Summary: Combined ACL and ALL reconstruction has similar outcomes in patients undergoing surgery in the acute and chronic phases. Patients with chronic injury have similar knee stability, functional scores, and failure rates as acute-injury patients, and patients with acute injury have no more complications than chronic patients.

Purpose

To compare the functional outcomes, knee stability, failure rate and complication rates of combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction with hamstrings grafts between acute and chronic cases.

Methods

Consecutive patients who underwent combined ACL and ALL reconstruction with hamstrings grafts were evaluated. Patients operated on less than 8 weeks after injury were allocated to group 1, and the others were allocated to group 2. Demographic data, knee stability and functional outcomes of the two groups were evaluated.

Results

Thirty-four patients in the acute group and 96 in the chronic group were evaluated. The follow-up time was similar between the groups (28.7 ± 5.2 (24-43) months vs 29.4 ± 7.2 (24-58) months; p = 0.696). No differences were found between the groups in age, sex, trauma mechanism, presence of knee hyperextension, graft diameter and meniscal injuries. There was no difference between the groups in the postoperative KT-1000 and in the pre- or postoperative pivot shift. The preoperative KT-1000 was higher in group 2 (7.9 ± 1.1 vs 7.4 ± 1.2; p = 0.031). There were no differences in the IKDC or Lysholm. Three (2.3%) patients developed failure, 1 (2.9%) in group 1 and 2 (2.1%) in group 2. The total complication rate was 10% and did not differ between the groups.

Conclusion

Combined ACL and ALL reconstruction has similar outcomes in patients undergoing surgery in the acute and chronic phases. Patients with chronic injury have similar knee stability, functional scores, and failure rates as acute-injury patients, and patients with acute injury have no more complications than chronic patients

