2025 ISAKOS Biennial Congress ePoster
Does Lateral Extra-Articular Tenodesis Augmentation In Acl Reconstruction In Selected Cases Reduces Graft Failure
Shinas B Salam, MBBS, Diploma in Ortho, DNB in Orthopaedics, Ernakulam, Kerala INDIA
Lourdes Hospital, Ernakulam, Kerala, INDIA
FDA Status Not Applicable
Summary
: Patient-reported outcomes and return to multi-directional sports after ACL reconstruction favour LEAT at the time of ACL reconstruction when narrow inclusion criteria are applied.
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Abstract
Purpose
The role for extra-articular procedures in addition to ACL reconstruction to restore rotational stability is debated. We use lateral extra-articular tenodesis (LEAT) for patients that meet criteria.
Methods
A prospectively unicentric study from 2021-2023 of patients that were treated primarily according to the presence of higher chance of graft failure with LEAT at the time of ACL reconstruction was propensity-matched with a group of patients that underwent ACL reconstruction alone. Minimum follow-up was 1 years and max followup of 2 years .Stratified variable analysis of the groups was also performed.
Results
There were 346 and 58 patients in the ACL reconstruction group and ACL reconstruction with LEAT group, respectively. There were 126 patients and 46 patients after propensity matching with a median follow-up of 27 months and 10 months, respectively. Post-operative Lysholm score (P = 0.005), Tegner activity index (P = 0.003) and time to return to sport (P < 0.001) favoured ACL reconstruction with LEAT compared to ACL reconstruction alone. Sports with frequent change of direction maneuvers and higher rates of ACL injury (rugby, soccer, skiing) favoured ACL reconstruction with LEAT versus ACL reconstruction alone (P = 0.001). No significant difference in re-operation rate or type of surgery was found between the two surgical groups after propensity matching but 13 patients in the ACL reconstruction-only group re-injured their ACL and supplementary LEATwas done at the time of revision surgery.
Conclusion
Patient-reported outcomes and return to multi-directional sports after ACL reconstruction favour LEAT at the time of ACL reconstruction when narrow inclusion criteria are applied.