Comparative Analysis of the Results of Lateral Extra-Articular Tenodesis in Anatomical Anterograde Plasty of the Anterior Cruciate Ligament
https://doi.org/10.23934/2223-9022-2021-10-1-66-72
Abstract
AIM OF STUDY To analyze the results of lateral extra-articular tenodesis (LET) of the semitendinosus muscle tendon (STMT) and iliotibial tract (ITT) in patients with severe anterior rotational instability of the knee joint during anatomical anterograde reconstruction of the anterior cruciate ligament (rACL) with a BTB graft.
MATERIAL AND METHODS We studied 138 patients with the Pivot shift test – 3+ and the Lachman test 2+ or 3+ degree after arthroscopic rACL with a BTB autograft. In 65 cases (47.1%) rACL was supplemented with LET of STMT (group 1), the remaining 73 patients (52.9%) – LET of ITT (group 2).
RESULTS According to IKDC-2000, KOSS and Lysholm-Tegner scores, the groups did not differ statistically. However, pain in the LET zone, LET failure with the appearance of the Pivot shift test – 1+, revision reconstructions – were more often observed in group 2 (p<0.05). Popliteal hematomas (p<0.001), longer operations (p<0.01) were more often observed in group 1.
CONCLUSION Lateral extra-articular tenodesis is a clinically effective addition to anatomical anterograde reconstruction of the anterior cruciate ligament with BTB autograft in patients with Pivot shift test 3+ and Lachman test 2+ or 3+. However, a more reliable option is lateral extra-articular tenodesis of the
semitendinosus muscle tendon. At the same time, lateral extra-articular tenodesis of the iliotibial tract is a simpler, faster and more cost-effective technique, still demonstrating good indicators of knee joint stability.
About the Author
V. V. Zayats
I.P. Pavlov First St. Petersburg State Medical University of the Russian Federation
Russian Federation
Russian Federation
Candidate of medical sciences, Associate professor of the Department of Trauma and Orthopedics, Head of the Trauma and Orthopedics Department of the Research Institute of Surgery and Emergency Medicine
6-8, Lva Tolstogo St., St. Petersburg, 197022, Russian Federation
References
1. Xie X, Liu X, Chen Z, Yu Y, Peng S, Li Q. A meta-analysis of bone-patellar tendon-bone autograft versus four-strand hamstring tendon autograft for anterior cruciate ligament reconstruction. Knee; 2015;22(2):100–110. PMID: 25547048 https://doi.org/10.1016/j.knee.2014.11.014
2. Shimizu S, Nagase T, Tateishi T, Nakagawa T, Tsuchiya M. Second Anterior Cruciate Ligament Injuries After Anterior Cruciate Ligament Reconstruction in Professional Sumo Wrestlers: A Case Series. Orthop J Sports Med. 2020;8(2);2325967120903698. PMID: 32128318 https://doi.org/10.1177/2325967120903698 eCollection 2020 Feb.
3. Diermeier T, Tisherman R, Hughes J, Tulman M, Baum Coffey E, Fink C, et al. Quadriceps tendon anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2020;28(8):2644–2656. PMID: 32072203 https://doi.org/10.1007/s00167-020-05902-z
4. Zayats VV, Dulaev AK, Zagorodniy NV, Dydykin AV, Kolomoitsev AV, Ul’yanchenko IN, et al. Antegrade bone-tendon-bone autotransplant performance in anatomical plasty of anterior cruciate ligament of the knee joint. Grekov’s Bulletin of Surgery. 2017;176(6):49–54. https://doi.org/10.24884/0042-4625-2017-176-6-49-54 (in Russ.).
5. Zayats VV, Dulaev AK, Dydykin AV, Ul’yanchenko IN, Kolomoitsev AV, Kovtun AV. Analysis of efficacy of arthroscopic plasty technologies of anterior cruciform ligament of knee joint based on anatomical position of autograft. Grekov’s Bulletin of Surgery. 2017;176(2):77–82. https://doi.org/10.24884/0042-4625-2017-176-2-77-82 (in Russ.).
6. Lubowitz JH, Provencher MT, Brand JC, Rossi MJ. The knee anterolateral ligament. Arthroscopy. 2014;30(11):1385–1388. PMID: 25443505 https://doi.org/10.1016/j.arthro.2014.08.007
7. Ruiz N, Filippi GJ, Gagnière B, Bowen M, Robert HE. The Comparative Role of the Anterior Cruciate Ligament and Anterolateral Structures in Controlling Passive Internal Rotation of the Knee: A Biomechanical Study. Arthroscopy. 2016;32(6):1053–1062. PMID: 27129374 https://doi.org/10.1016/j.arthro.2016.02.017
8. Kocher MS, Steadman JR, Briggs K, Zurakowski D, Sterett WI, Hawkins RJ. Determinants of patient satisfaction with outcome after anterior cruciate ligament reconstruction. J Bone Joint Surg. 2002;84(9):1560–1572. PMID: 12208912. https://doi.org/10.2106/00004623-200209000-00008
9. Kwapisz A, Mollison S, Cholewiński J, MacDonald P, Synder M, Herman K. Lateral Extra-articular Tenodesis with Iliotibial Band Strip – a Solution for Anterolateral Instability? Ortop Traumatol Rehabil. 2019;21(6):397–406. PMID: 32100717 https://doi.org/10.5604/01.3001.0013.7397
10. Dodds AL, Gupte CM, Neyret P, Williams AM, Amis AA. Extra-articular techniques in anterior cruciate ligament reconstruction: a literature review. J Bone Joint Surg Br. 2011;93(11):1440–1448. PMID: 22058292. https://doi.org/10.1302/0301-620X.93B11.27632
11. Zayats VV, Dulaev AK, Zagorodnii NV, Dydykin AV, Ulianchenko IN. Functional results of surgical reconstruction of the anterior cruciate ligament of the knee joint in combination with lateral stabilization. Grekov’s Bulletin of Surgery. 2019;178(1):39–44. https://doi.org/10.24884/0042-4625-2019-178-1-39-44 (in Russ.)
