Anterior cruciate ligament reconstruction with the Tape Locking Screw (TLS) and a short hamstring graft: Clinical evaluation of 61 cases with a minimum 12 months’ follow-up

Orfeuvre, Benoît; Pailhé, Régis; Sigwalt, Loïc; Duval, Brice Rubens; Lateur, Gabriel; Plaweski, S.; Saragaglia, D.

doi:10.1016/j.otsr.2018.03.016

Cited by 13 publications

(7 citation statements)

References 28 publications

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“…During the first phase (between preoperative and M1) Δ L and Δ C decrease significantly, then during the second phase (between M1 and M9) Δ L and Δ C gradually increase, and during the third phase (between M9 and last FU) Δ L and Δ C stabilise. At the last FU, mean Δ L was close to 1 mm (range 0–2.8 mm) at all force‐levels, which is consistent with other series [12, 29, 34, 41].…”

Section: Discussionsupporting

confidence: 90%

“…Many studies that have objectively evaluated knee joint laxity (“laximetry”) suggest that a greater measurement is associated with greater intra‐articular pathology (meniscal and/or ligamentous lesions) [3, 21, 35]. Some have used laximetry to compare different types of grafts [4], or as a means of postoperative outcome evaluation [29, 42]. There are, however, few studies that have focused on the evolvement of knee joint laxity during the first postoperative year [15, 38].…”

Section: Introductionmentioning

confidence: 99%

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Joint laxity and graft compliance increase during the first year following ACL reconstruction with short hamstring tendon grafts

Pouderoux

Muller

Robert³

2019

Knee Surg Sports Traumatol Arthrosc

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Purpose Evaluating joint laxity and graft compliance after ACL surgery may be used to quantify biomechanical graft properties during the ligamentization process. This study aimed to analyse the evolvement of joint laxity and graft compliance of short hamstring tendon grafts after ACL reconstruction (ACLR). Methods Forty-seven patients that underwent ACLR were retrospectively enrolled. Joint laxity was quantified with a GNRB ® arthrometer before surgery, then at 15 days, at 1/3/6/9 months (M1-M9), at 1 year postoperatively and then again at the last mean follow-up (FU) of 14.7 ± 3.0 months. The side-to-side laxity difference (ΔL in mm) was measured at 30 and 60 N at every FU, additionally at 90 N from M3 on and at 134 N from M6 on. The side-to-side compliance difference (ΔC in µm/N) was calculated for each graft. Results Mean ΔL and ΔC decreased significantly between preoperative and M1 for all applied forces (at 30 N, ΔL: 0.8 mm, p < 0.0001; ΔC: 25.9 µm/N, p < 0.001). Between M1 and M9, ΔL increased significantly at 30 N (p = 0.02) and 60 N (p < 0.001), while ΔC increased by 15.2 µm/N at 30 N (p = 0.003) and 14.9 µm/N at 60 N (p = 0.001). Between M9 and the last FU, there were no significant differences for ΔL and ΔC. Conclusion Joint laxity and graft compliance evolve during the first postoperative year with a phase between the first and ninth postoperative month of relative weakness. According to the established evolvement profile, return to pivoting or contact sports should be considered only after stabilization of joint laxity and graft compliance. Level of evidence Retrospective cohort study, Level III

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Joint laxity and graft compliance increase during the first year following ACL reconstruction with short hamstring tendon grafts

Pouderoux

Muller

Robert³

2019

Knee Surg Sports Traumatol Arthrosc

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“…Another alternative is using a single bundle four-strand semitendinosus tendon graft (ST4), fixed to a femoral and tibial socket through an “all inside technique” (AIT) [ 3 , 4 , 7 , 8 , 9 , 10 , 11 , 12 , 13 ]. The potential advantages of AIT include preservation of bone stock, reduced incidence of complications (tibial plateau fractures, decreased cortical bone periosteal disruption, decreased postoperative pain), improved bone–graft integration, accelerated graft maturation, increased precision of anatomic placement [ 11 , 14 , 15 , 16 ], and, usually, an ST4 graft harvest with a larger diameter graft [ 5 , 7 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Isometric Knee Muscle Strength and Patient-Reported Measures Five Years after Anterior Cruciate Ligament Reconstruction: Comparison of Single versus Dual Autograft Hamstring Tendon Harvesting

