Anatomical anterograde plasty of the anterior cruciate ligament with lateral extraarticular tenodesis from semitendinosus tendon

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract


Purpose of the study: to provide a scientific basis for the recommendations on clinical use of lateral extraarticular tenodesis (LEAT) from semitendinosus tendon (ST) graft as an additional element for knee stability in anterior cruciate ligament (ACL) anatomical anterograde reconstruction. Patients and methods. Treatment results were evaluated for 162 patients (mean age 27.2±2.8) with marked rotational joint instability (Pivot shift test 3+) after arthroscopic anterior cruciate ligament reconstruction (ACL-R). In 44 (27.2%) observations ACL-R was supplemented by LEAT from ST (group 1), in 118 (72.8%) the isolated anatomical anterograde plasty of ACL was performed (group 2). Lysholm Knee Scoring Scale, KOOS and 2000 IKDC were used for the assessment of the results. Results. Follow up period made up at least 2 years. Statistically significant differences between the groups were recorded in 21 months after intervention and later. In 43 (97.7%) patients from the 1group and 111 (94.1%) patients from the 2group excellent and good results (A and B by 2000 IKDC) were achieved. In 1 (2.3%) and 7 (5.9%) patients the results were assessed as satisfactory (C by 2000 IKDC), respectively. No statistically significant differences between the groups were recorded by Lysholm Knee Scoring Scale and 2000 IKDC (p>0.05). The average scores by KOOS that indicated the presence of pathological processes in the knee joint and characterized patient’s sport activity were statistically (p<0.05) better in patients from the 1group. Conclusion. LEAT from ST is a clinically effective supplement to the anatomical anterograde ACL-R in patients with marked rotational joint instability (Pivot shift test 3+) that enables not only to improve the overall knee stability but also to reduce the rate of unfavorable symptoms at follow up terms over 21 months after operation.

Full Text

Restricted Access

About the authors

V. V Zayats

Pavlov First Saint Petersburg State Medical University

Email: zaiatc.vitalii@gmail.com
L’va Tolstogo str., 6-8, Saint Petersburg, 197022, Russia

