Revision ACL reconstruction: influence of a lateral tenodesis

• Published in: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Vol. 20; no. 8; pp. 1565 - 1570
• Main Authors: Trojani, Christophe, Beaufils, Philippe, Burdin, Gilles, Bussière, Christophe, Chassaing, Vincent, Djian, Patrick, Dubrana, Frédéric, Ehkirch, François-Paul, Franceschi, Jean-Pierre, Hulet, Christophe, Jouve, Franck, Potel, Jean-François, Sbihi, Abderahmane, Neyret, Philippe, Colombet, Philippe
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer-Verlag 01.08.2012; Springer Nature B.V
• Subjects: Adolescent; Adult; Anterior Cruciate Ligament - surgery; Anterior Cruciate Ligament Reconstruction - methods; Female; Follow-Up Studies; Humans; Knee; Knee Joint - surgery; Knees; Ligaments; Male; Medicine; Medicine & Public Health; Middle Aged; Objectives; Orthopedics; Patients; Retrospective Studies; scoring; Sports; Stability; Surgery; Tendons - surgery; Tenodesis - methods; Treatment Outcome; Young Adult; France; Revision; ACL reconstruction; Lateral tenodesis
• ISSN: 0942-2056; 1433-7347
• DOI: 10.1007/s00167-011-1765-9

Purpose The aims of this article were to report the objective results of revision ACL reconstruction and to assess the influence of an associated lateral extra-articular tenodesis on knee stability and IKDC score. Methods This study focused on revision ACL reconstruction and was conducted over a 10-year period, from 1994 to 2003 with ten French orthopedic centers participating. The minimum follow-up required was 2 years. To be included, patients had to be evaluated at follow-up with the objective International Knee Documenting Committee (IKDC) scoring system. In 2006, 163 patients met the inclusion criteria. Results The objective IKDC knee score improved significantly after revision ACL reconstruction, with 72% IKDC A  +  B (26% A ). When a lateral tenodesis was performed, 80% had a negative pivot shift, versus 63% without ( P  = 0.03), but there was no significant difference in the IKDC score. Conclusion This study shows a significant improvement in the IKDC score after revision ACL reconstruction. The association of a lateral extra-articular tenodesis with the intra-articular graft increases knee stability after revision ACL reconstruction; however, this additional procedure does not significantly alter the IKDC score at follow-up. Level of evidence Retrospective case series, Level IV.