Hôpital Privé Jean Mermoz (B.S.-C.).
Arthroscopy. 2020 Jun;36(6):1702-1705. doi: 10.1016/j.arthro.2020.03.034.
We are united as an orthopaedic community in trying to improve the outcomes of anterior cruciate ligament (ACL) reconstruction. Graft rupture rates of 10% to 28% are reported in high-risk populations, reoperation for non-graft rupture-related indications are reported in 18% to 26%, and only 50% to 65% of recreational athletes return to their preinjury level of sports. Numerous groups across the world have published studies providing evidence demonstrating significant clinical efficacy of lateral extra-articular tenodesis in improving the outcomes of ACL surgery. Finally, the reductions in ACL graft rupture rates augmented with anterolateral ligament or a modified Lemaire reconstruction appear to be broadly comparable. In our hands, anterolateral ligament may result in fewer adverse events.
我们作为一个骨科团队，致力于提高前交叉韧带（ACL）重建的效果。据报道，高危人群的移植物破裂率为 10%至 28%，非移植物破裂相关原因的再次手术率为 18%至 26%，仅有 50%至 65%的娱乐运动员能够恢复到受伤前的运动水平。世界各地的许多团队都发表了研究，提供了证据，证明外侧关节外固定术在改善 ACL 手术效果方面具有显著的临床疗效。最后，增加前外侧韧带或改良的 Lemaire 重建后的 ACL 移植物破裂率降低似乎大致相当。在我们手中，前外侧韧带可能导致更少的不良事件。
