Combined reconstruction of the anterolateral ligament in chronic ACL injuries leads to better clinical outcomes than isolated ACL reconstruction

Show simple item record

dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author HELITO, Camilo Partezani FMUSP-HC
CAMARGO, Danilo Bordini FMUSP-HC
SOBRADO, Marcel Faraco FMUSP-HC
BONADIO, Marcelo Batista FMUSP-HC
GIGLIO, Pedro Nogueira FMUSP-HC
PECORA, Jose Ricardo FMUSP-HC
CAMANHO, Gilberto Luis FMUSP-HC
DEMANGE, Marco Kawamura FMUSP-HC
dc.date.issued 2018
dc.identifier.citation KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, v.26, n.12, p.3652-3659, 2018
dc.identifier.issn 0942-2056
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/29997
dc.description.abstract Purpose To evaluate the results of combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction in patients with chronic ACL injury. It was hypothesized that patients who underwent combined ACL and ALL reconstruction would exhibit less residual laxity and better clinical outcomes. Methods Two groups of patients were evaluated and compared retrospectively. Both groups consisted only of patients with chronic (more than 12 months) ACL injuries. Patients in group 1 underwent anatomical intra-articular reconstruction of the ACL and patients in group 2 underwent anatomic intra-articular ACL reconstruction combined with ALL reconstruction. The presence of associated meniscal injury, the subjective International Knee Documentation Committee (IKDC) and Lysholm functional outcome scores in the postoperative period, KT-1000 evaluation, the presence of residual pivot shift and graft rupture rate were evaluated. Results One hundred and one patients who underwent reconstruction of chronic ACL injuries were evaluated. The median follow-up was 26 (24-29) months for group 1 and 25 (24-28) months for group 2. There were no significant differences between groups regarding gender, age, duration of injury until reconstruction, follow-up time or presence of associated meniscal injuries in the preoperative period. Regarding functional outcome scores, patients in group 2 presented better results on both the IKDC (p = 0.0013) and the Lysholm (p < 0.0001) evaluations. In addition, patients in group 2 had better KT-1000 evaluation (p = 0.048) and a lower pivot shift rate at physical examination, presenting only 9.1% positivity versus 35.3% in the isolated ACL reconstruction (p = 0.011). Regarding re-ruptures, group 1 presented 5 (7.3%) cases, and group 2 presented no cases. Conclusion The combined ACL and ALL reconstruction in patients with chronic ACL injury is an effective and safety solution and leads to good functional outcomes with no increase in complication rate. The clinical relevance of this finding is the possibility to indicate this type of procedure when patients present with more than 12 months after injury for surgery.
dc.language.iso eng
dc.publisher SPRINGER
dc.relation.ispartof Knee Surgery Sports Traumatology Arthroscopy
dc.rights restrictedAccess
dc.subject Anterior cruciate ligament; Anterior cruciate ligament reconstruction; Anterolateral ligament; Anterolateral ligament reconstruction; Pivot shift
dc.subject.other anterior cruciate ligament; minimum follow-up; extraarticular tenodesis; single-bundle; pivot shift; knee; abnormalities; complex; prevalence; fixation
dc.title Combined reconstruction of the anterolateral ligament in chronic ACL injuries leads to better clinical outcomes than isolated ACL reconstruction
dc.type article
dc.rights.holder Copyright SPRINGER
dc.description.group LIM/41
dc.identifier.doi 10.1007/s00167-018-4934-2
dc.identifier.pmid 29610972
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author HELITO, Camilo Partezani:HC:IOT
hcfmusp.author CAMARGO, Danilo Bordini:HC:IOT
hcfmusp.author SOBRADO, Marcel Faraco:HC:IOT
hcfmusp.author BONADIO, Marcelo Batista:FM:
hcfmusp.author GIGLIO, Pedro Nogueira:FM:
hcfmusp.author PECORA, Jose Ricardo:HC:IOT
