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AJSM Webinar Series - March 2022: Lateral Extraart ...
ACL Reconstruction Combined With the Arnold-Coker ...
ACL Reconstruction Combined With the Arnold-Coker Modification of the MacIntosh Lateral Extra-articular Tenodesis
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Pdf Summary
This study compared the long-term outcomes of patients who underwent isolated anterior cruciate ligament reconstruction (iACLR) with hamstring tendon autografts to those who underwent combined ACLR with the Arnold-Coker modification of the MacIntosh extra-articular procedure. The study included 165 consecutive patients, with 86 in the iACLR group and 79 in the ACLR+LET group. The results showed that patients in the ACLR+LET group had a significantly lower incidence of osteoarthritis (OA) in the overall tibiofemoral joint and the lateral compartment of the knee compared to the iACLR group. Patients in the iACLR group had a significantly higher risk of developing OA, and meniscectomy was identified as the main risk factor associated with OA. It was also found that combined ACLR resulted in better knee stability and lower graft rupture rates at the long-term follow-up. The study concludes that combined ACLR with the Arnold-Coker modification provides better outcomes in terms of OA incidence, knee stability, and graft integrity compared to iACLR.
Keywords
long-term outcomes
anterior cruciate ligament reconstruction
hamstring tendon autografts
combined ACLR
Arnold-Coker modification
incidence of osteoarthritis
knee stability
meniscectomy
graft rupture rates
graft integrity
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