Evaluation of tibial rotational stability of single-bundle vs. anatomical double-bundle anterior cruciate ligament reconstruction during a high-demand activity — A quasi-randomized trial

Misonoo, Go; Kanamori, Akira; Ida, Hirofumi; Miyakawa, Syumpei; Ochiai, Naoyuki

doi:10.1016/j.knee.2011.01.003

Cited by 61 publications

(70 citation statements)

References 40 publications

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“…Desai et al 20 Zhu et al 12 Kongtharvonskul et al 19 Li et al 18 (2013) Xu et al 13 Tiamklang et al 15 van Eck et al 14 Meredick et al 16 Gobbi, 2012 28 þ þ À À À þ À À À Hussein, 2012 29 À þ À À þ þ À À À Lee, 2012 30 À þ À À þ À À À À Nuñez, 2012 31 À À À À þ À À À À Ochiai, 2012 32 À À À À þ À À À À Lee, 2012 33 þ À À À À À À À À Suomalainen, 2012 34 À þ À À À À À À À Araki, 2011 35 À þ þ þ þ þ þ À À Fujita, 2011 36 þ þ þ À À þ À À À Hemmerich, 2011 37 À þ þ À þ À À À À Kyoung, 2011 38 þ À À À À À À À À Misonoo, 2011 39 À þ À þ À À þ À À Plaweski, 2011 40 À þ À À À À À À À Siebold, 2011 41 þ À À À À À À À À Stefani, 2011 42 þ À À À À À À À À Suomalainen, 2011 43 þ…”

Section: Discussionunclassified

Does Double-Bundle Anterior Cruciate Ligament Reconstruction Improve Postoperative Knee Stability Compared With Single-Bundle Techniques? A Systematic Review of Overlapping Meta-analyses

Mascarenhas¹,

Cvetanovich²,

Sayegh³

et al. 2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

123

106

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Section: Discussionunclassified

Does Double-Bundle Anterior Cruciate Ligament Reconstruction Improve Postoperative Knee Stability Compared With Single-Bundle Techniques? A Systematic Review of Overlapping Meta-analyses

Mascarenhas¹,

Cvetanovich²,

Sayegh³

et al. 2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

123

106

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“…Residual rotational instability after ACL reconstruction is thought to be a cause of recurrent injuries [6]. The more anatomic double-bundle ACL reconstruction was proposed to overcome potential rotatory instability of the knee, but consensus has not been reached regarding its widespread use [26,27,44]. In addition, studies have shown that the posterolateral bundle contributes little to rotational stability of the knee; this function might be performed by peripheral structures such as the anterolateral ligament [8,28,45].…”

Section: Introductionmentioning

confidence: 99%

Does Combined Intra- and Extraarticular ACL Reconstruction Improve Function and Stability? A Meta-analysis