N. V Zagorodniy

RUDN University

Email: cito@cito-priorov.ru
Miklukho-Maklaya str., 6, Moscow, 117198, Russia

A. K Dulaev

Pavlov First Saint Petersburg State Medical University

L’va Tolstogo str., 6-8, Saint Petersburg, 197022, Russia

A. V Dydykin

Pavlov First Saint Petersburg State Medical University

L’va Tolstogo str., 6-8, Saint Petersburg, 197022, Russia

References

  1. Sanders T.L., Maradit Kremers H., Bryan A.J. et al. Incidence of anterior cruciate ligament tears and reconstruction: a 21-year population-based study. Am J Sports Med. 2016;44(6):1502-1507. https://doi.org/10.1177/0363546516629944.
  2. Waite J.C., Beard D.J., Dodd C.A.F. et al. In vivo kinematics of the ACL deficient limb during running and cutting. Knee Surg Sports Traumatol Arthrosc. 2005;13:377-384. https://doi.org/10.1007/s00167-004-0569-6.
  3. Louboutin H., Debarge R., Richou J. et al. Osteoarthritis in patients with anterior cruciate ligament rupture: a review of risk factors. Knee. 2009;16:239-244. https://doi.org/10.1016/j.knee.2008.11.004.
  4. Neuman P., Englund M., Kostogiannis I. et al. Prevalence of tibiofemoral osteoarthritis 15 years after nonoperative treatment of anterior cruciate ligament injury: a prospective cohort study. Am J Sports Med. 2008;36:1717-1725. https://doi.org/10.1177/0363546508316770.
  5. Coppens E., Gard S., Ziltener J.L. et al. Return to sport and to competition after anterior crusiate ligament reconstruction. Rev Med Suisse. 2018;14(613):340-345.
  6. Заяц В.В. Технологии анатомической реконструкции передней крестообразной связки коленного сустава: возможности и преимущества. Ученые записки Санкт-Петербургcкого государственного медицинского университета им. акад. И.П. Павлова. 2018;25(1):28-34. https://7. https://doi.org/10.24884/1607-4181-2018-25-1-28-34.
  7. Ristanis S., Stergiou N., Patras K. et al. Excessive tibial rotation during high-demand activities is not restored by anterior cruciate ligament reconstruction. Arthroscopy. 2005;21(11):1323-1329. https://doi.org/10.1016/j.arthro.2005.08.032.
  8. Georgoulis A.D., Ristanis S., Chouliaras V. et al. Tibial rotation is not restored after ACL reconstruction with a hamstring graft. Clin Orthop Relat Res. 2007;454:89-94. https://doi.org/10.1097/BLO.0b013e31802b4a0a.
  9. Vincent J.-P., Magnussen R.A., Gezmez F. et al. The anterolateral ligament of the human knee: an anatomic and histologic study. Knee Surg Sports Traumato Arthrosc. 2012;20:147-152. https://doi.org/10.1007/s00167-011-1580-3.
  10. Kennedy M.I., Claes S., Fuso F.A. et al. The anterolateral ligament: an anatomic, radiographic, and biomechanical analysis. Am J Sports Med. 2015;43:1606-1615. https://doi.org/10.1177/0363546515578253.
  11. Caterine S., Litchfield R., Johnson M. et al. A cadaveric study of the anterolateral ligament: re-introducing the lateral capsular ligament. Knee Surg Sports Traumatol Arthrosc. 2015;23(11):3186-3195. https://doi.org/10.1007/s00167-014-3117-z.
  12. Ségond P. Recherches cliniques et expérimentales sur les épanchements sanguins du genou par entorse. Prog Méd. 1879;16:295-422.
  13. Dodds A.L., Halewood C., Gupte C.M. et al. The anterolateral ligament: anatomy, length changes and association with the Segond fracture. Bone Joint J. 2014;96-B:325-331. https://doi.org/10.1302/0301-620X.96B3.33033.
  14. Duthon V.B., Magnussen R.A., Servien E. et al. ACL reconstruction and extra-articular tenodesis. Clin Sports Med. 2013;32(1):141-153. https://doi.org/10.1016/j.csm.2012.08.013.
  15. Wascher D.C., Lording T.D., Neyret P. Extra-articular procedures for the ACL-deficient knee: a state of the art review. JISAKOS. 2016;1:174-82.
  16. Devitt B.M., Bell S.W., Ardern C.L. et al. The role of lateral extra-articular tenodesis in primary anterior cruciate ligament reconstruction: a systematic review with meta-analysis and best-evidence synthesis webster. Orthop J Sports Med. 2017;5(10):2325967117731767. https://doi.org/10.1177/2325967117731767.
  17. Kocher M.S., Steadman J.R., Briggs K. et al. Determinants of patient satisfaction with outcome after anterior cruciate ligament reconstruction. J Bone Joint Surg. 2002;84(9):1560-1572.
  18. Заяц В.В., Дулаев А.К., Дыдыкин А.В. и др. Анализ эффективности технологий артроскопической пластики передней крестообразной связки коленного сустава. Вестник хирургии им. И.И. Грекова. 2017;176(2):77-82. https://doi.org/10.24884/0042-4625-2017-176-2-77-82.
  19. Loh J.C., Fukuda Y., Tsuda E. et al. Knee stability and graft function following anterior cruciate ligament reconstruction: comparison between 11 o’clock and 10 o’clock femoral tunnel placement. Arthroscopy. 2003;19:297-204. https://doi.org/10.1053/jars.2003.50084.
  20. Claes S., Vereecke E., Maes M. et al. Anatomy of the anterolateral ligament of the knee. J Anat. 2013;223(4):321-328. https://doi.org/10.1111/joa.12087.
  21. Neyret P., Palomo J.R., Donell S.T., Dejour H. Extra-articular tenodesis for anterior cruciate ligament rupture in amateur skiers. Br J Sports Med. 1994;28:31-34.
  22. Dodds A.L., Gupte C.M., Neyret P. et al. Extra-articular techniques in anterior cruciate ligament reconstruction: a literature review. J Bone Joint Surg Br. 2011;93(11):1440-1448. https://doi.org/10.1302/0301-620X.93B11.27632.
  23. Jarvela А., Nyyssonen M., Kannus P. et al. Bone-patellar tendon-bone reconstruction of the anterior cruciate ligament. A long-term comparison of early and late repair. Int Orthop. 1999;23:2272-31.
  24. Lebel B., Hulet C., Galaud B. et al. Arthroscopic reconstruction of the anterior cruciate ligament using bone-patellar tendon-bone autograft: a minimum 10-year follow-up. Am J Sports Med. 2008;36:1275-1282.
  25. Заяц В.В., Дулаев А.К., Загородний Н.В. и др. Антеградное проведение костно-сухожильно-костного аутотрансплантата при анатомической пластике передней крестообразной связки коленного сустава. Вестник хирургии им. И.И. Грекова. 2017;176(6):49-54. https://doi.org/10.24884/0042-4625-2017-176-6-49-54.
  26. Lee M.C., Seong S.C., Lee S. et al. Vertical femoral tunnel placement results in rotational knee laxity after anterior cruciate ligament reconstruction. Arthroscopy. 2007;23:771-778. https://doi.org/10.1016/j.arthro.2007.04.016
  27. Magnussen R.A., Jacobi M., Demey G. et al. Lateral extra-articular augmentation of ACL reconstruction. Tech Knee Surg. 2011;10:224-230.
  28. Rezende F.C., de Moraes V.Y., Martimbianco A.L. et al. Does combined intra- and extraarticular ACL reconstruction improve function and stability? A meta-analysis. Clin Orthop Relat Res. 2015;473:2609-2618. https://doi.org/10.1007/s11999-015-4285-y.
  29. Engebretsen L., Lew W.D., Lewis J.L., Hunter R.E. The effect of an iliotibial tenodesis on intraarticular graft forces and knee joint motion. Am J Sports Med. 1990;18:169-176. https://doi.org/10.1177/036354659001800210.

Statistics

Views

Abstract - 29

PDF (Russian) - 0

Cited-By


Article Metrics

Metrics Loading ...

Refbacks

  • There are currently no refbacks.

Copyright (c) 2018 Zayats V.V., Zagorodniy N.V., Dulaev A.K., Dydykin A.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies