Graft failure rate may be lower with ACL reconstruction, lateral extra-articular procedure
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Key takeaways:
- The graft rupture rate was higher with ACL reconstruction alone vs. reconstruction plus a lateral extra-articular procedure.
- Reconstruction alone also had a higher rate of reoperation for secondary meniscectomy.
DENVER — Results presented here showed patients older than 30 years who underwent isolated ACL reconstruction had a threefold higher risk for graft failure compared with those who had reconstruction plus a lateral extra-articular procedure.
“The patient between 30 to 35 years had a fivefold [increased] risk to have a graft failure regardless of the presence of lateral extra-articular tenodesis,” Bertrand Sonnery-Cottet, MD, PhD, consultant at the Santy Orthopedic Center in Lyon, France, said in his presentation at the American Orthopaedic Society for Sports Medicine Annual Meeting. “Moreover, the patient who underwent combined ACL and lateral extra-articular tenodesis experienced a lower reoperation rate for secondary meniscectomy.”
Sonnery-Cottet and colleagues propensity matched 551 patients older than 30 years who underwent ACL reconstruction plus a lateral extra-articular procedure with 551 patients who underwent isolated ACL reconstruction from 2003 to 2020. According to the abstract, researchers performed a retrospective analysis of prospectively collected data to determine whether patients had experienced any complications or reoperations.
Sonnery-Cottet said patients in the isolated ACL reconstruction group had a graft rupture rate of 2.7% vs. 0.7% of patients in the ACL reconstruction plus lateral extra-articular procedure group. He added patients who underwent isolated ACL reconstruction had a higher rate of reoperation for secondary meniscectomy compared with patients in the combined ACL reconstruction and lateral extra-articular procedure group (5.6% vs. 2.2%, respectively).
“In terms of multivariable analysis, the only risk factor for failure was the type of surgery and the age,” Sonnery-Cottet said. “We discovered that the population just under 35 [years], the group between 30 to 35 years, had a high risk of failure.”
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Saithna A, et al. Paper 2. Presented at: American Orthopaedic Society for Sports Medicine Annual Meeting; July 10-14, 2024; Denver.
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