Manchado

Motta

Blanco

et al. 2022

JCM

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There is some controversy regarding the use of one or two hamstring tendons for anterior cruciate ligament reconstruction (ACLR). In this study, two cohorts of 22 male patients underwent an ACLR with hamstring tendon autografts. One cohort was reconstructed through an all-inside technique with the semitendinosus tendon (ST group) and the other with the semitendinosus and gracilis tendons (ST-G group). Anterior tibial translation (ATT), Lysholm, and IKDC scores were assessed preoperatively and five years postoperation. Additionally, isometric knee muscle strength was manually measured in both groups and in another cohort of 22 uninjured control male subjects five years after the operation. There were no significant differences in ATT and Lysholm scores between the operated groups. The IKDC score was lower in the ST-G group than in the ST group—9.57 (CI 14.89–4.25) (p < 0.001). No significant differences between injured and uninjured knees were detected in hamstring to quadriceps ratio strength and quadriceps limb symmetry index of the two operated groups, but the hamstring limb symmetry index was significantly lower in the ST-G group than in the ST and control groups. This study shows that using an ST-G autograft for ACLR yielded less flexor strength and worse results in some patient-reported outcome measures (PROM) than using an ST autograft five years after the operation. The observed results let us suggest that the use of one autograft hamstring tendon for ACLR is clinically preferable to the use of two hamstring tendons.

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“…We describe this technique as a short graft with tape suspension (SGTS). The proposed benefits of this technique include requiring only a single hamstring tendon which can be passed through smaller bone tunnels [9] . It has also been suggested that the dedicated interference screw gains better traction against the PET strip compared to soft tissue graft, which may reduce slippage of the graft-tape construct [10] .…”

Section: Introductionmentioning

confidence: 99%

“…Very little slippage has been shown between the tape and screw fixation in comparison to other devices [24]. Finally, the graft is pretensioned with 500N for 1-2 minutes, theoretically minimising further elongation of the graft after implantation [6, 23].…”

Section: Introductionmentioning

confidence: 99%

The effect of short-graft preparation with tape suspension and screw fixation on loss of knee extension following anterior cruciate ligament reconstruction: A retrospective cross-sectional analysis of public hospital cases from 2015 - 2017

Jegatheesan

Scholes²,

Tuckerman

et al. 2020

Preprint

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Background: The Tape Locking Screw (TLS®) system for anterior cruciate ligament reconstruction (ACLR) is an emerging short graft with tape suspension (SGTS) technique which uses a single hamstring tendon with tape suspension and dedicated interference screw fixation. Few studies have examined the SGTS technique versus other techniques. The objective of this study was to compare LOE in patients undergoing ACLR with the SGTS technique with other ACLR techniques. We hypothesised that the SGTS technique would be superior to others in terms of minimising LOE. Materials and methods: We retrospectively reviewed 138 patients who received primary ACLR between January 2015 and December 2017 and had elected to participate in a rehabilitation program with the hospital physiotherapy department had postoperative knee extension assessed. Patients were followed up by a department physiotherapist until baseline function was achieved. Patients were grouped as having either SGTS ACLR or non-SGTS ACLR during chart review and compared for LOE at initial assessment and when the maximum extension had been achieved. Results: There were 44 patients in the SGTS group and 94 patients in the non-SGTS group. The SGTS group had a significantly larger median graft diameter (8.5mm vs. 8.0mm, P <0.001) and less incidence of notchplasty (17.8% vs. 44.7%, P <0.001). LOE incidence was significantly associated with the use of notchplasty and graft type at initial assessment. At the time of maximum extension, LOE incidence was significantly associated with LOE at initial assessment, graft size, graft type and lateral meniscus injury. Time to maximum extension was significantly associated with the presence of LOE at initial assessment. Conclusion: In this retrospective analysis, the SGTS technique was not inferior to other ACLR techniques with respect to postoperative loss of extension. Longer time to achieve full extension in the SGTS group was not considered clinically significant. Further studies are needed to assess longer term success and functional outcomes.

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Anterior cruciate ligament reconstruction with the Tape Locking Screw (TLS) and a short hamstring graft: Clinical evaluation of 61 cases with a minimum 12 months’ follow-up

Abstract: IV, prospective cohort study.

Cited by 13 publications

References 28 publications

Joint laxity and graft compliance increase during the first year following ACL reconstruction with short hamstring tendon grafts

Joint laxity and graft compliance increase during the first year following ACL reconstruction with short hamstring tendon grafts

Isometric Knee Muscle Strength and Patient-Reported Measures Five Years after Anterior Cruciate Ligament Reconstruction: Comparison of Single versus Dual Autograft Hamstring Tendon Harvesting

The effect of short-graft preparation with tape suspension and screw fixation on loss of knee extension following anterior cruciate ligament reconstruction: A retrospective cross-sectional analysis of public hospital cases from 2015 - 2017

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