| Title: |
Good mid-term outcomes and low rates of residual rotatory laxity, complications and failures after revision anterior cruciate ligament reconstruction (ACL) and lateral extra-articular tenodesis (LET). |
| Authors: |
Grassi A; Zicaro JP; Costa-Paz M; Samuelsson K; Wilson A; Zaffagnini S; Condello V |
| Contributors: |
Grassi, A; Zicaro, Jp; Costa-Paz, M; Samuelsson, K; Wilson, A; Zaffagnini, S; Condello, V |
| Publication Year: |
2020 |
| Collection: |
IRIS Università degli Studi di Bologna (CRIS - Current Research Information System) |
| Subject Terms: |
Revision anterior cruciate ligament · Anterior cruciate ligament re-rupture · Lateral extra-articular plasty · Lateral tenodesis · Anterolateral ligament |
| Description: |
Background Residual rotational instability remains a controversial factor when analysing failure rates of anterior cruciate ligament (ACL) reconstruction. Anatomical and biomechanical studies have demonstrated a very important role of anterolateral structures for rotational control. Revision ACL is considered one of the main indications for a lateral extra-articular tenodesis (LET). Yet, few series evaluating these procedures are published. Purpose To perform a systematic review of studies that assessed outcomes in patients treated with revision ACL surgery associated with a lateral extra-articular procedure. Study design Systematic review. Methods A comprehensive literature search was performed in February 2018 using PubMed, Scopus, Web of Search and Cochrane. Inclusion criteria were series of ACL revision reconstructions associated with lateral extra-articular procedures. Clinical outcomes (Lysholm, subjective IKDC, KOOS, Cincinnati and WOMAC), joint stability measures (Lachman test, pivot-shift, arthrometer assessment and navigation assessment), graft type, reported chondral and meniscal injury, radiographic outcomes, complications and failures were recorded. Articles were assessed for level of evidence and methodology using a modification of the ACL Methodology Score (AMS) system. Results Twelve studies met the inclusion criteria out of the 231 abstracts; 9 retrospective evaluations, two prospective cohorts and one combination of two populations (a retrospective and prospective series). A total of 851 patients evaluated with a mean age of 28.8 years (range 16–68 years) and a weighted mean follow-up of 4.9 years (range 1–10 years). The mean time from primary ACL reconstruction to revision was 5.3 years (reported in 7 studies, including 710 patients). The Lysholm, IKDC, and KOOS scores indicated favorable results in studies that reported these outcomes. Objective evaluations reported 86% objective A and B IKDC results, 2.6 mm mean side-to-side arthrometric difference and 80% negative pivot-shift. ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
ELETTRONICO |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/wos/WOS:000511516100011; volume:28; firstpage:418; lastpage:431; numberofpages:14; journal:KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY; https://hdl.handle.net/11585/717976 |
| DOI: |
10.1007/s00167-019-05625-w |
| Availability: |
https://hdl.handle.net/11585/717976; https://doi.org/10.1007/s00167-019-05625-w |
| Accession Number: |
edsbas.A9468560 |
| Database: |
BASE |