Antero-lateral ligament reconstruction improves knee stability alongside anterior cruciate ligament reconstruction.
Knee Surg Sports Traumatol Arthrosc
; 29(3): 764-771, 2021 Mar.
Article
em En
| MEDLINE
| ID: mdl-32322949
ABSTRACT
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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ligamentos Colaterais
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Reconstrução do Ligamento Cruzado Anterior
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Lesões do Ligamento Cruzado Anterior
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Articulação do Joelho
Tipo de estudo:
Etiology_studies
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Guideline
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Incidence_studies
/
Observational_studies
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Risk_factors_studies
/
Systematic_reviews
Limite:
Adult
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Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article