ACL Surgery: Can Patients Read, Understand, and Act on Online Resources? A Cross-Sectional Study of Online Patient Education Materials ePoster Presentation Alan Shamrock, MD, UNITED STATES Burke Gao, MD, UNITED STATES Trevor Gulbrandsen, MD, UNITED STATES Olivia O'Reilly, MD, UNITED STATES Kyle R. Duchman, MD, UNITED STATES Robert W. Westermann, MD, UNITED STATES Brian Wolf, MD, UNITED STATES
The Use Of Calcium Sulfate Hemihydrate As A Local Carrier For Antibiotics In The Treatment Or Prevention Of Orthopedic Infections ePoster Presentation Gerhard E. Maale, MD, Prof., UNITED STATES Nicole Kennard, BS, MAT, UNITED STATES Arianna Mixon, BS, UNITED STATES Aniruth Srinivasaraghavan, BS, UNITED STATES Daniel Mohammadi, BS, UNITED STATES Timothy Culbertson, BS, UNITED STATES
Avoiding Stem Extension During Revision Total Knee Arthroplasty Abstract Presentation 5 minutes Jean-Yves Jenny, Prof., FRANCE
Dislocated Hinge Fractures Predispose for Malunion after Lateral Closing Wedge Distal Femoral Osteotomy Abstract Presentation 6 minutes Marco-Christopher Rupp, MD, GERMANY Philipp Wilhelm Winkler, MD, Assoc. Prof., AUSTRIA Patricia Maria Lutz, MD, GERMANY Markus Irger, MD, GERMANY Philipp Forkel, MD, GERMANY Andreas B. Imhoff, MD, Prof. Emeritus, GERMANY Matthias Feucht, MD, GERMANY
Revision Surgical Stabilization for Failed Patellofemoral Instability Surgery Abstract Presentation 7 minutes Elizabeth Rose Dennis, MD MS, UNITED STATES William A. Marmor, MD, UNITED STATES Simone Gruber, MS, UNITED STATES Joseph T. Nguyen, MPH, UNITED STATES Beth Ellen Shubin Stein, MD, UNITED STATES
The Use Of Gentamicin-Clindamycin Loaded Bone Cement For Total Knee Arthroplasty Exchange. ePoster Presentation Jean-Yves Jenny, Prof., FRANCE
Outcomes for Primary versus Revision Medial Patellofemoral Ligament Reconstruction with Concomitant Tibial Tubercle Osteotomy ePoster Presentation Elizabeth Rose Dennis, MD MS, UNITED STATES William A. Marmor, MD, UNITED STATES Simone Gruber, MS, UNITED STATES Joseph T. Nguyen, MPH, UNITED STATES Beth Ellen Shubin Stein, MD, UNITED STATES
Rates of Secondary Surgery Following Anterior Cruciate Ligament Repair with Suture Tape Augmentation are Comparable to Anterior Cruciate Ligament Reconstruction ePoster Presentation Graeme P. Hopper, MBChB, MSc, MRCSEd, MFSTEd, MD, FRCSGlas (Tr&Orth), UNITED KINGDOM William Thomas Wilson, MBChB BSc(MedSci) FRCS (Tr&Orth) MFSEM(UK), UNITED KINGDOM Lucas O'Donnell, MBChB, UNITED KINGDOM Christopher Hamilton, MBChB, UNITED KINGDOM Mark Blyth, MB ChB, FRCS (TR Orth), UNITED KINGDOM Gordon M Mackay, MB ChB, BSc, FRCS, MD, UNITED KINGDOM
Contact Characteristics Analysis Of All-Inside Suture Technique In Displaced Medial Meniscus Tears Of Porcine Knee ePoster Presentation Artit Boonrod, MD, THAILAND Supanut Weraarchakul, MD, THAILAND Nadhaporn Saengpetch, MD, THAILAND Punyawat Apiwatanakul, MD, THAILAND Sermsak Sumanont, MD, THAILAND
Autograft Versus Allograft For Medial Patellofemoral Ligament Reconstruction: A Systematic Review ePoster Presentation Gianna M. Aliberti, BA, UNITED STATES Matthew J. Kraeutler, MD, UNITED STATES Candence Miskimin, MS, UNITED STATES Anthony Scillia, UNITED STATES Mary K. Mulcahey, MD, UNITED STATES
Lateral Tenodesis Along With Acl Reconstruction In Patients With High Grade Pivot Shift: A Prospective Analysis In 70 Patients ePoster Presentation Rajiv Gupta, PhD , INDIA
Correlation Of The Squat-And-Smile Test Against Other Patient Reported Outcome Scores In Knee Pathology ePoster Presentation Johan Le Roux, FC Ortho, MMed, DA (SA), MB,ChB, SOUTH AFRICA Roopam Dey, PhD, SOUTH AFRICA Simone Deichl, MD, SOUTH AFRICA Maritz Laubscher, MD, SOUTH AFRICA Michael Held, MD, PhD, SOUTH AFRICA
