Patellar tendon autograft reconstruction of the anterior cruciate ligament with and without lateral plasty in advanced-stage chronic laxity. A clinical, prospective, randomized, single-blind study using passive dynamic X-rays
Abstract Purpose A prospective randomized study was performed to assess the influence of extra-articular ilio-tibial band tenodesis on the results of arthroscopic anterior cruciate ligament (ACL) reconstruction in patients with advanced-stage chronic anterior laxity of the knee. Methods Preoperative...
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| Published in | The knee Vol. 21; no. 1; pp. 58 - 65 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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Netherlands
Elsevier B.V
01.01.2014
Elsevier Limited Elsevier |
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| Abstract | Abstract Purpose A prospective randomized study was performed to assess the influence of extra-articular ilio-tibial band tenodesis on the results of arthroscopic anterior cruciate ligament (ACL) reconstruction in patients with advanced-stage chronic anterior laxity of the knee. Methods Preoperatively, the two constituent groups of our series of 120 patients: group 1 (Kenneth Jones) and group 2 (Kenneth Jones + extra-articular ilio-tibial band tenodesis) were strictly comparable with regard to demographic data, activity level, interval between the injury and the operation, and even objective laxity. Through radiological measurements made by passive dynamic X-rays, we studied the evolution of the objective laxity on the two compartments (medial and lateral) of the knee before the surgery and in review. Results At 2 years follow-up, there was no significant difference between the two groups in terms of the subjective result, sports, and the overall international knee documentation committee score, however, In terms of objective laxity; Gain laxity obtained after surgery on the lateral compartment, was statistically higher in cases of extra-articular associated plasty (+ 29%), by cons in cases of intra-articular reconstruction alone, the laxity of the lateral compartment was poorly controlled and has continued to evolve despite the plasty of the ACL. Conclusion The indication of an associated extra-articular plasty remains very discussed but we plead for an objective criterion with knowing the importance of preoperative objective laxity especially that of the lateral compartment to decide if it necessary, or not, being associated. Level of evidence Level I, therapeutic prospective randomized trial. |
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| AbstractList | PURPOSE: A prospective randomized study was performed to assess the influence of extra-articular ilio-tibial band tenodesis on the results of arthroscopic anterior cruciate ligament (ACL) reconstruction in patients with advanced-stage chronic anterior laxity of the knee. METHODS: Preoperatively, the two constituent groups of our series of 120 patients: group 1 (Kenneth Jones) and group 2 (Kenneth Jones+extra-articular ilio-tibial band tenodesis) were strictly comparable with regard to demographic data, activity level, interval between the injury and the operation, and even objective laxity. Through radiological measurements made by passive dynamic X-rays, we studied the evolution of the objective laxity on the two compartments (medial and lateral) of the knee before the surgery and in review. RESULTS: At 2 years follow-up, there was no significant difference between the two groups in terms of the subjective result, sports, and the overall international knee documentation committee score, however, In terms of objective laxity; Gain laxity obtained after surgery on the lateral compartment, was statistically higher in cases of extra-articular associated plasty (+29%), by cons in cases of intra-articular reconstruction alone, the laxity of the lateral compartment was poorly controlled and has continued to evolve despite the plasty of the ACL. CONCLUSION: The indication of an associated extra-articular plasty remains very discussed but we plead for an objective criterion with knowing the importance of preoperative objective laxity especially that of the lateral compartment to decide if it necessary, or not, being associated. LEVEL OF EVIDENCE: Level I, therapeutic prospective randomized trial. PURPOSEA prospective randomized study was performed to assess the influence of extra-articular ilio-tibial band tenodesis on the results of arthroscopic anterior cruciate ligament (ACL) reconstruction in patients with advanced-stage chronic anterior laxity of the knee.METHODSPreoperatively, the two constituent groups of our series of 120 patients: group 1 (Kenneth Jones) and group 2 (Kenneth Jones+extra-articular ilio-tibial band tenodesis) were strictly comparable with regard to