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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...
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| 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 |
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| container_end_page | 771 |
| container_issue | 3 |
| container_start_page | 764 |
| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
| container_volume | 29 |
| creator | Hurley, Eoghan T. Fried, Jordan W. Kingery, Matthew T. Strauss, Eric J. Alaia, Michael J. |
| description | 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
|
| doi_str_mv | 10.1007/s00167-020-06002-8 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2394240695</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2394240695</sourcerecordid><originalsourceid>FETCH-LOGICAL-c441t-1532545201d5d6a589b66f89be6bb44e1d80d528ac80221cf72ebe282140de353</originalsourceid><addsrcrecordid>eNp9kUtLBDEQhIMouq7-AQ8y4MVLtNPJvI4ivkDwoueQmeldojOJJjOC_96s6wMEvaQDqfq6SDF2IOBEAJSnEUAUJQcEDgUA8mqDzYSSkpdSlZtsBrVCjpAXO2w3xkeAdFX1NtuRKBFrVc9YOHMjBc97k4bps94uzUBuzAK13sUxTO1ovcvs8Bz8K8XsyRFlcTSN7e34lpneu2W0HWVmBbI-ZG3y2IT7i7XHthamj7T_Oefs4fLi_vya395d3Zyf3fJWKTFykUvMVY4gurwrTF7VTVEs0klF0yhFoqugy7EybQWIol2USA1hhUJBRzKXc3a85qbkLxPFUQ82ttT3xpGfokaZvkdBUa-kR7-kj34KLqXTqGoFKQqqpMK1qg0-xkAL_RzsYMKbFqBXjeh1Izo1oj8a0VUyHX6ip2ag7tvyVUESyLUgpie3pPCz-x_sOz-CmEE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2494053224</pqid></control><display><type>article</type><title>Antero-lateral ligament reconstruction improves knee stability alongside anterior cruciate ligament reconstruction</title><source>Wiley:Jisc Collections:Wiley Read and Publish Open Access 2024-2025 (reading list)</source><source>EBSCOhost SPORTDiscus with Full Text</source><source>Springer Nature:Jisc Collections:Springer Nature Read and Publish 2023-2025: Springer Reading List</source><creator>Hurley, Eoghan T. ; Fried, Jordan W. ; Kingery, Matthew T. ; Strauss, Eric J. ; Alaia, Michael J.</creator><creatorcontrib>Hurley, Eoghan T. ; Fried, Jordan W. ; Kingery, Matthew T. ; Strauss, Eric J. ; Alaia, Michael J.</creatorcontrib><description><![CDATA[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
< 0.01), residual positive pivot shift rate (33.3% vs 11.4%,
p
< 0.01), and reduced KT-arthrometer evaluation (1.6 vs 2.6,
p
< 0.01). Combined ACL + ALL reconstruction resulted in improved IKDC scores (92.5 vs 87.8,
p
< 0.01), Lysholm scores (95.7 vs 91.2,
p
< 0.01) and Tegner scores (6.7 vs 5.7,
p
< 0.01). There was no significant difference in rate of return to play at the same level (54.3% vs 46.0%, n.s.).
Conclusion
The current evidence suggests alongside soft tissue graft ACL reconstruction that concomitant ALL reconstruction improves clinical outcomes, with improved knee stability and lower re-rupture rates.
Level of evidence
III.]]></description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-020-06002-8</identifier><identifier>PMID: 32322949</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>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</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021-03, Vol.29 (3), p.764-771</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2020</rights><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-1532545201d5d6a589b66f89be6bb44e1d80d528ac80221cf72ebe282140de353</citedby><cites>FETCH-LOGICAL-c441t-1532545201d5d6a589b66f89be6bb44e1d80d528ac80221cf72ebe282140de353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32322949$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hurley, Eoghan T.</creatorcontrib><creatorcontrib>Fried, Jordan W.</creatorcontrib><creatorcontrib>Kingery, Matthew T.</creatorcontrib><creatorcontrib>Strauss, Eric J.</creatorcontrib><creatorcontrib>Alaia, Michael J.</creatorcontrib><title>Antero-lateral ligament reconstruction improves knee stability alongside anterior cruciate ligament reconstruction</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description><![CDATA[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
< 0.01), residual positive pivot shift rate (33.3% vs 11.4%,
p
< 0.01), and reduced KT-arthrometer evaluation (1.6 vs 2.6,
p
< 0.01). Combined ACL + ALL reconstruction resulted in improved IKDC scores (92.5 vs 87.8,
p
< 0.01), Lysholm scores (95.7 vs 91.2,
p
< 0.01) and Tegner scores (6.7 vs 5.7,
p
< 0.01). There was no significant difference in rate of return to play at the same level (54.3% vs 46.0%, n.s.).
Conclusion
The current evidence suggests alongside soft tissue graft ACL reconstruction that concomitant ALL reconstruction improves clinical outcomes, with improved knee stability and lower re-rupture rates.
