The association of extra-articular tenodesis restores rotational stability more effectively compared to contralateral hamstring tendon autografts ACL reconstruction alone in patients undergoing ACL revision surgery - 26/03/21
, Francesca Boisio b, Enrico Borgo a, Giuseppe M. Peretti c, d
Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.
Connectez-vous pour en bénéficier!
Abstract |
Background |
Recent years have seen a resurgence of interest about lateral extra-articular procedures performed in association with anterior cruciate ligament (ACL) surgery, as they can reduce the positivity to pivot shift test by acting on rotational instability. The purpose of the present study is to compare the postoperative functional outcomes of ACL revision surgery using contralateral hamstring tendon autografts with or without extra-articular tenodesis.
Hypothesis |
The hypothesis is that combined extra-articular tenodesis gives better rotational stability following revision ACL surgery.
Patients and methods |
Twenty-four patients who underwent ACL revision surgery were retrospectively reviewed at an average follow-up of 4.5 years; 12 underwent contralateral hamstring tendon autografts reconstruction (group A) while in 12 extra-articular tenodesis was associated (group B). Assessment included Lysholm score, International Knee Documentation Committee (IKDC) Subjective Knee Form, Tegner activity level and objective evaluation (range of motion, Lachman test, pivot-shift test and KT-1000 instrumented laxity testing).
Results |
Follow-up examination showed that there were no statistically significant differences in Lysholm, IKDC and Tegner scores between the groups (p=n.s.). Similarly, no differences concerning anterior tibial translation as measured with KT-1000 arthrometer were reported between the groups (p=n.s.); the percentage of positivity to pivot shift test was significantly higher in patients in group A (p<0.05).
Conclusions |
The association of extra-articular tenodesis restores rotational stability more effectively compared to contralateral hamstring tendon autografts ACL revision surgery alone.
Level of evidence |
III.
Le texte complet de cet article est disponible en PDF.Keywords : ACL revision surgery, Anterior cruciate ligament, Contralateral hamstrings, Extra-articular tenodesis, Rotational instability
Plan
Vol 107 - N° 2
Article 102739- avril 2021 Retour au numéro
Article précédent
- Anterior tibial translation and patient-reported outcomes after anterior cruciate ligament reconstruction with a tape locking screw: A 5-year follow-up study
- Ignacio Manchado-Herrera, Luci M. Motta, Gustavo Blanco, Jesús González, Gerardo L. Garcés
- Intraarticular lengths of double-bundle grafts can change during knee flexion: Intraoperative measurements in anatomic anterior cruciate ligament reconstructions
- Takayuki Furumatsu, Takaaki Hiranaka, Yuya Kodama, Yusuke Kamatsuki, Yuki Okazaki, Tadashi Yamawaki, Hirosuke Endo, Toshifumi Ozaki
Bienvenue sur EM-consulte, la référence des professionnels de santé.