demographic data, activity level, interval between the injury and the operation, and even objective laxity. Through radiological measurements made by passive dynamic X-rays, we studied the evolution of the objective laxity on the two compartments (medial and lateral) of the knee before the surgery and in review.RESULTSAt 2 years follow-up, there was no significant difference between the two groups in terms of the subjective result, sports, and the overall international knee documentation committee score, however, In terms of objective laxity; Gain laxity obtained after surgery on the lateral compartment, was statistically higher in cases of extra-articular associated plasty (+29%), by cons in cases of intra-articular reconstruction alone, the laxity of the lateral compartment was poorly controlled and has continued to evolve despite the plasty of the ACL.CONCLUSIONThe indication of an associated extra-articular plasty remains very discussed but we plead for an objective criterion with knowing the importance of preoperative objective laxity especially that of the lateral compartment to decide if it necessary, or not, being associated.LEVEL OF EVIDENCELevel I, therapeutic prospective randomized trial. A prospective randomized study was performed to assess the influence of extra-articular ilio-tibial band tenodesis on the results of arthroscopic anterior cruciate ligament (ACL) reconstruction in patients with advanced-stage chronic anterior laxity of the knee. Preoperatively, the two constituent groups of our series of 120 patients: group 1 (Kenneth Jones) and group 2 (Kenneth Jones+extra-articular ilio-tibial band tenodesis) were strictly comparable with regard to demographic data, activity level, interval between the injury and the operation, and even objective laxity. Through radiological measurements made by passive dynamic X-rays, we studied the evolution of the objective laxity on the two compartments (medial and lateral) of the knee before the surgery and in review. At 2 years follow-up, there was no significant difference between the two groups in terms of the subjective result, sports, and the overall international knee documentation committee score, however, In terms of objective laxity; Gain laxity obtained after surgery on the lateral compartment, was statistically higher in cases of extra-articular associated plasty (+29%), by cons in cases of intra-articular reconstruction alone, the laxity of the lateral compartment was poorly controlled and has continued to evolve despite the plasty of the ACL. The indication of an associated extra-articular plasty remains very discussed but we plead for an objective criterion with knowing the importance of preoperative objective laxity especially that of the lateral compartment to decide if it necessary, or not, being associated. Level I, therapeutic prospective randomized trial. Abstract Purpose A prospective randomized study was performed to assess the influence of extra-articular ilio-tibial band tenodesis on the results of arthroscopic anterior cruciate ligament (ACL) reconstruction in patients with advanced-stage chronic anterior laxity of the knee. Methods Preoperatively, the two constituent groups of our series of 120 patients: group 1 (Kenneth Jones) and group 2 (Kenneth Jones + extra-articular ilio-tibial band tenodesis) were strictly comparable with regard to demographic data, activity level, interval between the injury and the operation, and even objective laxity. Through radiological measurements made by passive dynamic X-rays, we studied the evolution of the objective laxity on the two compartments (medial and lateral) of the knee before the surgery and in review. Results At 2 years follow-up, there was no significant difference between the two groups in terms of the subjective result, sports, and the overall international knee documentation committee score, however, In terms of objective laxity; Gain laxity obtained after surgery on the lateral compartment, was statistically higher in cases of extra-articular associated plasty (+ 29%), by cons in cases of intra-articular reconstruction alone, the laxity of the lateral compartment was poorly controlled and has continued to evolve despite the plasty of the ACL. Conclusion The indication of an associated extra-articular plasty remains very discussed but we plead for an objective criterion with knowing the importance of preoperative objective laxity especially that of the lateral compartment to decide if it necessary, or not, being associated. Level of evidence Level I, therapeutic prospective randomized trial. A prospective randomized study was performed to assess the influence of extra-articular ilio-tibial band tenodesis on the results of arthroscopic anterior cruciate ligament (ACL) reconstruction in patients with advanced-stage chronic anterior laxity of the knee. Preoperatively, the