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

Use Of A Synthetic And Autograft Hybrid Graft For Anterior Cruciate Ligament Reconstruction Provides Good Medium To Long Term Results And Low Re-Rupture Rates ePoster Presentation Marek Olek, MD, POLAND Neil Jain, BM, MRCS(Ed), FRCS(Tr&Orth), UNITED KINGDOM Klaudiusz Kosowski, MD, POLAND
Association Of Bacterial Growth With Tibial Tunnel Widening In Anterior Cruciate Ligament Revision Surgery ePoster Presentation David C. Flanigan, MD, UNITED STATES Luis Regalado, BS, UNITED STATES Alex C. Dibartola, MD, MPH, UNITED STATES Joshua Scott Everhart, MD, MPH, UNITED STATES Christopher C. Kaeding, MD, UNITED STATES Robert A Magnussen, MD, MPH, UNITED STATES
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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
Role of patella height on retropatellar contact dynamics after total knee arthroplasty ePoster Presentation Thomas Tischer, Prof. Dr., GERMANY Christoph Lutter, MD, GERMANY Andreas Geier, Dipl.-Ing., GERMANY Rainer Bader, MD, Prof., GERMANY Märuan Kebbach, Dipl.Ing., GERMANY
Anterior Cruciate Ligament Reconstruction With Internal Brace Augmentation Has Less Re-Rupture Compared With Acl Reconstruction Without Augmentation ePoster Presentation João V. Novaretti, MD, PhD, BRAZIL Lucas Santos Lima, MD, BRAZIL Diego Costa Astur, MD, PhD, BRAZIL Camila Cohen Kaleka, PhD, BRAZIL Pedro Debieux, MD, PhD, BRAZIL Joicemar T. Amaro, MD, BRAZIL Daniel Esperante, MD, BRAZIL Moises Cohen, MD, PhD, Prof., BRAZIL
Simultaneous Bilateral Opening Wedge High Tibial Osteotomy With Structural Allograft Impaction Results In Excellent Early Recovery And Pain Reduction Similar To Unilateral Osteotomy ePoster Presentation Jef Neirynck, MD, BELGIUM Nathalie Van Beek, PhD, BELGIUM Toon Claes, MD, BELGIUM Steven Claes, MD, PhD, BELGIUM Stijn Bartholomeeusen, MD, BELGIUM
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High Mid-Term Survival Of Condyle Resurfacing Implants In The Knee – A Nation-Wide Cohort Study On 379 Observations From The Danish Knee Arthroplasty Registry Abstract Presentation 6 minutes Bjørn Borsøe Christensen, MD, PhD, DENMARK Anders El-Galaly, MD, PhD, DENMARK Jens Ole Laursen, Consultant, DENMARK Martin Lind, MD, PhD, Prof., DENMARK
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
Robotic Unicompartmental Arthroplasty Has Higher Revision Rates With Partial Cartilage Lesions And With Inlay Prosthesis When Compared To On Lay Prosthesis ePoster Presentation Gary G. Poehling, MD, UNITED STATES Ralph D'Agostino, PhD, UNITED STATES Anirudh K. Gowd, MS, UNITED STATES Asher Lichtig, MD, UNITED STATES Johannes F. Plate, MD, PhD, UNITED STATES
Minimal Clinically Important Difference (MCID) In WOMAC Score And Factors Related To Achievement Of WOMAC Score MCID After Medial Opening Wedge High Tibial Osteotomy For Knee Osteoarthritis 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
Return To Sport And Minimum 2-Year Outcomes Of Primary Arthroscopic Hip Labral Reconstruction In High Level Athletes With A Propensity Matched Benchmarking Against A Labral Repair Control Group ePoster Presentation Andrew Jimenez, MD, UNITED STATES Peter Monahan, BS, UNITED STATES Jade S Owens, BS, UNITED STATES Benjamin Saks, MD, UNITED STATES Hari Krishna Ankem, MD, UNITED STATES Payam William Sabetian, MD, GUATEMALA Ajay C. Lall, MD, MS, FAAOS, UNITED STATES Benjamin G. Domb, MD, UNITED STATES
Functional Outcome Of A Combined Anterior Cruciate Ligament And Anterolateral Ligament Reconstruction. ePoster Presentation Gabriela Zermeno Garcia, MD, MEXICO Carlos Oliva, MD, MEXICO
A Randomized Controlled Trial Comparing Patellar Stabilizing, Motion Restricting Knee Brace vs. Sham Brace in Non-Operative Treatment for First-Time Traumatic Patellar Dislocation Abstract Presentation 7 minutes Essi Salonen, MD, FINLAND Petri J. Sillanpää, MD, PhD, FINLAND Aleksi Reito, MD, PhD, FINLAND Heikki Mikael Mäenpää, MD, PhD, FINLAND Ville M. Mattila, MD, PhD, FINLAND
