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Antero-lateral ligament reconstruction improves knee stability alongside anterior cruciate ligament reconstruction

Hurley, Eoghan T. ; Fried, Jordan W. ; Kingery, Matthew T. ; Strauss, Eric J. ; Alaia, Michael J.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021-03, Vol.29 (3), p.764-771 [Periódico revisado por pares]

Berlin/Heidelberg: Springer Berlin Heidelberg

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Título:
Antero-lateral ligament reconstruction improves knee stability alongside anterior cruciate ligament reconstruction
Autor: Hurley, Eoghan T. ; Fried, Jordan W. ; Kingery, Matthew T. ; Strauss, Eric J. ; Alaia, Michael J.
Assuntos: Adult ; Anterior cruciate ligament ; Anterior Cruciate Ligament Injuries - surgery ; Anterior Cruciate Ligament Reconstruction - methods ; Clinical trials ; Clinical Trials as Topic ; Cohort Studies ; Collateral Ligaments - surgery ; Female ; Humans ; Joint Instability - surgery ; Knee ; Knee Joint - physiopathology ; Knee Joint - surgery ; Lateral stability ; Ligaments ; Lysholm Knee Score ; Male ; Medicine ; Medicine & Public Health ; Orthopedics ; Patient Reported Outcome Measures ; Reconstructive Surgical Procedures - methods ; Rupture ; Rupture - epidemiology ; Rupture - surgery ; Rupturing ; Soft tissues ; Treatment Outcome
É parte de: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021-03, Vol.29 (3), p.764-771
Notas: ObjectType-Article-2
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Descrição: Purpose Recent evidence has found the antero-lateral ligament (ALL) may play a role in stabilizing the knee, but its role in anterior cruciate ligament (ACL) reconstruction is controversial. The purpose of the current study is to systematically review and meta-analyze the current evidence in the literature to ascertain whether ACL reconstruction combined with ALL reconstruction affects knee stability, re-rupture rates and patient-reported outcomes compared to ACL reconstructions performed alone. Methods A literature search was performed based on the PRISMA guidelines. Cohort studies comparing ACL + ALL reconstruction and ACL reconstruction alone were included. Results Six clinical trials (LOE I: I, LOE II: 2, LOE III: 3) with 729 patients were included, with a mean follow-up time of 34.2 (24–54.9) months. There was a significant difference in favor of combined ACL + ALL reconstruction for reduced re-rupture rate (2.4% vs 7.3%, p < 0.01), residual positive pivot shift rate (33.3% vs 11.4%, p < 0.01), and reduced KT-arthrometer evaluation (1.6 vs 2.6, p < 0.01). Combined ACL + ALL reconstruction resulted in improved IKDC scores (92.5 vs 87.8, p < 0.01), Lysholm scores (95.7 vs 91.2, p < 0.01) and Tegner scores (6.7 vs 5.7, p < 0.01). There was no significant difference in rate of return to play at the same level (54.3% vs 46.0%, n.s.). Conclusion The current evidence suggests alongside soft tissue graft ACL reconstruction that concomitant ALL reconstruction improves clinical outcomes, with improved knee stability and lower re-rupture rates. Level of evidence III.
Editor: Berlin/Heidelberg: Springer Berlin Heidelberg
Idioma: Inglês

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Antero-lateral ligament reconstruction improves knee stability alongside anterior cruciate ligament reconstruction

Hurley, Eoghan T. ; Fried, Jordan W. ; Kingery, Matthew T. ; Strauss, Eric J. ; Alaia, Michael J.

Berlin/Heidelberg: Springer Berlin Heidelberg

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