12. Zaffagnini S, Marcacci M, Lo Presti M, Giordano G, Iacono F, Neri MP. Prospective and randomized evaluation of ACL reconstruction with three techniques:a clinical and radiographic evaluation at 5 years follow-up. Knee Surg Sports Traumatol Arthrosc. 2006;14(11):1060–1069. PMID: 16909301. https://doi.org/10.1007/s00167-006-0130-x
13. Roessler PP, Schüttler KF, Heyse TJ, Wirtz DC, Efe T. The anterolateral ligament (ALL) and its role in rotational extra-articular stability of the knee joint: a review of anatomy and surgical concepts. Arch Orthop Trauma Surg. 2016;136(3):305–313. PMID: 26714471. https://doi.org/10.1007/s00402-015-2395-3
14. Saragaglia D, Pison A, Refaie R. Lateral tenodesis combined with anteriorcruciate ligament reconstruction using a unique semitendinosus and gracilistransplant. Int Orthop. 2013;37(8):1575–1581. PMID: 23824520. https://doi.org/10.1007/s00264-013-1957-7
15. Magnussen RA, Jacobi M, Demey G, Lustig S, Servien E, Neyret P. Lateral extra-articular augmentation of ACL reconstruction. Tech Knee Surg. 2011;10(4):224–230. https://doi.org/10.1097/BTK.0b013e3182386fa6
16. Rezende FC, de Moraes VY, Martimbianco AL, Luzo MV, da Silveira Franciozi CE, Belloti JC. Does combined intra- and extra-articular ACL reconstruc-tion improve function and stability? A meta-analysis. Clin Orthop Relat Res. 2015;473(8):2609–2618. PMID: 25845949. https://doi.org/10.1007/s11999-015-4285-y
17. Zayats VV, Zagorodniy NV, Dulaev AK, Dydykin AV. Anatomical anterograde plasty of the anterior cruciate ligament with lateral extraarticular tenodesis from semitendinosus tendon. N.N. Priorov Journal of Traumatology and Orthopedics. 2018;(4):12–18. https://doi.org/10.17116/vto201803-04112
18. Hewison CE, Tran MN, Kaniki N, Remtulla A, Bryant D, Getgood AM. Lateral extra-articular tenodesis reduces rotational laxity when combined with anterior cruciate ligament reconstruction: a systematic review of the literature. Arthroscopy. 2015;31(10):2022–2034. PMID: 26116497 https://doi.org/10.1016/j.arthro.2015.04.089
19. Weber AE, Zuke W, Mayer EN, Forsythe B, Getgood A, Verma NN, et al. Lateral Augmentation Procedures in Anterior Cruciate Ligament Reconstruction: Anatomic, Biomechanical, Imaging, and Clinical Evidence. Am J Sports Med. 2019;47(3):740–752. PMID: 29401410. https://doi.org/10.1177/0363546517751140
20. Sonnery-Cottet B, Thaunat M, Freychet B, Pupim BH, Murphy CG, Claes S. Outcome of a combined anterior cruciate ligament and anterolateral ligamentreconstruction technique with a minimum 2-year follow-up. Am J Sports Med. 2015;43(7):1598–1605. PMID: 25740835 https://doi.org/10.1177/0363546515571571
21. Batailler C, Lustig S, Reynaud O, Neyret P, Servien E. Complications and revision surgeries in two extra-articular tenodesis techniques associated to anterior cruciate ligament reconstruction. A case-control study. Orthop Traumatol Surg Res. 2018;104(2):197–201. PMID: 29292120 https://doi.org/10.1016/j.otsr.2017.10.019
22. Ra HJ, Kim JH, Lee D.H. Comparative clinical outcomes of anterolateral ligament reconstruction versus lateral extra-articular tenodesis in combination with anterior cruciate ligament reconstruction: systematic review and meta-analysis. Arch Orthop Trauma Surg. 2020;140(7):923–931. PMID: 32140829. https://doi.org/10.1007/s00402-020-03393-8
23. Grassi A, Zicaro JP, Costa-Paz M, Samuelsson K, Wilson A, Zaffagnini S, et al. Good mid-term outcomes and low rates of residual rotatory laxity, complications and failures after revision anterior cruciate ligament econstruction (ACL) and lateral extra-articular tenodesis (LET). Knee Surg Sports Traumatol Arthrosc. 2020;28(2):418–431. PMID: 31324964. https://doi.org/10.1007/s00167-019-05625-w
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For citations:
Zayats V.V. Comparative Analysis of the Results of Lateral Extra-Articular Tenodesis in Anatomical Anterograde Plasty of the Anterior Cruciate Ligament. Russian Sklifosovsky Journal "Emergency Medical Care". 2021;10(1):66-72. https://doi.org/10.23934/2223-9022-2021-10-1-66-72
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