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Diagnosis Of Peri-Prosthetic Knee Infection: What Do The New Msis Definition Criteria Bring? Abstract Presentation 6 minutes Jean-Yves Jenny, Prof., FRANCE Nicolas Giordano, MD, FRANCE
Additional Modified Lemaire Tenodesis During Anterior Cruciate Ligament Reconstruction Improves Knee Stability And Reduces Re-Rupture Rate. ePoster Presentation Gijs Willinge, MD, NETHERLANDS Nienke Wolterbeek, NETHERLANDS Bart Muller, MD, PhD, NETHERLANDS Jacco A. C. Zijl, MD, NETHERLANDS
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Predictor Of Poor Pre-Operative Psychological Status In Cartilage Defect Patients Abstract Presentation 6 minutes David C. Flanigan, MD, UNITED STATES Alex C. Dibartola, MD, MPH, UNITED STATES Matthew Wiet, BS, UNITED STATES Joshua Scott Everhart, MD, MPH, UNITED STATES Robert A Magnussen, MD, MPH, UNITED STATES Laura C. Schmitt, PT, PhD, UNITED STATES Charles Emery, PhD, UNITED STATES
Short-Term Clinical Results And Periprosthetic Bone Mineral Density After The Attune Cementless Total Knee Arthroplasty ePoster Presentation Kenichi Kikuchi, Dr, JAPAN Tomoyuki Matsumoto, MD, PhD, JAPAN Shinya Hayashi, MD, PhD, JAPAN Naoki Nakano, MD, JAPAN Toshihisa Maeda, MD, PhD, JAPAN Yuichi Kuroda, MD, JAPAN Yoshinori Takashima, MD, JAPAN Masahiro Fujita, MD, JAPAN Kensuke Anjiki, MD, JAPAN Kenmei Ikuta, MD, JAPAN Ryosuke Kuroda, MD, PhD, JAPAN
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
A 2-Octyl Cyanoacrylate Topical Adhesive Versus Subcuticular Suture For Skin Closure Following Total Knee Arthroplasty: A Randomized Controlled Trial In The Same Patient 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
Wearable System Embedding Flexible Textile-Based Strain Sensor For Monitoring Knee Joint ePoster Presentation Umile Giuseppe Longo, MD, MSc, PhD, Prof., ITALY Arianna Carnevale, Eng, ITALY Carlo Massaroni , Eng, ITALY Emiliano Schena, Eng, ITALY Joshua Di Tocco, Eng, ITALY Vincenzo Candela, ITALY Alessandra Berton, MD, ITALY Giuseppe Salvatore, MD, PhD, ITALY Vincenzo Denaro, MD, PhD, Prof., ITALY
Posterior Sagittal Position Of The Tibial Tubercle In Patients With Operative Patellofemoral Chondral Lesions As Measured By The Sagittal Tibial Tubercle-Trochlear Groove Distance ePoster Presentation Daniel James Kaplan, MD, UNITED STATES Edward Stephen Mojica, BS, UNITED STATES Paola Ortega, BA, UNITED STATES Jairo Triana, BS, UNITED STATES Laith M. Jazrawi, MD, UNITED STATES Eric Jason Strauss, MD Michael J Alaia, MD, UNITED STATES Guillem Gonzalez-Lomas, MD, UNITED STATES
The Effect Of Surgeon Usage Of Medial Unicompartmental Knee Arthroplasty On Both Unicompartmental And Total Knee Arthroplasty Outcomes Abstract Presentation 6 minutes Antonio Klasan, MD, PhD, EMBA, FRCS, AUSTRIA Mei Lin Tay, PhD, NEW ZEALAND Chris Frampton, PhD, NEW ZEALAND Simon W. Young, MD, FRACS, NEW ZEALAND
Anterior Cruciate Ligament Deficiency Does Not Reduce the Clinical Effectiveness of Fixed-Bearing Partial Knee Arthroplasty ePoster Presentation Ashim Mannan, FRCS (Tr & Orth), UNITED KINGDOM Damian Bull, FRCS (Tr & Orth), UNITED KINGDOM Juned Ansari, FRCS (Tr & Orth), UNITED KINGDOM Caroline Bennett, RN, UNITED KINGDOM Tahir Idrees, PGDip Public Health, UNITED KINGDOM Katy Mason, MSc, PgDip, UNITED KINGDOM Emily London, MB ChB MRes, UNITED KINGDOM David Duffy, MBBS, MRCS, FRCS, UNITED KINGDOM Nick London, MA, MD, FRCS (Tr & Orth), UNITED KINGDOM
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Surgical management of severe post-traumatic arthrofibrosis of the knee: clinical results in workers´compensation population ePoster Presentation Jose Ignacio Laso, Md, CHILE Nicolas Franulic, MD, CHILE Cristobal Del Pino, MD, CHILE Cristián Andres Brito Ayet, MD, CHILE Carlos Rojas, MD, CHILE Nicolas Gaggero, MD, CHILE
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