Alignment Adjustment Using The Valgus Stress Technique Can Increase The Surgical Accuracy Of Novice Surgeons During Medial Opening-Wedge High Tibial Osteotomy ePoster Presentation Man-Soo Kim, MD, PhD, KOREA, REPUBLIC OF Yong Gyu Sung, MD, KOREA, REPUBLIC OF Dong-Chul Park, MD, KOREA, REPUBLIC OF Jae Jung Kim, MD, KOREA, REPUBLIC OF Yong In, MD, PhD, KOREA, REPUBLIC OF
Total Knee Arthroplasty In Femoral Bowing: Does Patient Specific Instrumentation Have Something To Add? A Randomized Controlled Trial ePoster Presentation Dong-Chul Park, MD, KOREA, REPUBLIC OF Man-Soo Kim, MD, PhD, KOREA, REPUBLIC OF Yong Gyu Sung, MD, KOREA, REPUBLIC OF Jae Jung Kim, MD, KOREA, REPUBLIC OF Yong In, MD, PhD, KOREA, REPUBLIC OF
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Outcomes of Quadriceps Tendon Anterior Cruciate Ligament Reconstruction in Skeletally Immature Patients: 2-year Follow-Up ePoster Presentation Frank A. Cordasco, MD, MS, UNITED STATES Sofia Hidalgo Perea, BS, UNITED STATES Daniel W. Green, MD, MS, UNITED STATES
Comparing Methods of Stress Radiography for Posterior Knee Instability. Abstract Presentation 6 minutes Robin Martin, MD, SWITZERLAND Trieu Hoai Nam Ngo, ., SWITZERLAND
Four-Strand Or Five-Strand Hamstring Graft For Anterior Cruciate Ligament Reconstruction - Does It Make A Difference? ePoster Presentation Parth Lodhia, MD, FRCSC, CANADA Goris Nazari, PhD, CANADA Dianne M. Bryant, PhD, CANADA Alan Getgood, MD, FRCS(Tr&Orth), DipSEM, QATAR Robert G. McCormack, MD, CANADA
Comparison of the Use of 3-D Scaffolding vs Microfractures in the Repair of Total Chondral Defects in the Knee ePoster Presentation Jorge Nicolas Valladares, MD, MEXICO Mónica Araceli Cabrero Montes , MD, MEXICO Maria G. Zavala-Cerna, MD, PhD, MEXICO
Injury Patterns In Collegiate Gymnasts: An Analysis Of The Pac-12 Sports Injury Research Archive ePoster Presentation Danielle Greig, MD, UNITED STATES Rishi Trikha, MD, UNITED STATES Thomas J. Kremen, MD, UNITED STATES
Weight Bearing versus Conventional CT for the Measurement of Patellar Alignment and Stability in patients After surgical treatment for Patellar Recurrent Dislocation. ePoster Presentation Giada Lullini, MD, PhD, ITALY Claudio Belvedere, PhD, ITALY Antonio Moio, MD, ITALY Alberto Leardini, DPhil, ITALY Eugenio Cammisa, MD, ITALY MACCAFERRI BRUNA, MD, ITALY Stefano Zaffagnini, MD, Prof., ITALY Giulio Maria Marcheggiani Muccioli, MD, PhD, Associate Professor, ITALY
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Analysis Of Post-Operative Osteoblastic Activity Patterns In Unicondylar Knee Arthroplasties Slated For Revision ePoster Presentation Félix Dandois, MSc, BELGIUM Lucas Beckers, MD, BELGIUM Hilde Vandenneucker, MD, PhD, Prof, BELGIUM Lennart Scheys, PhD, Prof., BELGIUM
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Relationship Between Static Standing Scapula Height And Shoulder And Elbow Injury In Elite High School Baseball Pitchers ePoster Presentation Yasuaki Okawa, MS, JAPAN Takahiro Inui, MD, PhD, JAPAN
Improved Epiphyseal Socket Placement with Intraoperative 3D Fluoroscopy: Consecutive Series of Pediatric All-Epiphyseal Anterior Cruciate Ligament Reconstruction ePoster Presentation Alexandra Hunter Aitchison, UNITED STATES Frank A. Cordasco, MD, MS, UNITED STATES Daniel W. Green, MD, MS, UNITED STATES
Does Meniscectomy Have Any Advantage Over Conservative Treatment Of Degenerative Medial Meniscus Posterior Root Tear? Abstract Presentation 5 minutes Bo-Ram Na, MD, KOREA, REPUBLIC OF Jong-Keun Seon, MD, PhD, Prof, KOREA, REPUBLIC OF Eun-Kyoo Song, MD, PhD, Prof., KOREA, REPUBLIC OF Young Min Lee, MD, KOREA, REPUBLIC OF