Level of evidence
III.]]></description><subject>Adult</subject><subject>Anterior cruciate ligament</subject><subject>Anterior Cruciate Ligament Injuries - surgery</subject><subject>Anterior Cruciate Ligament Reconstruction - methods</subject><subject>Clinical trials</subject><subject>Clinical Trials as Topic</subject><subject>Cohort Studies</subject><subject>Collateral Ligaments - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Joint Instability - surgery</subject><subject>Knee</subject><subject>Knee Joint - physiopathology</subject><subject>Knee Joint - surgery</subject><subject>Lateral stability</subject><subject>Ligaments</subject><subject>Lysholm Knee Score</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Patient Reported Outcome Measures</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Rupture</subject><subject>Rupture - epidemiology</subject><subject>Rupture - surgery</subject><subject>Rupturing</subject><subject>Soft tissues</subject><subject>Treatment Outcome</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kUtLBDEQhIMouq7-AQ8y4MVLtNPJvI4ivkDwoueQmeldojOJJjOC_96s6wMEvaQDqfq6SDF2IOBEAJSnEUAUJQcEDgUA8mqDzYSSkpdSlZtsBrVCjpAXO2w3xkeAdFX1NtuRKBFrVc9YOHMjBc97k4bps94uzUBuzAK13sUxTO1ovcvs8Bz8K8XsyRFlcTSN7e34lpneu2W0HWVmBbI-ZG3y2IT7i7XHthamj7T_Oefs4fLi_vya395d3Zyf3fJWKTFykUvMVY4gurwrTF7VTVEs0klF0yhFoqugy7EybQWIol2USA1hhUJBRzKXc3a85qbkLxPFUQ82ttT3xpGfokaZvkdBUa-kR7-kj34KLqXTqGoFKQqqpMK1qg0-xkAL_RzsYMKbFqBXjeh1Izo1oj8a0VUyHX6ip2ag7tvyVUESyLUgpie3pPCz-x_sOz-CmEE</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Hurley, Eoghan T.</creator><creator>Fried, Jordan W.</creator><creator>Kingery, Matthew T.</creator><creator>Strauss, Eric J.</creator><creator>Alaia, Michael J.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20210301</creationdate><title>Antero-lateral ligament reconstruction improves knee stability alongside anterior cruciate ligament reconstruction</title><author>Hurley, Eoghan T. ; Fried, Jordan W. ; Kingery, Matthew T. ; Strauss, Eric J. ; Alaia, Michael J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-1532545201d5d6a589b66f89be6bb44e1d80d528ac80221cf72ebe282140de353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Anterior cruciate ligament</topic><topic>Anterior Cruciate Ligament Injuries - surgery</topic><topic>Anterior Cruciate Ligament Reconstruction - methods</topic><topic>Clinical trials</topic><topic>Clinical Trials as Topic</topic><topic>Cohort Studies</topic><topic>Collateral Ligaments - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Joint Instability - surgery</topic><topic>Knee</topic><topic>Knee Joint - physiopathology</topic><topic>Knee Joint - surgery</topic><topic>Lateral stability</topic><topic>Ligaments</topic><topic>Lysholm Knee Score</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Patient Reported Outcome Measures</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Rupture</topic><topic>Rupture - epidemiology</topic><topic>Rupture - surgery</topic><topic>Rupturing</topic><topic>Soft tissues</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hurley, Eoghan T.</creatorcontrib><creatorcontrib>Fried, Jordan W.</creatorcontrib><creatorcontrib>Kingery, Matthew T.</creatorcontrib><creatorcontrib>Strauss, Eric J.</creatorcontrib><creatorcontrib>Alaia, Michael J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hurley, Eoghan T.</au><au>Fried, Jordan W.</au><au>Kingery, Matthew T.</au><au>Strauss, Eric J.</au><au>Alaia, Michael J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Antero-lateral ligament reconstruction improves knee stability alongside anterior cruciate ligament reconstruction</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>29</volume><issue>3</issue><spage>764</spage><epage>771</epage><pages>764-771</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract><![CDATA[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
< 0.01), residual positive pivot shift rate (33.3% vs 11.4%,
p
< 0.01), and reduced KT-arthrometer evaluation (1.6 vs 2.6,
p
< 0.01). Combined ACL + ALL reconstruction resulted in improved IKDC scores (92.5 vs 87.8,
p
< 0.01), Lysholm scores (95.7 vs 91.2,
p
< 0.01) and Tegner scores (6.7 vs 5.7,
p
< 0.01). There was no significant difference in rate of return to play at the same level (54.3% vs 46.0%, n.s.).
Conclusion
The current evidence suggests alongside soft tissue graft ACL reconstruction that concomitant ALL reconstruction improves clinical outcomes, with improved knee stability and lower re-rupture rates.
Level of evidence
III.]]></abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32322949</pmid><doi>10.1007/s00167-020-06002-8</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021-03, Vol.29 (3), p.764-771 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2394240695 |
| source | Wiley:Jisc Collections:Wiley Read and Publish Open Access 2024-2025 (reading list); EBSCOhost SPORTDiscus with Full Text; Springer Nature:Jisc Collections:Springer Nature Read and Publish 2023-2025: Springer Reading List |
| 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 |
| title | Antero-lateral ligament reconstruction improves knee stability alongside anterior cruciate ligament reconstruction |
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