In this section
@article{Lagae:2020:10.1007/s00167-019-05839-y,
author = {Lagae, KC and Robberecht, J and Athwal, KK and Verdonk, PCM and Amis, AA},
doi = {10.1007/s00167-019-05839-y},
journal = {Knee Surgery Sports Traumatology Arthroscopy},
pages = {1159--1168},
title = {ACL reconstruction combined with lateral monoloop tenodesis can restore intact knee laxity},
url = {http://dx.doi.org/10.1007/s00167-019-05839-y},
volume = {28},
year = {2020}
}
TY - JOUR
AB - PurposeAn anterior cruciate ligament (ACL) injury is often combined with injury to the lateral extra-articular structures, which may cause a combined anterior and rotational laxity. It was hypothesised that addition of a ‘monoloop’ lateral extra-articular tenodesis (mLET) to an ACL reconstruction would restore anteroposterior, internal rotation and pivot-shift laxities better than isolated ACL reconstruction in combined injuries.MethodTwelve cadaveric knees were tested, using an optical tracking system to record the kinematics through 0°–100° of knee flexion with no load, anterior and posterior translational forces (90 N), internal and external rotational torques (5 Nm), and a combination of an anterior translational (90 N) plus internal rotational load (5 Nm). They were tested intact, after sectioning the ACL, sectioning anterolateral ligament (ALL), iliotibial band (ITB) graft harvest, releasing deep ITB fibres, hamstrings tendon ACL reconstruction, mLET combined with ACL reconstruction, and isolated mLET. Two-way repeated-measures ANOVA compared laxity data across knee states and flexion angles. When differences were found, paired t tests with Bonferroni correction were performed.ResultsIn the ACL-deficient knee, cutting the ALL significantly increased anterior laxity only at 20°–30°, and only significantly increased internal rotation at 50°. Additional deep ITB release significantly increased anterior laxity at 40°–90° and caused a large increase of internal rotation at 20°–100°. Isolated ACL reconstruction restored anterior drawer, but significant differences remained in internal rotation at 30°–100°. After adding an mLET there were no remaining differences with anterior translation or internal rotation compared to the intact knee. With the combined injury, isolated mLET allowed abnormal anterior translation and rotation to persist.ConclusionsCutting the deep fibres of the ITB
AU - Lagae,KC
AU - Robberecht,J
AU - Athwal,KK
AU - Verdonk,PCM
AU - Amis,AA
DO - 10.1007/s00167-019-05839-y
EP - 1168
PY - 2020///
SN - 0942-2056
SP - 1159
TI - ACL reconstruction combined with lateral monoloop tenodesis can restore intact knee laxity
T2 - Knee Surgery Sports Traumatology Arthroscopy
UR - http://dx.doi.org/10.1007/s00167-019-05839-y
UR - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000509136700001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR - https://link.springer.com/article/10.1007%2Fs00167-019-05839-y
UR - http://hdl.handle.net/10044/1/77082
VL - 28
ER -
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