Antero-lateral ligament reconstruction improves knee stability alongside anterior cruciate ligament reconstruction

Purpose Recent evidence has found the antero-lateral ligament (ALL) may play a role in stabilizing the knee, but its role in anterior cruciate ligament (ACL) reconstruction is controversial. The purpose of the current study is to systematically review and meta-analyze the current evidence in the lit...

Full description

Saved in:
Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2021-03, Vol.29 (3), p.764-771
Main Authors: Hurley, Eoghan T., Fried, Jordan W., Kingery, Matthew T., Strauss, Eric J., Alaia, Michael J.
Format: Article
Language:English
Subjects:
Adult
Anterior cruciate ligament
Anterior Cruciate Ligament Injuries - surgery
Anterior Cruciate Ligament Reconstruction - methods
Clinical trials
Clinical Trials as Topic
Cohort Studies
Collateral Ligaments - surgery
Female
Humans
Joint Instability - surgery
Knee
Knee Joint - physiopathology
Knee Joint - surgery
Lateral stability
Ligaments
Lysholm Knee Score
Male
Medicine
Medicine & Public Health
Orthopedics
Patient Reported Outcome Measures
Reconstructive Surgical Procedures - methods
Rupture
Rupture - epidemiology
Rupture - surgery
Rupturing
Soft tissues
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose Recent evidence has found the antero-lateral ligament (ALL) may play a role in stabilizing the knee, but its role in anterior cruciate ligament (ACL) reconstruction is controversial. The purpose of the current study is to systematically review and meta-analyze the current evidence in the literature to ascertain whether ACL reconstruction combined with ALL reconstruction affects knee stability, re-rupture rates and patient-reported outcomes compared to ACL reconstructions performed alone. Methods A literature search was performed based on the PRISMA guidelines. Cohort studies comparing ACL + ALL reconstruction and ACL reconstruction alone were included. Results Six clinical trials (LOE I: I, LOE II: 2, LOE III: 3) with 729 patients were included, with a mean follow-up time of 34.2 (24–54.9) months. There was a significant difference in favor of combined ACL + ALL reconstruction for reduced re-rupture rate (2.4% vs 7.3%, p  
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-020-06002-8