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Prevalence Of Cartilage Lesions In Patients Undergoing Meniscal Surgery, A Cross-Sectional Study ePoster Presentation Eduardo Gardella, MD, CHILE Marcelo Acevedo, MD, CHILE Rodrigo Hernández-Tagle, MD, CHILE Juan Jose Valderrama, MD, CHILE Agustín León, MD, CHILE Xabier Carredano, MD, CHILE Gunther Redenz, PT, CHILE
Comparison of Bone-Patella Tendon-Bone and Quadriceps Tendon Autograft for ACL Reconstruction at Twelve-Month Follow-Up ePoster Presentation Seth L. Sherman, MD, UNITED STATES Daniel William Hogan, MS, UNITED STATES Major Benjamin Burch, MD, UNITED STATES Joseph M. Rund, BS, UNITED STATES Richard Ma, MD, UNITED STATES Aaron Gray, MD, UNITED STATES John W. Welsh, BA, UNITED STATES Taylor E. Ray, UNITED STATES Derek W Geeslin, BS, UNITED STATES
Anterior Cruciate Ligament (Acl) Reconstruction With Lateral Plasty Restores Anterior-Posterior Laxity In The Case Of Concurrent Partial Medial Meniscectomy ePoster Presentation Alberto Grassi, PhD, ITALY Stefano Di Paolo, Eng, PhD, ITALY Nicola Pizza, MD, ITALY Gian Andrea Lucidi, MD, ITALY Giacomo Dal Fabbro, MD, AUSTRALIA Stefano Zaffagnini, MD, Prof., ITALY
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Results Of 234 Meniscal Tear Repair Cases With A Minimum Follow-Up Of 2 Years. ePoster Presentation Horacio F. Rivarola-Etcheto, MD, ARGENTINA Cristian Collazo Blanchod, MD, ARGENTINA Marcos Meninato, MD, ARGENTINA Facundo Cosini, MD, ARGENTINA Juan Martín Carraro, MD, ARGENTINA Bruno Terrarossa, MD, ARGENTINA Carlos Mendoza Puello, MD, ARGENTINA
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Utilizing a contralateral hamstring autograft facilitates earlier isokinetic and isometric strength recovery after anterior cruciate ligament reconstruction ePoster Presentation Christoffer von Essen, MD, PhD, SWEDEN Björn Barenius, MD, PhD, ass. Prof., SWEDEN Karl Eriksson, MD, PhD, Prof., SWEDEN
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An Athletic State Of Mind; Not That Different Than The Non-Athletic State Of Mind ePoster Presentation David C. Flanigan, MD, UNITED STATES Alex C. Dibartola, MD, MPH, UNITED STATES Charles Emery, PhD, UNITED STATES Joshua Scott Everhart, MD, MPH, UNITED STATES Eric Milliron, BS, UNITED STATES Joshua Bowler, MD Laura C. Schmitt, PT, PhD, FAPTA, UNITED STATES Robert A Magnussen, MD, MPH, UNITED STATES
Doble Quadriceps Tendon Autograft For Multiligamentary Knee Reconstruction. An Opción For Acl - Pcl Reconstruction. ePoster Presentation Emiliano Luis Alvarez Salinas , MD, ARGENTINA Leandro Civetta, MD, ARGENTINA Ezequiel Benitez, ARGENTINA Patricio Pruyas Jorge Luis Civetta, MD, ARGENTINA Juan Cupelli, MD, ARGENTINA Javier María Reparaz, MD, ARGENTINA
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Increasing Injury Risk Among Recent Generation of U.S.-raised Players in the National Basketball Association: A 15-Year Perspective Abstract Presentation 5 minutes Kelvin Kim, MD, UNITED STATES Robbie Birch, MD, UNITED STATES Brett Allen, BS, UNITED STATES Jason Nielson, UNITED STATES
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25 Year Function After Proximal Tibial Osteotomy: Paired Outcomes In Patients With Bilateral Tkas Following Unilateral Osteotomy Abstract Presentation 5 minutes Mario Hevesi, MD, PhD, UNITED STATES Ryan R Wilbur, BS, UNITED STATES Lucas K Keyt, MD, UNITED STATES Bruce A. Levy, MD, UNITED STATES Daniel Saris, MD, PhD, Prof., UNITED STATES Michael J. Stuart, MD, UNITED STATES Aaron J. Krych, MD, UNITED STATES
The Effect of Polyethylene Thickness on Revision Rates of Contemporary Cruciate Retaining Knee Replacements. A Registry Analysis. ePoster Presentation Christopher J. Wilson, A/Prof, MBChB, MRCS, FRACS, PhD, AUSTRALIA Maryam Khan, MD, AUSTRALIA Mark Inglis, FRACS BMBS B Med Sci FOrthoA, AUSTRALIA Anthony J Samson, BSc (Hons) BMBS FRACS FAOrthA, AUSTRALIA
