Tools
Tools
Rosenstiel, N., Praz, C., Ouanezar, H., Saithna, A. 
ORCID: 0000-0002-2408-5307, Fournier, Y., Hager, J.-P., Thaunat, M. and Sonnery-Cottet, B.,
2019.
Combined anterior cruciate and anterolateral ligament reconstruction in the professional athlete: clinical outcomes from the SANTI Group in a series of seventy patients with a minimum follow up of two years.
Arthroscopy: The Journal of Arthroscopic & Related Surgery, 35 (3), pp. 885-892.
ISSN 0749-8063
|
Text
12258_a1338_Saithna.pdf - Published version Download (451kB) | Preview |
Abstract
Purpose: To evaluate clinical outcomes in professional athletes after combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction, with a minimum follow-up of two years.
Methods: All professional athletes who underwent primary combined ACL and ALL reconstruction between January 2011 and March 2016 were included. A retrospective analysis of prospectively collected data from the SANTI Study Group database was performed. Patient assessment included physical examination, pre- and postoperative subjective and objective IKDC, Tegner activity scale (TAS) and Lysholm score.
Results: 72 professional athletes underwent primary ACL and ALL reconstruction, 70 (97%) were available with a mean follow-up of 3.9 years (range 2-7). The pre-operative side-to-side anteroposterior laxity difference was 7.1 ± 1.4mm and this decreased significantly after surgery to 0.40.9mm (p<0.0001). Pivot-shift grade evolved from 16 grade I (22.8%) and 54 grade II or III (77.2%) preoperatively, to 66 absent pivot shift (94.3%) and 4 grade I (5.7). By one-year post-operatively, sixty athletes (85.7%) returned to professional sport with a mean time interval of 7.9 months (range 5-12). At final follow up the mean subjective IKDC was 90.5 ± 7.6, Lysholm score 94.4 ± 7.5, Tegner 8.8 ± 1.5. 11 Patients (15,7%) underwent a subsequent ipsilateral re-operation including 4 (5.7%) revision ACL reconstructions. Subgroup analysis of early graft failures (within one year or 3 months of first match post-operatively) in professional soccer players demonstrated a significantly lower rate in the current series (0%) when compared against published rates (7%), chi2 8.457 p=0.0036.
Conclusions: Combined ACL and ALL reconstruction is associated with excellent outcomes in professional athletes with respect to graft rupture rates, return to sport, knee stability, and re-operation rates after injury. Subgroup analysis in professional soccer players demonstrates that combined ACL and ALL reconstruction is associated with significantly reduced graft rupture rates when compared to isolated ACL reconstruction.
Level of evidence: Level IV case series.
| Item Type: | Journal article | ||||||
|---|---|---|---|---|---|---|---|
| Publication Title: | Arthroscopy: The Journal of Arthroscopic & Related Surgery | ||||||
| Creators: | Rosenstiel, N., Praz, C., Ouanezar, H., Saithna, A., Fournier, Y., Hager, J.-P., Thaunat, M. and Sonnery-Cottet, B. | ||||||
| Publisher: | WB Saunders | ||||||
| Date: | 2019 | ||||||
| Volume: | 35 | ||||||
| Number: | 3 | ||||||
| ISSN: | 0749-8063 | ||||||
| Identifiers: |
|
||||||
| Rights: | © 2018 The Authors. Published by Elsevier on behalf of the Arthroscopy Association of North America. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). | ||||||
| Divisions: | Schools > School of Science and Technology | ||||||
| Record created by: | Linda Sullivan | ||||||
| Date Added: | 24 Oct 2018 10:42 | ||||||
| Last Modified: | 17 Sep 2019 15:05 | ||||||
| URI: | https://irep.ntu.ac.uk/id/eprint/34726 |
Actions (login required)
 |
Edit View |
Views
Views per month over past year
Downloads
Downloads per month over past year
