Does combined anterior cruciate ligament and anterolateral ligament reconstruction improve return to sport?
Anterior cruciate ligament
Anterolateral ligament
Lateral tenodesis
Return to sport
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:
06 Oct 2023
06 Oct 2023
Historique:
received:
24
08
2023
accepted:
19
09
2023
medline:
7
10
2023
pubmed:
7
10
2023
entrez:
6
10
2023
Statut:
aheadofprint
Résumé
Only 50-65% of patients return to their previous sporting level after ACL rupture. The literature reports a reduced rate of graft rupture when an anterolateral ligament reconstruction (ALLR) is associated with ACL reconstruction. ACL reconstruction combined with ALL allows a higher return to sport at pre-injury level than isolated reconstruction in patients playing pivot-contact sports. A retrospective, single-centre study between 2012 and 2020 comparing reconstruction by hamstring tendon technique, isolated ACLR vs ACL with ALLR. An isokinetic test was performed at 6 months post-operatively and patients were re-contacted at a minimum 2-year follow-up to assess their level and delay to return to sport, graft rupture rate and functional evaluation. 83 patients were included, 42 in ACLR group and 41 in ACL + ALLR group. Four patients were lost to follow-up and 79 patients were analysed. No significant difference was found on the level of return to sport (28.2% vs. 42.5%; p = 0.18), return to competition (43% vs. 60%; p = 0.18), delay to sports return, isokinetic assessment, functional scores, but a significant difference was found on graft rupture rate in favour of ALLR (12.8% vs. 0%; p = 0.02). In our study, the addition of an ALL to ACL reconstruction did not improve pre-injury sports recovery or return to competition. Cohort study, level of evidence 4.
Identifiants
pubmed: 37803219
doi: 10.1007/s00590-023-03744-2
pii: 10.1007/s00590-023-03744-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.
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