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MRI Evaluation of the Peripheral Stabilizing Attachments of the Lateral Meniscal Body: The Menisco-Tibio-Popliteus-Fibular Complex. Assessment in Routine 1.5-T Scans. ePoster Presentation Rodolfo Morales-Avalos, MD, PhD., MEXICO Àngel Masferrer-Pino, MD PhD, SPAIN Simone Perelli, MD,PhD, SPAIN Eustorgio Ruiz-Chapa, MD, MEXICO Jose Ramon Padilla-Medina, MD, MSc., MEXICO Joan Carles Monllau, MD, PhD, Prof., SPAIN
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Injury Patterns of Acute ACL Tears in Young Athletes Under the Age of 26 Years ePoster Presentation Matthias Schurhoff, MD, UNITED STATES Keith S. Hechtman, MD, UNITED STATES John E. Zvijac, MD, UNITED STATES Gautam Yagnik, MD, UNITED STATES Amelia Weingart, Medical Student, UNITED STATES Hans Drawbert, MS, UNITED STATES Sabrina Gill, Medical Student, UNITED STATES Anshul Saxena, BDS, PhD, UNITED STATES Luis A Vargas, MD, PhD, UNITED STATES John W. Uribe, MD, UNITED STATES
Biological Subchondral Bone Treatment with Osteo Core Plasty: Preliminary Results ePoster Presentation Ignacio Dallo, MD, SPAIN Macarena Morales, MD, ITALY Gabriel Azzini, MD, ITALY Alberto Gobbi, MD, FRACS, ITALY
Patient´S Sex And Height Predict Graft Size But Graft Size Does Not Influence Risk Of Graft Failure. A Study Of 4519 Patients With Primary Anterior Cruciate Ligament Reconstruction. ePoster Presentation Vasileios Sarakatsianos, MD, SWEDEN Riccardo Cristiani, MD, PhD, SWEDEN Marita L Harringe, PhD, RPT, SWEDEN Gunnar Edman, MD, PhD, Prof., SWEDEN Anders Stalman, MD, PhD, associate professor, SWEDEN
Second Anterior Cruciate Ligament Injury Rates In Younger Athletes Advised To Delay Their Return To Sport ePoster Presentation Kate E. Webster, PhD, AUSTRALIA Julian A. Feller, FRACS, FAOrthA, AUSTRALIA Haydn Klemm, BFSc&Nutr (Hons), AUSTRALIA
Biconcave Medial Tibial Plateau Morphology and the Association with Medial Meniscal Tear Pathology Abstract Presentation 6 minutes John Ryan Taylor, MD, MPH, UNITED STATES Joshua Mizels, BA, UNITED STATES Trevor Shelton, MD, MS, UNITED STATES F. Alan Barber, MD, FACS, UNITED STATES Mark Getelman, MD, UNITED STATES
MPFL Reconstruction Using A Superficial Quadriceps Tendon Autograft Is Cost-effective Procedure and Offers Satisfactory Functional Results ePoster Presentation Saroj Rai, MD, PhD, UNITED ARAB EMIRATES Binod Sherchan, MS, NEPAL
Lower Extremity Injury Surveillance of Collegiate Student-Athletes: Epidemiological Insights from the Pac-12 Health Analytics Program ePoster Presentation Lexie K. Ross, BA, UNITED STATES Mary Catherine-Yousif Hamati, MD, UNITED STATES Michael Tuffiash, MS, UNITED STATES Kevin Robell, ATC, UNITED STATES Kenneth J. Hunt, MD, UNITED STATES
The Extent Of Medial Quadriceps Tendon Femoral Ligament (Mqtfl) Patellar And Quadriceps Attachment: A Pediatric Cadaveric Study ePoster Presentation Tyler Stavinoha, MD, UNITED STATES Sahej Randhawa, BS, UNITED STATES Marc Tompkins, MD, UNITED STATES Henry B. Ellis, MD, UNITED STATES Theodore Ganley, MD, UNITED STATES Kevin G. Shea, MD, UNITED STATES
The Epidemiology Of Head Injuries At The 2019 Rugby Union World Cup Compared To Previous World Cup Tournaments ePoster Presentation Robert Cooke, MRCS, UNITED KINGDOM Matthew Strang, MBChB, BSc (Hons), MRCS, UNITED KINGDOM Richard Lowe, MBChB, UNITED KINGDOM Neil Jain, BM, MRCS(Ed), FRCS(Tr&Orth), UNITED KINGDOM
Management of First-Time Patellar Dislocation: A Survey of Prism Members ePoster Presentation Shital N. Parikh, MD, UNITED STATES Matthew William Veerkamp, BA, UNITED STATES PF RIG, UNITED STATES
Efficacy And Safety Of Intravenous Ferric Carboxymaltose In Patients With Postoperative Anemia Following Same-Day Bilateral Total Knee Arthroplasty: A Randomized Controlled Trial Abstract Presentation 6 minutes 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
Correlation Of The Squat-And-Smile Test Against Other Patient Reported Outcome Scores In Knee Pathology ePoster Presentation

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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