Anterior Cruciate Ligament Reconstruction

First, it is mandatory to establish that, regardless of the type of extra-articular reconstruction chosen, it is important to routinely perform an extra-articular reconstruction in patients at risk for ACL reconstruction failure.

Despite having been around for decades, recent research has ignited a resurgence in the application of lateral-sided extra-articular procedures, such as a lateral extra-articular tenodesis and anterolateral ligament reconstruction.

Published results showed ACL reconstruction augmented with bone marrow aspirate concentrate, demineralized bone matrix and suture tape yielded superior functional outcomes and faster recovery compared with standard ACL reconstruction.

DENVER — Presented results showed supratubercle anterior closing wedge proximal tibial osteotomy did not decrease patellar height at 3 months and 6 months postoperatively for patients with failed revision ACL reconstruction.

DENVER — Younger patients who undergo revision ACL reconstruction may be at risk for limited range of motion, graft failure, poor function and pain at minimum 10-year follow-up, according to presented results.

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.

DENVER — Kostas J. Economopoulos, MD, discusses a study presented here that showed lateral extra-articular tenodesis may improve outcomes in patients with an intact graft and residual instability vs. revision ACL reconstruction alone.

DENVER — According to results presented here, ACL reconstruction with a single-stage slope-reducing high-tibial osteotomy may have similar return to sport rates to isolated primary ACL reconstruction in active patients.

Published results showed ACL reconstruction with hamstring tendon and quadriceps tendon autografts yielded satisfactory patient-reported functional outcomes and return to sport for athletically active patients aged 50 years and older.

Results showed 3.9% of pediatric and adolescent patients who underwent ACL reconstruction developed arthrofibrosis; however, skeletally immature patients had significantly lower rates of arthrofibrosis vs. skeletally mature patients.