Knee Position At The Moment Of Bone Bruise Could Reflect The Late Phase Of Non-Contact Anterior Cruciate Ligament Injury Rather Than The Mechanisms Leading To Ligament Failure ePoster Presentation Alberto Grassi, PhD, ITALY Piero Agostinone, MD, QATAR Stefano Di Paolo, Eng, PhD, ITALY Gian Andrea Lucidi, MD, ITALY Luca Macchiarola, MD, ITALY Marco Bontempi, PhD, ITALY Gregorio Marchiori, MD, ITALY Laura Bragonzoni, Prof., ITALY Stefano Zaffagnini, MD, Prof., ITALY
Outcomes of Medial Patellofemoral Ligament Reconstruction for Recurrent Patellar Instability in Patients with Ehlers-Danlos Syndrome Abstract Presentation 5 minutes James Nemunaitis, DO, UNITED STATES Shital N. Parikh, MD, UNITED STATES
Meniscal Root Repair In Pediatric Patients: Minimum 2-Year Outcomes ePoster Presentation Cliff Willimon, MD, UNITED STATES Michael T. Busch, MD, UNITED STATES Asahi Murata, BS, UNITED STATES Crystal A. Perkins, MD, UNITED STATES
Intravenous administration of two dose tranexamic acid ( TXA) and local anesthesia (LA) at graft site , improves outcome in single bundle Anatomical Anterior Cruciate Ligament reconstruction in uniformed military personnel. ePoster Presentation Mujeeb Ashraf, FRCS, MCh,FEBTS, SAUDI ARABIA Abaad saad Al-Thagafi, MBBS, SAUDI ARABIA Hatim Mohammed Alshareef, MD, SAUDI ARABIA Hatem Al-Harbi, FRCSC, SAUDI ARABIA
Clinical and Magnetic Resonance Imaging Outcomes of Repaired Longitudinal Tears of Medial Meniscus in Anterior Cruciate Ligament Reconstruction Knee ePoster Presentation Sang Hak Lee, MD, PhD, KOREA, REPUBLIC OF Seong-Hwan Kim, MD,Ph.D, MStat, KOREA, REPUBLIC OF Joong Won Lee, MD, KOREA, REPUBLIC OF Min Gyu Kim, MD, KOREA, REPUBLIC OF
Primary Versus Revision Autograft Anterior Cruciate Ligament Reconstruction: Psychological Readiness At Return To Sport: ePoster Presentation Matthew Butler Reid, MD, UNITED STATES Kyle Lauck, BS, UNITED STATES Brian Randall Duncan, PT, DPT, UNITED STATES Emily Gardner, PT, DPT, UNITED STATES Jacquelyn Kleihege, PT, MPT, UNITED STATES Walter Richard Lowe, MD, UNITED STATES Lane Bailey, PT, PhD, DPT, CSCS, UNITED STATES
Lower Extremity Alignment in Professional Soccer Players Abstract Presentation 5 minutes Spencer M. Stein, MD, UNITED STATES William Tyler Haselman, BS, UNITED STATES Bert Roland Mandelbaum, MD, DHL(Hon), UNITED STATES
The Fragility Of Statistical Significance In Cartilage Restoration Of The Knee: A Systematic Review Of Randomized Controlled Trials ePoster Presentation Robert L Parisien, MD, UNITED STATES Michael Constant, BA, UNITED STATES Bryan M Saltzman, MD, UNITED STATES Charles A. Popkin, MD, UNITED STATES Christopher S. Ahmad, MD, UNITED STATES Xinning Li, MD, UNITED STATES David P Trofa, MD, UNITED STATES

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Surgical Timing Does Not Interfere On Clinical Outcomes In Combined Reconstruction Of The Anterior Cruciate Ligament And Anterolateral Ligament: A Comparative Study With Minimum 2-Year Follow-Up

Surgical Timing Does Not Interfere On Clinical Outcomes In Combined Reconstruction Of The Anterior Cruciate Ligament And Anterolateral Ligament: A Comparative Study With Minimum 2-Year Follow-Up

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Surgical Timing Does Not Interfere On Clinical Outcomes In Combined Reconstruction Of The Anterior Cruciate Ligament And Anterolateral Ligament: A Comparative Study With Minimum 2-Year Follow-Up

Surgical Timing Does Not Interfere On Clinical Outcomes In Combined Reconstruction Of The Anterior Cruciate Ligament And Anterolateral Ligament: A Comparative Study With Minimum 2-Year Follow-Up

Purpose

Methods

Results

Conclusion