2021 Annual Meeting Knee Access Pass-Isolated ACL Reconstruction Versus Combined ACL And Anterolateral Ligament Reconstruction: A Matched Case Series With Mean Follow Up of 9 Years

Isolated ACL Reconstruction Versus Combined ACL And Anterolateral Ligament Reconstruction: A Matched Case Series With Mean Follow Up of 9 Years

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Video Transcription

Video Summary

In this video, the speaker discusses the benefits of combined ACL and ALL reconstruction compared to isolated ACL reconstruction. The speaker mentions previous studies that have shown reduced graft rupture rates, improved return to sport, and improved patient-reported outcomes in specific populations. They also mention their own forthcoming study showing reduced graft rupture rates in elite alpine skiers. The aim of their current study is to address the lack of long-term clinical outcomes in the literature. The speaker goes on to explain the surgical technique of the combined reconstruction and the follow-up methods used in the study. Propensity matching was used to compare patient groups, and the results showed that the combined reconstruction group had a significantly lower graft rupture rate and reoperation rate compared to the isolated ACL reconstruction group. There were no significant differences in knee stability or patient-reported outcomes between the groups. The speaker concludes that patients who undergo combined ACL and ALL reconstruction have better long-term ACL graft survivorship and lower rates of reoperation compared to those who undergo isolated ACL reconstruction.

Asset Caption

Dr. Adnan Saithna

Keywords

combined ACL and ALL reconstruction

graft rupture rates

patient-reported outcomes

long-term clinical outcomes

reoperation rate