports Medicine Hospital between January 2020 and January 2021. Patients were treated with ACLR alone, ACLR with lateral tenodesis, or ACLR with ALL reconstruction. The primary outcome was the subjective International Knee Documentation Committee (sIKDC) score. The secondary outcomes were the ACL Return to Sport after Injury (ACL-RSI) scores, pivot shift grade, subjective knee stability, and subjective pain on activity.</p><h3>Results</h3><p dir="ltr">A total of 100 cases were included. The most common technique was ACLR with lateral tenodesis (42%), followed by ACLR alone (38%) and ACL with ALL reconstruction (20%). The mean age was 28.15 years (15–60), and 94% of the patients were males. Meniscal procedures were more frequent in the ACLR alone group (65.8%). There was no association between subjective stability, sIKDC, ACL-RSI, and pivot shift grade and the three ACLR techniques while adjusting for age, sex, and concomitant meniscus procedures at six weeks, 12 weeks, six months, and nine months. However, there was a significant decrease in postoperative flexion in the ACL and ALL reconstruction group by a mean of 22° (95% CI − 40.7 − 3.4; P = 0.02) at 6 weeks compared to ACLR alone, which was not evident on later follow-ups.</p><h3>Conclusion</h3><p dir="ltr">ACLR with/without lateral augmentation procedures yields similar subjective IKDC, ACL-RSI, pivot shift grade, and subjective knee instability at short-term follow-up. Therefore, lateral extra-articular augmentation procedures are safe to be performed.</p><h2>Other Information</h2><p dir="ltr">Published in: International Orthopaedics<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00264-023-05931-6" target="_blank">https://dx.doi.org/10.1007/s00264-023-05931-6</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_308a71600a8656ecfa584e6f19b996b4 |
| identifier_str_mv | 10.1007/s00264-023-05931-6 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/24906735 |
| publishDate | 2023 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Short-term outcomes of anterior cruciate ligament reconstruction with or without lateral tenodesis or anterolateral ligament reconstruction: a retrospective cohortAshraf T. Hantouly (14150319)Abdulaziz F. Ahmed (14150082)Theodorakys Marin Fermin (17704422)Luca Macchiarola (8085791)Vasileios Sideris (11827854)Emmanouil Papakostas (14070861)Pieter D’ Hooghe (17704425)Khalid Al-Khelaifi (17704404)Bruno Olory (17704428)Bashir Zikria (14150328)Biomedical and clinical sciencesClinical sciencesAnterior cruciate ligamentLateral tenodesisAnterolateral ligament reconstructionExtra-articular augmentation<h3>Purpose</h3><p dir="ltr">This study aimed to compare the short-term outcomes of ACL reconstruction (ACLR) alone, ACLR with lateral tenodesis, and ACL and ALL reconstruction.</p><h3>Methods</h3><p dir="ltr">A retrospective cohort of prospectively collected data on all ACL procedures was performed at Aspetar Specialized Orthopaedic and Sports Medicine Hospital between January 2020 and January 2021. Patients were treated with ACLR alone, ACLR with lateral tenodesis, or ACLR with ALL reconstruction. The primary outcome was the subjective International Knee Documentation Committee (sIKDC) score. The secondary outcomes were the ACL Return to Sport after Injury (ACL-RSI) scores, pivot shift grade, subjective knee stability, and subjective pain on activity.</p><h3>Results</h3><p dir="ltr">A total of 100 cases were included. The most common technique was ACLR with lateral tenodesis (42%), followed by ACLR alone (38%) and ACL with ALL reconstruction (20%). The mean age was 28.15 years (15–60), and 94% of the patients were males. Meniscal procedures were more frequent in the ACLR alone group (65.8%). There was no association between subjective stability, sIKDC, ACL-RSI, and pivot shift grade and the three ACLR techniques while adjusting for age, sex, and concomitant meniscus procedures at six weeks, 12 weeks, six months, and nine months. However, there was a significant decrease in postoperative flexion in the ACL and ALL reconstruction group by a mean of 22° (95% CI − 40.7 − 3.4; P = 0.02) at 6 weeks compared to ACLR alone, which was not evident on later follow-ups.</p><h3>Conclusion</h3><p dir="ltr">ACLR with/without lateral augmentation procedures yields similar subjective IKDC, ACL-RSI, pivot shift grade, and subjective knee instability at short-term follow-up. Therefore, lateral extra-articular augmentation procedures are safe to be performed.</p><h2>Other Information</h2><p dir="ltr">Published in: International Orthopaedics<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00264-023-05931-6" target="_blank">https://dx.doi.org/10.1007/s00264-023-05931-6</a></p>2023-08-26T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00264-023-05931-6https://figshare.com/articles/journal_contribution/Short-term_outcomes_of_anterior_cruciate_ligament_reconstruction_with_or_without_lateral_tenodesis_or_anterolateral_ligament_reconstruction_a_retrospective_cohort/24906735CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/249067352023-08-26T03:00:00Z |
| spellingShingle | Short-term outcomes of anterior cruciate ligament reconstruction with or without lateral tenodesis or anterolateral ligament reconstruction: a retrospective cohort Ashraf T. Hantouly (14150319) Biomedical and clinical sciences Clinical sciences Anterior cruciate ligament Lateral tenodesis Anterolateral ligament reconstruction Extra-articular augmentation |
| status_str | publishedVersion |
| title | Short-term outcomes of anterior cruciate ligament reconstruction with or without lateral tenodesis or anterolateral ligament reconstruction: a retrospective cohort |
| title_full | Short-term outcomes of anterior cruciate ligament reconstruction with or without lateral tenodesis or anterolateral ligament reconstruction: a retrospective cohort |
| title_fullStr | Short-term outcomes of anterior cruciate ligament reconstruction with or without lateral tenodesis or anterolateral ligament reconstruction: a retrospective cohort |
| title_full_unstemmed | Short-term outcomes of anterior cruciate ligament reconstruction with or without lateral tenodesis or anterolateral ligament reconstruction: a retrospective cohort |
| title_short | Short-term outcomes of anterior cruciate ligament reconstruction with or without lateral tenodesis or anterolateral ligament reconstruction: a retrospective cohort |
| title_sort | Short-term outcomes of anterior cruciate ligament reconstruction with or without lateral tenodesis or anterolateral ligament reconstruction: a retrospective cohort |
| topic | Biomedical and clinical sciences Clinical sciences Anterior cruciate ligament Lateral tenodesis Anterolateral ligament reconstruction Extra-articular augmentation |