hcfmusp.author CAMANHO, Gilberto Luis:FM:MOT
hcfmusp.author DEMANGE, Marco Kawamura:FM:MOT
hcfmusp.origem.id WOS:000452078100018
hcfmusp.origem.id 2-s2.0-85044775679
hcfmusp.publisher.city NEW YORK
hcfmusp.publisher.country USA
hcfmusp.relation.reference · Amis AA, 2017, KNEE SURG SPORT TR A, V25, P1015, DOI 10.1007/s00167-017-4494-x
· Ayeni OR, 2012, KNEE SURG SPORT TR A, V20, P767, DOI 10.1007/s00167-011-1860-y
· Chambat P, 2013, INT ORTHOP, V37, P181, DOI 10.1007/s00264-012-1759-3
· Claes S, 2014, ACTA ORTHOP BELG, V80, P45
· Claes S, 2013, J ANAT, V223, P321, DOI 10.1111/joa.12087
· ENGEBRETSEN L, 1990, AM J SPORT MED, V18, P169, DOI 10.1177/036354659001800210
· Ferretti A, 2008, KNEE SURG SPORT TR A, V16, P98, DOI 10.1007/s00167-007-0446-1
· Ferretti A, 2017, ARTHROSCOPY, V33, P147, DOI 10.1016/j.arthro.2016.05.010
· Ferretti A, 2016, ARTHROSCOPY, V32, P2039, DOI 10.1016/j.arthro.2016.02.006
· Guenther D, 2017, J BONE JOINT SURG AM, V99, DOI 10.2106/JBJS.16.01462
· Helito CP, 2017, KNEE SURG SPORT TR A, V25, P1140, DOI 10.1007/s00167-017-4498-6
· Helito CP, 2016, ORTHOP J SPORTS MED, V4, DOI 10.1177/2325967116675604
· Helito CP, 2017, ARTHROSCOPY, V33, P140, DOI 10.1016/j.arthro.2016.05.009
· Helito CP, 2017, AM J SPORT MED, V45, P91, DOI 10.1177/0363546516664888
· Helito CP, 2013, ORTHOP J SPORTS MED, V1, DOI 10.1177/2325967113513546
· Helito CP, 2015, ARTHROSC TEC, V4, pE239, DOI 10.1016/j.eats.2015.02.006
· Helito CP, 2014, AM J SPORT MED, V42, P2356, DOI 10.1177/0363546514543770
· Herbst E, 2017, KNEE SURG SPORT TR A, V25, P1009, DOI 10.1007/s00167-017-4449-2
· Hewison CE, 2015, ARTHROSCOPY, V31, P2022, DOI 10.1016/j.arthro.2015.04.089
· Hussein M, 2012, AM J SPORT MED, V40, P512, DOI 10.1177/0363546511426416
· Ibrahim SA, 2017, AM J SPORT MED, V45, P1558, DOI 10.1177/0363546517691517
· Inderhaug E, 2017, AM J SPORT MED, V45, P3089, DOI 10.1177/0363546517724422
· Inderhaug E, 2017, AM J SPORT MED, V45, P347, DOI 10.1177/0363546516681555
· Isberg J, 2011, KNEE SURG SPORT TR A, V19, P1634, DOI 10.1007/s00167-011-1399-y
· JAKOB RP, 1987, J BONE JOINT SURG BR, V69, P294
· Jarvela S, 2017, AM J SPORT MED, V45, P2578, DOI 10.1177/0363546517712231
· Liu A, 2017, KNEE SURG SPORT TR A, V25, P2751, DOI 10.1007/s00167-015-3672-y
· Logan M, 2004, AM J SPORT MED, V32, P720, DOI 10.1177/0095399703258771
· Lopomo N, 2017, KNEE SURG SPORT TR A, V25, P3004, DOI 10.1007/s00167-016-4130-1
· Magnussen RA, 2016, ARTHROSCOPY, V32, P1080, DOI 10.1016/j.arthro.2015.11.018
· Marcacci M, 2009, AM J SPORT MED, V37, P707, DOI 10.1177/0363546508328114
· Nakamura K, 2017, KNEE SURG SPORT TR A, V25, P2377, DOI 10.1007/s00167-015-3740-3
· Noyes FR, 2017, AM J SPORT MED, V45, P1018, DOI 10.1177/0363546516682233
· Pomajzl R, 2015, ARTHROSCOPY, V31, P583, DOI 10.1016/j.arthro.2014.09.010
· Rezende FC, 2015, CLIN ORTHOP RELAT R, V473, P2609, DOI 10.1007/s11999-015-4285-y
· Schon JM, 2016, AM J SPORT MED, V44, P2546, DOI 10.1177/0363546516652607
· SEEBACHER JR, 1982, J BONE JOINT SURG AM, V64, P536, DOI 10.2106/00004623-198264040-00008
· Sonnery-Cottet B, 2017, AM J SPORT MED, V45, P1547, DOI 10.1177/0363546516686057
· Sonnery-Cottet B, 2017, J ORTHOP TRAUMATOL, V18, P91, DOI 10.1007/s10195-017-0449-8
· Sonnery-Cottet B, 2015, AM J SPORT MED, V43, P1598, DOI 10.1177/0363546515571571
· Stijak L, 2016, KNEE SURG SPORT TR A, V24, P2083, DOI 10.1007/s00167-014-3422-6
· Thaunat M, 2017, AM J SPORT MED, V45, P2569, DOI 10.1177/0363546517708982
· Trojani C, 2012, KNEE SURG SPORT TR A, V20, P1565, DOI 10.1007/s00167-011-1765-9
· Vadala AP, 2013, INT ORTHOP, V37, P187, DOI 10.1007/s00264-012-1571-0
· Van Dyck P, 2016, EUR RADIOL, V26, P3383, DOI 10.1007/s00330-015-4171-8
· Zhang H, 2016, J SPORT SCI MED, V15, P688
dc.description.index MEDLINE
dc.identifier.eissn 1433-7347
hcfmusp.citation.scopus 16
hcfmusp.citation.wos 13


Files in this item

This item appears in the following Collection(s)

Show simple item record

Search DSpace



Browse

My Account

Statistics