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 2 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 International Knee Documentation Committee
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.
Conclusions
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.
Level of Evidence
Level III, retrospective comparative therapeutic trial.
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Article info
Publication history
Published online: February 01, 2021
Accepted:
January 17,
2021
Received:
July 27,
2020
See commentary on page 1918Footnotes
The Authors Report That They Have No Conflicts Of Interest In The Authorship And Publication Of This Article. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
Identification
Copyright
© 2021 by the Arthroscopy Association of North America