two constituent groups of our series of 120 patients: group 1 (Kenneth Jones) and group 2 (Kenneth Jones+extra-articular ilio-tibial band tenodesis) were strictly comparable with regard to demographic data, activity level, interval between the injury and the operation, and even objective laxity. Through radiological measurements made by passive dynamic X-rays, we studied the evolution of the objective laxity on the two compartments (medial and lateral) of the knee before the surgery and in review. At 2years follow-up, there was no significant difference between the two groups in terms of the subjective result, sports, and the overall international knee documentation committee score, however, In terms of objective laxity; Gain laxity obtained after surgery on the lateral compartment, was statistically higher in cases of extra-articular associated plasty (+29%), by cons in cases of intra-articular reconstruction alone, the laxity of the lateral compartment was poorly controlled and has continued to evolve despite the plasty of the ACL. The indication of an associated extra-articular plasty remains very discussed but we plead for an objective criterion with knowing the importance of preoperative objective laxity especially that of the lateral compartment to decide if it necessary, or not, being associated. Level I, therapeutic prospective randomized trial. Purpose A prospective randomized study was performed to assess the influence of extra-articular ilio-tibial band tenodesis on the results of arthroscopic anterior cruciate ligament (ACL) reconstruction in patients with advanced-stage chronic anterior laxity of the knee. Methods Preoperatively, the two constituent groups of our series of 120 patients: group 1 (Kenneth Jones) and group 2 (Kenneth Jones+extra-articular ilio-tibial band tenodesis) were strictly comparable with regard to demographic data, activity level, interval between the injury and the operation, and even objective laxity. Through radiological measurements made by passive dynamic X-rays, we studied the evolution of the objective laxity on the two compartments (medial and lateral) of the knee before the surgery and in review. Results At 2years follow-up, there was no significant difference between the two groups in terms of the subjective result, sports, and the overall international knee documentation committee score, however, In terms of objective laxity; Gain laxity obtained after surgery on the lateral compartment, was statistically higher in cases of extra-articular associated plasty (+29%), by cons in cases of intra-articular reconstruction alone, the laxity of the lateral compartment was poorly controlled and has continued to evolve despite the plasty of the ACL. Conclusion The indication of an associated extra-articular plasty remains very discussed but we plead for an objective criterion with knowing the importance of preoperative objective laxity especially that of the lateral compartment to decide if it necessary, or not, being associated. Level of evidence Level I, therapeutic prospective randomized trial. |
| Author | Chouteau, Julien Alsaati, Ma'ad Maza, Rabah Trichine, Faycal Moyen, Bernard Bouzitouna, Mahdjoub |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23810648$$D View this record in MEDLINE/PubMed https://hal.science/hal-01823813$$DView record in HAL |
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| Keywords | ACL reconstruction Gain laxity Advanced-stage chronic laxity Extra-articular ilio-tibial band tenodesis Dynamic X-rays KNEE JOINT TIBIA OS ACL RECONSTRUCTION BIOMECANIQUE ANTERIOR CRUCIATE LIGAMENT DEFICIENT RECONSTRUCTION GAIN LAXITY ANTERIOR CRUCIATE LIGAMENT FEMUR ARTHROSCOPY DYNAMIC X-RAYS EXTRA-ARTICULAR ILIO-TIBIAL BAND TENODESIS ADVANCED-STAGE CHRONIC LAXITY |
| Language | English |
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84 Wool, Kanamori, Zeminski, Masayoshi, Christos, Freddie (bb0230) 2002; 84 Jones (bb0005) 1963; 45 Bach, Warren, Flynn (bb0100) 1990; 72 Neyret (10.1016/j.knee.2013.06.001_bb0120) 1994; 28 Jacobsen (10.1016/j.knee.2013.06.001_bb0165) 1976; 47 Eriksson (10.1016/j.knee.2013.06.001_bb0055) 1997; 5 Marcacci (10.1016/j.knee.2013.06.001_bb0320) 2009; 37 Kocher (10.1016/j.knee.2013.06.001_bb0065) 2002; 84 Tashman (10.1016/j.knee.2013.06.001_bb0075) 2004; 32 Lebel (10.1016/j.knee.2013.06.001_bb0030) 2006 Markolf (10.1016/j.knee.2013.06.001_bb0185) 1981; 63A Jensen (10.1016/j.knee.2013.06.001_bb0270) 1983; 11 Lerat (10.1016/j.knee.2013.06.001_bb0310) 1997; 83 Jones (10.1016/j.knee.2013.06.001_bb0005) 1963; 45 Shelbourne (10.1016/j.knee.2013.06.001_bb0070) 1997; 25 How (10.1016/j.knee.2013.06.001_bb0015) 1991; 19 Draganish (10.1016/j.knee.2013.06.001_bb0115) 1989; 17 Norwood (10.1016/j.knee.2013.06.001_bb0210) 1976; 67A Zantop (10.1016/j.knee.2013.06.001_bb0235) 2007; 35 Engebresten (10.1016/j.knee.2013.06.001_bb0295) 