LATERAL EXTRA-ARTICULAR TENODESIS REDUCES THE RATE OF REVISION ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION IN ELITE ATHLETES

K. Borque; M. Jones; G. Balendra; M. Laughlin; L. Willinger; A. Williams

doi:10.1302/1358-992X.2022.7.078

Article alerts Social media

Current issue

Knee

LATERAL EXTRA-ARTICULAR TENODESIS REDUCES THE RATE OF REVISION ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION IN ELITE ATHLETES

The British Association for Surgery of the Knee (BASK) May 2022 Meeting, Newport, Wales, 17–18 May 2022.

K. Borque
M. Jones
G. Balendra
M. Laughlin
L. Willinger
A. Williams

LATERAL EXTRA-ARTICULAR TENODESIS REDUCES THE RATE OF REVISION ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION IN ELITE ATHLETES

Borque K, Jones M, Balendra G, Laughlin M, Willinger L, Williams A. LATERAL EXTRA-ARTICULAR TENODESIS REDUCES THE RATE OF REVISION ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION IN ELITE ATHLETES. Orthop Procs. 2022;104-B(SUPP_7):78-78. doi:10.1302/1358-992X.2022.7.078

Borque, K., et al. “LATERAL EXTRA-ARTICULAR TENODESIS REDUCES THE RATE OF REVISION ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION IN ELITE ATHLETES.” Orthopaedic Proceedings, vol. 104-B, no. SUPP_7, 2022, pp. 78-78., https://doi.org/10.1302/1358-992X.2022.7.078

Borque, K., Jones, M., Balendra, G., Laughlin, M., Willinger, L., & Williams, A. (2022). LATERAL EXTRA-ARTICULAR TENODESIS REDUCES THE RATE OF REVISION ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION IN ELITE ATHLETES. Orthopaedic Proceedings, 104-B(SUPP_7), 78-78. https://doi.org/10.1302/1358-992X.2022.7.078

Borque, K., Jones, M., Balendra, G., Laughlin, M., Willinger, L. and Williams, A. (2022) “LATERAL EXTRA-ARTICULAR TENODESIS REDUCES THE RATE OF REVISION ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION IN ELITE ATHLETES.” Orthopaedic Proceedings, 104-B(SUPP_7), pp. 78-78. Available at: https://doi.org/10.1302/1358-992X.2022.7.078

Borque, K., M. Jones, G. Balendra, M. Laughlin, L. Willinger, and A. Williams. “LATERAL EXTRA-ARTICULAR TENODESIS REDUCES THE RATE OF REVISION ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION IN ELITE ATHLETES.” Orthopaedic Proceedings 104-B, no. SUPP_7 (2022): 78-78. https://doi.org/10.1302/1358-992X.2022.7.078

Borque K, Jones M, Balendra G, Laughlin M, Willinger L, Williams A. LATERAL EXTRA-ARTICULAR TENODESIS REDUCES THE RATE OF REVISION ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION IN ELITE ATHLETES. Orthop Procs. 2022 Jul 1;104-B(SUPP_7):78-78. https://doi.org/10.1302/1358-992X.2022.7.078

Copy to clipboard

BibTeX

EndNote

RIS

Abstract

Introduction

Anterolateral procedures can reduce the risk of re-rupture after ACL reconstruction in high risk patients however, this effectiveness has never been evaluated in elite athletes. The purpose of this study was to evaluate the effectiveness of lateral extra-articular tenodesis in reducing revision rates in ACL reconstructions in elite athletes.

Methodology

A consecutive cohort of elite athletes between 2005 and 2018 undergoing ACLR reconstruction with or without modified Lemaire lateral extra-articular tenodesis were analysed. A minimum of 2 years of follow-up was required. The association between the use of LET and ACL graft failure was evaluated with univariate and multivariate logistic regression models.

Results

455 elite athletes (83% male; 22.5±4.7 years) underwent primary ACL reconstruction with (n=117) or without (n=338) a LET procedure. Overall, 36 athletes (7.9%) experienced ACL graft failure including 32 (9.5%) reconstructions without a LET and 4 (3.4%) with a LET. Utilization of LET during primary ACL reconstruction reduced the risk of graft failure by 2.8 times with 16.5 athletes needing to be treated with LET to prevent a single ACL graft failure. Multivariate models showed that LET significantly reduced the risk of graft rupture (RR=0.325; p=.029) as compared to ACL reconstruction alone after controlling for age at ACL reconstruction and gender. Including graft type in the model did not significantly change the risk profile.