Comparison of clinical outcomes between isolated ACL reconstruction and combined ACL with anterolateral ligament reconstruction: a systematic review and meta-analysis.
Combined ACLR and anterolateral reconstruction
Isolated ACLR
Residual laxity
Residual rotatory instability and graft failure
Journal
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
ISSN: 1432-1068
Titre abrégé: Eur J Orthop Surg Traumatol
Pays: France
ID NLM: 9518037
Informations de publication
Date de publication:
May 2023
May 2023
Historique:
received:
16
11
2021
accepted:
29
12
2021
medline:
26
4
2023
pubmed:
20
1
2022
entrez:
19
1
2022
Statut:
ppublish
Résumé
To compare the clinical outcomes between isolated cruciate ligament reconstruction (ACLR) and combined ACL with anterolateral ligament reconstruction in chronic ACL injury especially with rotary instability problem. Systematic searches were conducted of literature published up to July 2021 on PubMed, Google Search, and Cochrane databases for studies comparing isolated ACLR and ACL with anterolateral reconstruction. Two reviewers independently determined eligibility, extracted outcome data, and assessed the risk of bias of eligible studies. Pooled clinical outcomes used random effects with mean differences and risk ratio for continuous and dichotomous variables, respectively. After excluding 49 articles based on full-text screening, six studies were identified which met the inclusion criteria in the meta-analysis. Clinical outcomes such as residual laxity, rotatory instability, and graft failure were compared between isolated ACLR and combined ACL and anterolateral stability reconstruction. Overall, both clinical outcomes of isolated ACL and combined ACL with anterolateral reconstruction show improvement results in pivot shift test, the absence of residual laxity and incidence of graft failure. Compared to isolated ACLR, the prominent postoperative result was by combined ACL with anterolateral reconstruction which had significant differences in laxity outcome based on (I The combined ACL with anterolateral reconstruction tended to have superior clinical outcomes, especially in the absence of residual laxity, compared to the isolated ACLR, but the other results were not significantly different statistically. Combined ACL and anterolateral reconstruction were not performed routinely for patients undergoing ACL reconstruction, but more suitable for chronic rotatory instability problem.
Sections du résumé
BACKGROUND
BACKGROUND
To compare the clinical outcomes between isolated cruciate ligament reconstruction (ACLR) and combined ACL with anterolateral ligament reconstruction in chronic ACL injury especially with rotary instability problem.
METHODS
METHODS
Systematic searches were conducted of literature published up to July 2021 on PubMed, Google Search, and Cochrane databases for studies comparing isolated ACLR and ACL with anterolateral reconstruction. Two reviewers independently determined eligibility, extracted outcome data, and assessed the risk of bias of eligible studies. Pooled clinical outcomes used random effects with mean differences and risk ratio for continuous and dichotomous variables, respectively.
RESULTS
RESULTS
After excluding 49 articles based on full-text screening, six studies were identified which met the inclusion criteria in the meta-analysis. Clinical outcomes such as residual laxity, rotatory instability, and graft failure were compared between isolated ACLR and combined ACL and anterolateral stability reconstruction. Overall, both clinical outcomes of isolated ACL and combined ACL with anterolateral reconstruction show improvement results in pivot shift test, the absence of residual laxity and incidence of graft failure. Compared to isolated ACLR, the prominent postoperative result was by combined ACL with anterolateral reconstruction which had significant differences in laxity outcome based on (I
CONCLUSIONS
CONCLUSIONS
The combined ACL with anterolateral reconstruction tended to have superior clinical outcomes, especially in the absence of residual laxity, compared to the isolated ACLR, but the other results were not significantly different statistically. Combined ACL and anterolateral reconstruction were not performed routinely for patients undergoing ACL reconstruction, but more suitable for chronic rotatory instability problem.
Identifiants
pubmed: 35044518
doi: 10.1007/s00590-021-03194-8
pii: 10.1007/s00590-021-03194-8
doi:
Types de publication
Meta-Analysis
Systematic Review
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
685-694Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.
