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Combined ACL-PLC repair allows for return to work, sports
Combined ACL-PLC reconstruction allows for an eventual return to both work and sports, though at lower postoperative performance in the latter, according to study findings.
Researchers reviewed 100 patients undergoing isolated ACL reconstruction and 25 undergoing combined ACL-PLC reconstruction. The ACL group was matched by age, sex and meniscal procedure. All patients were evaluated preoperatively and at 1, 2 and 5 years following reconstruction using IKDC 2000, KOOS and Lysholm scoring systems.
Patients in the ACL-PCL group had substantially lower preoperative KOOS values and Lysholm scores than patients in the ACL group, according to the researchers. Following reconstruction, all scores showed substantial improvement in both patient cohorts at all time points.
All patients in the ACL-PLC cohort returned to work, and 23 (92%) resumed participation in sports.
KOOS subscores in pain, symptoms, sports, quality of life and activities of daily living, KOOS aggregate score for all parameters and Lysholm scores of patients in the ACL-PLC group were significantly lower than those of patients in the ACL group at 5 years postoperatively, according to the researchers.
Complications observed in the ACL-PLC cohort included two superficial infections, one meniscal repair failure due to new sports injury at 18 months postoperatively and one prominence of the screw and washer/soft-tissue washer at the femoral tunnel used for PCL reconstruction removed after 1 year. Three complications were seen in the ACL cohort: two reruptures of the ACL grafts and one occurrence of arthrofibrosis.
Disclosure: The authors have no relevant financial disclosures.