1990; 18 Lerat (10.1016/j.knee.2013.06.001_bb0145) 1998; 84 Strum (10.1016/j.knee.2013.06.001_bb0280) 1989; 245 Zorilla (10.1016/j.knee.2013.06.001_bb0305) 1997; 79 Shelbourne (10.1016/j.knee.2013.06.001_bb0025) 1990; 18 Holmes (10.1016/j.knee.2013.06.001_bb0140) 1991; 19 Shoemaker (10.1016/j.knee.2013.06.001_bb0205) 1985; 67A Bull (10.1016/j.knee.2013.06.001_bb0215) 1999; 363 Clancy (10.1016/j.knee.2013.06.001_bb0010) 1982; 64A Howell (10.1016/j.knee.2013.06.001_bb0345) 2001; 29 Moyen (10.1016/j.knee.2013.06.001_bb0330) 2007; Suppl 06 Ait Si Selmi (10.1016/j.knee.2013.06.001_bb0325) 2002 Kim (10.1016/j.knee.2013.06.001_bb0220) 1995; 317 Cladiere (10.1016/j.knee.2013.06.001_bb0285) 2000 Noyes (10.1016/j.knee.2013.06.001_bb0225) 1991; 19 Dejour (10.1016/j.knee.2013.06.001_bb0090) 1996; 59 Roth (10.1016/j.knee.2013.06.001_bb0275) 1987; 69 Shoemaker (10.1016/j.knee.2013.06.001_bb0200) 1991 Sakane (10.1016/j.knee.2013.06.001_bb0250) 1997; 15 Marcacci (10.1016/j.knee.2013.06.001_bb0315) 1999; 6 Markolf (10.1016/j.knee.2013.06.001_bb0190) 1976; 58A Wool (10.1016/j.knee.2013.06.001_bb0230) 2002; 84 Barret (10.1016/j.knee.2013.06.001_bb0050) 1995; 8 Muneta (10.1016/j.knee.2013.06.001_bb0260) 2007; 23 Bull (10.1016/j.knee.2013.06.001_bb0265) 1998; 5 Sydney (10.1016/j.knee.2013.06.001_bb0300) 1987; 11 Jarvelat (10.1016/j.knee.2013.06.001_bb0255) 2007; 15 Ristanis (10.1016/j.knee.2013.06.001_bb0080) 2005; 21 Bach (10.1016/j.knee.2013.06.001_bb0100) 1990; 72 O'Brien (10.1016/j.knee.2013.06.001_bb0155) 1991; 19 Aglietti (10.1016/j.knee.2013.06.001_bb0170) 1992; 20 Noyes (10.1016/j.knee.2013.06.001_bb0150) 1991; 73A Lerat (10.1016/j.knee.2013.06.001_bb0095) 2000; 82 Giraud (10.1016/j.knee.2013.06.001_bb0175) 2006; 92 Dejour (10.1016/j.knee.2013.06.001_bb0135) 1999; 85 Henner (10.1016/j.knee.2013.06.001_bb0290) 2006 Chhabra (10.1016/j.knee.2013.06.001_bb0350) 2004; 20 Hulet (10.1016/j.knee.2013.06.001_bb0105) 2007; Suppl 06 Vail (10.1016/j.knee.2013.06.001_bb0125) 1992; 20 Noyes (10.1016/j.knee.2013.06.001_bb0085) 1987; 36 Hseih (10.1016/j.knee.2013.06.001_bb0180) 2002; 58A O'Brien (10.1016/j.knee.2013.06.001_bb0020) 1991; 73A Aglietti (10.1016/j.knee.2013.06.001_bb0035) 1997; 5 Acquitter (10.1016/j.knee.2013.06.001_bb0110) 2003; 84 Gabriel (10.1016/j.knee.2013.06.001_bb0245) 2004; 22 Seering (10.1016/j.knee.2013.06.001_bb0195) 1980; 13 Christel (10.1016/j.knee.2013.06.001_bb0160) 2002; 88 Kaplan (10.1016/j.knee.2013.06.001_bb0060) 1990; 18 Bach (10.1016/j.knee.2013.06.001_bb0045) 1998; 26 Amis (10.1016/j.knee.2013.06.001_bb0335) 2005 Fukuda (10.1016/j.knee.2013.06.001_bb0240) 2003; 21 Anderson (10.1016/j.knee.2013.06.001_bb0040) 2001; 29 Buss (10.1016/j.knee.2013.06.001_bb0130) 1993; 75 Andriacchi (10.1016/j.knee.2013.06.001_bb0340) 2006; 442 |
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| Snippet | Abstract Purpose A prospective randomized study was performed to assess the influence of extra-articular ilio-tibial band tenodesis on the results of... A prospective randomized study was performed to assess the influence of extra-articular ilio-tibial band tenodesis on the results of arthroscopic anterior... Purpose A prospective randomized study was performed to assess the influence of extra-articular ilio-tibial band tenodesis on the results of arthroscopic... PURPOSEA prospective randomized study was performed to assess the influence of extra-articular ilio-tibial band tenodesis on the results of arthroscopic... PURPOSE: A prospective randomized study was performed to assess the influence of extra-articular ilio-tibial band tenodesis on the results of arthroscopic... |
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| SubjectTerms | ACL reconstruction Adult Advanced-stage chronic laxity Anterior Cruciate Ligament - physiopathology Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries Anterior Cruciate Ligament Reconstruction - methods Arthroscopy Autografts Biomechanics Bone-Patellar Tendon-Bone Grafting Dynamic X-rays Engineering Sciences Extra-articular ilio-tibial band tenodesis Fascia Lata - transplantation Femur - diagnostic imaging Femur - surgery Gain laxity Humans Joint Instability - diagnostic imaging Joint Instability - physiopathology Joint Instability - surgery Knee Knee Joint - diagnostic imaging Knee Joint - physiopathology Knee Joint - surgery Ligaments Male Mechanics Orthopedics Physical Therapy Modalities Postoperative Care Prospective Studies Radiography Single-Blind Method Skin & tissue grafts Tendons Tenodesis Tibia - diagnostic imaging Tibia - surgery Young Adult |
| Title | Patellar tendon autograft reconstruction of the anterior cruciate ligament with and without lateral plasty in advanced-stage chronic laxity. A clinical, prospective, randomized, single-blind study using passive dynamic X-rays |
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