Rezende

Moraes

Martimbianco

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background ACL reconstruction aims to restore knee function and stability; however, rotational stability may not be completely restored by use of standard intraarticular reconstruction alone. Although individual studies have not shown the superiority of combined ACL reconstruction compared with isolated intraarticular reconstruction in terms of function and stability, biomechanical principles suggest a combined approach may be helpful, therefore pooling (meta-analyzing) the available randomized clinical studies may be enlightening. Questions/purposes We performed a meta-analysis to determine whether combining extraarticular with intraarticular ACL reconstruction would lead to: (1) similar knee function measured by the IKDC evaluation, return-toactivity, and Tegner Lysholm scores, compared with isolated intraarticular reconstruction; (2) increased stability measured by pivot shift and instrumented Lachman examination; and (3) any differences in complications and adverse events? Methods To identify randomized controlled trials (RCTs) comparing combined intra-and extrarticular ACL reconstruction (combined reconstruction) with intraarticular ACL reconstruction only, we searched MEDLINE, EMBASE, SPORTDiscus, Latin American and Caribbean Health Sciences (LILACS), and the Cochrane Central Register of Controlled Trials, and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria. The main outcomes we sought were patient function and stability and complications after ACL reconstruction. Of 386 identified studies, eight RCTs were included (n = 682 participants; followup, 12-84 months; men to women ratio, 2.17:1) in our meta-analysis. Study quality (internal validity) was assessed using the Cochrane risk-of-bias tool; in general, we found a moderate quality of evidence of the included studies. Results When functional outcomes were compared, we found no difference between patients who underwent intraarticular ACL reconstruction only and those who underwent combined reconstruction (IKDC, return-to-activity, and Tegner Lysholm scores). However, patients who underwent combined reconstruction were more likely to show improved stability based on the pivot shift test (risk ratio [RR], 0.95; 95% CI, 0.91-0.99; p = 0.02) and Lachman test (RR, 0.93; 95% CI, 0.88-0.98; p = 0.01). In addition, our meta-analysis found no difference between the two treatments in terms of general complications or adverse events (RR, 1.31; 95% CI, 0.70-2.34; p = 0.40) and the proportion of patients whose reconstructions failed (RR, 2.88; 95% CI, 0.73-11.47; p = 0.13).

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“…A high correlation between the pivot-shift phenomenon and lesions to the anterolateral structures has been shown to exist in a recent kinematic study by Monaco et al 9 Although single-and double-bundle ACL reconstruction techniques reliably restore functional knee stability, some patients continue to complain of rotational instability. 4,10 Failure to repair the secondary stabilizers has been noted as a cause of reconstruction failure. 11 The examination and assessment of this ligament will become increasingly important in the decision making before and during ACL surgery.…”

Section: Discussionmentioning

confidence: 99%

“…4 Extra-articular lateral reconstruction to treat anterolateral instability has been proposed. 5 These procedures have not been widely popularized because of their additional morbidity and the lack of evidence-based clinical guidelines.…”

mentioning

confidence: 99%

Arthroscopic Identification of the Anterolateral Ligament of the Knee

Sonnery‐Cottet

Archbold²,

Rezende

et al. 2014

Arthroscopy Techniques

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Intense interest has focused on the recent description of the anterolateral ligament of the knee. Advancing knowledge of its anatomy and function is leading to a realization of its importance in the rotatory control of the tibia in anterior cruciate ligament injuries. Reconstruction of this structure will increasingly become an important goal during anterior cruciate ligament reconstruction. However, preoperative assessment of this ligament is difficult. Clinical assessment of rotatory laxity has poor reproducibility, and it is difficult to define using current imaging techniques. This article is the first to describe a safe and reproducible arthroscopic technique to allow identification and examination of the anterolateral ligament of the knee. With the knee at 90 of flexion, the arthroscope is introduced through the anterolateral portal to allow clear visualization of the lateral gutter. Under direct vision, an accessory portal is made over the inferior limit of the lateral gutter. A shaver is then introduced through this portal and used to debride this synovial recess and define the anterolateral ligament. This allows the surgeon to examine the integrity of the anterolateral ligament, in particular its femoral insertion. If required, this additional information can facilitate the performance of a more accurate and effective extra-articular reconstruction.

show abstract

Evaluation of tibial rotational stability of single-bundle vs. anatomical double-bundle anterior cruciate ligament reconstruction during a high-demand activity — A quasi-randomized trial

Cited by 61 publications

References 40 publications

Does Double-Bundle Anterior Cruciate Ligament Reconstruction Improve Postoperative Knee Stability Compared With Single-Bundle Techniques? A Systematic Review of Overlapping Meta-analyses

Does Double-Bundle Anterior Cruciate Ligament Reconstruction Improve Postoperative Knee Stability Compared With Single-Bundle Techniques? A Systematic Review of Overlapping Meta-analyses

Does Combined Intra- and Extraarticular ACL Reconstruction Improve Function and Stability? A Meta-analysis

Arthroscopic Identification of the Anterolateral Ligament of the Knee

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