Guarino Amedeo, Farinelli Luca, Iacono Venanzio, Screpis Daniele, Piovan Gianluca, Rizzo Maria, Mariconda Massimo, Zorzi Claudio
Section of Orthopaedics. Department of Public Health, Federico II University, Naples (NA), Italy.
Clinical Orthopaedics Departement of Clinical and Molecular Sciences, Università Politecnica delle Marche, Ancona(AN), Italy.
Orthop Rev (Pavia). 2022 Apr 25;14(2):33696. doi: 10.52965/001c.33696. eCollection 2022.
Lateral extra-articular tenodesis (L.E.T.) have been proposed to reduce the tibia's anterior translation and internal rotation in concomitant to Anterior cruciate ligament (A.C.L.) reconstruction. Recent studies show that the addition of L.E.T. to A.C.L. reconstruction results in a statistically significant reduction in graft failure. The purpose of the present study was to evaluate the clinical outcomes, complications, and rate of return to preinjury sports level in pediatric patients who underwent combined A.C.L. reconstruction with L.E.T. at a minimum 2-year follow-up. The authors retrospectively evaluated 42 pediatric patients at high risk of graft failure who experienced ACLR connected to L.E.T. IKDC and Tegner-Lysholm Knee Scores Scale were used to assess clinical outcomes, and the Tegner Activity Scale to evaluate the return to sport. No graft failure or subsequent surgery related to A.C.L. reconstruction occurred. Furthermore, 88% of patients returned to the sport. Satisfactory clinical results were obtained on a short and medium-term follow-up. These findings help to consider this procedure for active adolescents at a high risk of graft failure to enhance A.C.L. reconstruction.
外侧关节外肌腱固定术（L.E.T.）已被提议用于在进行前交叉韧带（A.C.L.）重建的同时减少胫骨的前向平移和内旋。最近的研究表明，在A.C.L.重建中增加L.E.T.可使移植物失败率在统计学上显著降低。本研究的目的是评估在至少2年随访期内接受A.C.L.重建联合L.E.T.的儿科患者的临床结果、并发症以及恢复到伤前运动水平的比率。作者回顾性评估了42例移植物失败风险高且接受了与L.E.T.相关的前交叉韧带重建（ACLR）的儿科患者。采用国际膝关节文献委员会（IKDC）和泰格纳 - 利霍尔姆膝关节评分量表评估临床结果，并用泰格纳活动量表评估运动恢复情况。未发生与A.C.L.重建相关的移植物失败或后续手术。此外，88%的患者恢复了运动。在短期和中期随访中获得了满意的临床结果。这些发现有助于考虑对移植物失败风险高的活跃青少年采用该手术来加强A.C.L.重建。