Références
Erden T, Toker B, Toprak A, Taşer O (2021) Comparison of the outcomes of isolated anterior cruciate ligament reconstruction and combined anterolateral ligament suture tape augmentation and anterior cruciate ligament reconstruction. Jt Dis Relat Surg 32(1):129–136. https://doi.org/10.5606/ehc.2020.78201
doi: 10.5606/ehc.2020.78201
pubmed: 33463428
pmcid: 8073455
Ibrahim SA et al (2017) Anatomic reconstruction of the anterior cruciate ligament of the knee with or without reconstruction of the anterolateral ligament. Am J Sports Med 45(7):1558–1566. https://doi.org/10.1177/0363546517691517
doi: 10.1177/0363546517691517
pubmed: 28293966
Brown C. Anatomic ACL reconstruction. Sport Medical Journal ASPETAR. https://www.aspetar.com/journal/upload/PDF/201418125811.pdf
Hamido F et al (2020) Anterolateral ligament reconstruction improves the clinical and functional outcomes of anterior cruciate ligament reconstruction in athletes. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-020-06119-w
doi: 10.1007/s00167-020-06119-w
pubmed: 32617609
Sonnery-Cottet et al (2020) Combined ACL and anterolateral reconstruction is not associated with a higher risk of adverse outcomes. Orthopaedic J Sports Med 8(5):2325967120918490. https://doi.org/10.1177/2325967120918490
doi: 10.1177/2325967120918490
Helito CP et al (2019) Combined reconstruction of the anterolateral ligament in patients with ACL injury and ligamentous hyperlaxity leads to better clinical stability and a lower failure rate than isolated ACL reconstruction. J Arthroscopic Related Surg. https://doi.org/10.1016/j.arthro.2019.03.059
doi: 10.1016/j.arthro.2019.03.059
Helito CP et al (2018) Combined reconstruction of the anterolateral ligament in chronic ACL injuries leads to better clinical outcomes than isolated ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-018-4934-2
doi: 10.1007/s00167-018-4934-2
pubmed: 29610972
Nitri M (2016) An in vitro robotic assessment of the anterolateral ligament: part 2, anterolateral ligament reconstruction combined with anterior cruciate ligament reconstruction. Am J Sports Med 44(3):593–601. https://doi.org/10.1177/0363546515620183
doi: 10.1177/0363546515620183
pubmed: 26831632
Moher D, Liberati A, Tetzlaff J, Altman DG, Group P (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097pmid:19621072
doi: 10.1371/journal.pmed.1000097pmid:19621072
Tulloch S, Getgood A (2019) Consideration of lateral augmentation in anatomic anterior cruciate ligament reconstruction. Ann Joint. https://doi.org/10.21037/aoj.2019.02.01
doi: 10.21037/aoj.2019.02.01
Fu et al (2020) Is all inside with suspensory cortical button fixation a superior technique for anterior cruciate ligament reconstruction surgery? BMC Musculoskeletal Disorders, A systematic review and meta-analysis Fu et al. https://doi.org/10.1186/s12891-020-03471-3
doi: 10.1186/s12891-020-03471-3
Kelly et al (2021) Biomechanical effects of combined anterior cruciate ligament reconstruction and anterolateral ligament reconstruction: a systematic review and meta-analysis. Orthopaedic J Sports Med 9(6):23259671211009880. https://doi.org/10.1177/23259671211009879
doi: 10.1177/23259671211009879
Ferretti A et al (2016) Combined intra-articular and extra-articular reconstruction in anterior cruciate ligament deficient knee: 25 years later. Arthroscopy J Arthroscopic Related Surg. https://doi.org/10.1016/j.arthro.2016.02.006
doi: 10.1016/j.arthro.2016.02.006
Rosenstiel N et al (2018) Combined Anterior Cruciate and Anterolateral Ligament Reconstruction in the Professional Athlete: Clinical Outcomes From the Scientific Anterior Cruciate Ligament Network International Study Group in a Series of 70 Patients With a Minimum Follow-Up of 2 Years. Arthroscopy J Arthroscopic Related Surg. https://doi.org/10.1016/j.arthro.2018.09.020
doi: 10.1016/j.arthro.2018.09.020
Gurpinar T (2019). Decision-Making for ALL Reconstruction and Surgical Techniques. https://doi.org/10.5772/intechopen.86398
doi: 10.5772/intechopen.86398
Delaloye JR et al (2017) Clinical outcomes after combined anterior cruciate ligament and anterolateral ligament reconstruction. Techniques Orthopaedics 33(4):225–231. https://doi.org/10.1097/bto.00326
doi: 10.1097/bto.00326
Delaloye JR et al (2018) Combined anterior cruciate ligament and anterolateral ligament lesions: from anatomy to clinical results. Ann Joint 3:82. https://doi.org/10.21037/aoj.2018.09.08
doi: 10.21037/aoj.2018.09.08
Daggett M et al (2021) Clinical results of combined ACL and anterolateral ligament reconstruction: a narrative review from the SANTI Study Group. J Knee Surg 34(09):962–970. https://doi.org/10.1055/s-0040-1701220
doi: 10.1055/s-0040-1701220
pubmed: 32023631
Cheng et al (2020) Surgical intra- and extra-articular anterior cruciate ligament reconstruction: a meta-analysis. BMC Musculoskelet Disord 21:414. https://doi.org/10.1186/s12891-020-03438-4
doi: 10.1186/s12891-020-03438-4
pubmed: 32605641
pmcid: 7325370
Jankovic et al (2021) Modified technique for combined reconstruction of anterior cruciate ligament and anterolateral ligament. Arthrosc Tech. https://doi.org/10.1016/j.eats.2020.10.046
doi: 10.1016/j.eats.2020.10.046
pubmed: 33680798
pmcid: 7917388
Gomes JLE et al (2017) Intra-articular Anterior Cruciate Ligament Reconstruction with Extra-articular Lateral Tenodesis of the Iliotibial Band. Arthrosc Tech. https://doi.org/10.1016/j.eats.2017.05.032
doi: 10.1016/j.eats.2017.05.032
pubmed: 29354470
pmcid: 5709971