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AJSM Webinar Series - March 2022: Lateral Extraart ...
Revision Anterior Cruciate Ligament Reconstruction ...
Revision Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Graft Combined With Modified Lemaire Technique Versus Hamstring Graft Combined With Anterolateral Ligament Reconstruction
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Pdf Summary
This study compared the clinical outcomes of two different lateral extra-articular tenodesis (LET) procedures in revision anterior cruciate ligament (ACL) reconstruction: hamstring tendon graft combined with anterolateral ligament (ALL) reconstruction (HT-ALL) and bone-patellar tendon-bone (BPTB) graft combined with modified Lemaire tenodesis procedure (BPTB-Lemaire). The study included 36 matched pairs of patients and found no significant differences in graft rupture rate, reoperations, knee laxity parameters, return to sports, or most clinical scores between the two groups at the final follow-up. However, the Tegner activity scale score was significantly higher in the BPTB-Lemaire group. HT-ALL was associated with a shorter surgical time compared to BPTB-Lemaire. The study concluded that HT-ALL was at least equivalent to BPTB-Lemaire in terms of clinical outcomes, suggesting that performing ALL reconstruction in the setting of revision ACLR is safe and effective. It should be noted that the study had limitations, including its retrospective and nonrandomized design, relatively small sample size, and lack of objective evaluation at the final follow-up.
Keywords
clinical outcomes
lateral extra-articular tenodesis
revision anterior cruciate ligament reconstruction
hamstring tendon graft
anterolateral ligament reconstruction
bone-patellar tendon-bone graft
modified Lemaire tenodesis procedure
graft rupture rate
knee laxity parameters
return to sports
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