AJSM Webinar Series - March 2022: Lateral Extraarticular Tenodesis (LET) in ACL-Reconstruction: From Past to Present-ACL Reconstruction Combined With the Arnold-Coker Modification of the MacIntosh Lateral Extra-articular Tenodesis

ACL Reconstruction Combined With the Arnold-Coker Modification of the MacIntosh Lateral Extra-articular Tenodesis

Pdf Summary

This study aimed to compare the long-term outcomes of patients undergoing isolated anterior cruciate ligament reconstruction (ACLR) with hamstring tendon autograft versus those receiving a combined ACLR and lateral extra-articular tenodesis. The study included 165 consecutive patients treated at a single center. The results showed that patients who underwent isolated ACLR had a significantly higher risk of long-term osteoarthritis (OA) compared to those who received combined ACLR and lateral extra-articular tenodesis. Additional findings included better knee stability and lower graft rupture rates at the long-term follow-up in patients who underwent the combined procedure. The study also found that meniscectomy was the main risk factor negatively associated with OA changes. These findings suggest that combining ACLR with lateral extra-articular tenodesis provides better long-term outcomes and reduces the risk of OA.

Keywords

anterior cruciate ligament reconstruction

hamstring tendon autograft

lateral extra-articular tenodesis

long-term outcomes

patients

osteoarthritis

knee stability

graft rupture rates

meniscectomy

risk factor