Revision ACL reconstruction: influence of a lateral tenodesis.
Knee Surg Sports Traumatol Arthrosc
; 20(8): 1565-70, 2012 Aug.
Article
em En
| MEDLINE
| ID: mdl-22102009
ABSTRACT
PURPOSE:
The aims of this article were to report the objective results of revision ACL reconstruction and to assess the influence of an associated lateral extra-articular tenodesis on knee stability and IKDC score.METHODS:
This study focused on revision ACL reconstruction and was conducted over a 10-year period, from 1994 to 2003 with ten French orthopedic centers participating. The minimum follow-up required was 2 years. To be included, patients had to be evaluated at follow-up with the objective International Knee Documenting Committee (IKDC) scoring system. In 2006, 163 patients met the inclusion criteria.RESULTS:
The objective IKDC knee score improved significantly after revision ACL reconstruction, with 72% IKDC A + B (26% A). When a lateral tenodesis was performed, 80% had a negative pivot shift, versus 63% without (P = 0.03), but there was no significant difference in the IKDC score.CONCLUSION:
This study shows a significant improvement in the IKDC score after revision ACL reconstruction. The association of a lateral extra-articular tenodesis with the intra-articular graft increases knee stability after revision ACL reconstruction; however, this additional procedure does not significantly alter the IKDC score at follow-up. LEVEL OF EVIDENCE Retrospective case series, Level IV.
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Base de dados:
MEDLINE
Assunto principal:
Tendões
/
Ligamento Cruzado Anterior
/
Tenodese
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Reconstrução do Ligamento Cruzado Anterior
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Articulação do Joelho
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article