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Revision ACL reconstruction: influence of a lateral tenodesis
Christophe Trojani1, Philippe Beaufils, Gilles Burdin
1Department of Orthopaedic Surgery and Sports Traumatology, Service de Chirurgie Orthopédique, L'Archet 2 Hospital, 151 route de St Antoine de Ginestière, 06200, Nice, France. trojani.c@chu-nice.fr
Purpose:
The aims of this article were to report the objective results of revision ACL reconstruction and to assess the influence of an associated lateral extra-articular tenodesis on knee stability and IKDC score.
Methods:
This study focused on revision ACL reconstruction and was conducted over a 10-year period, from 1994 to 2003 with ten French orthopedic centers participating. The minimum follow-up required was 2 years. To be included, patients had to be evaluated at follow-up with the objective International Knee Documenting Committee (IKDC) scoring system. In 2006, 163 patients met the inclusion criteria.
Results:
The objective IKDC knee score improved significantly after revision ACL reconstruction, with 72% IKDC A + B (26% A). When a lateral tenodesis was performed, 80% had a negative pivot shift, versus 63% without (P = 0.03), but there was no significant difference in the IKDC score.
Conclusion:
This study shows a significant improvement in the IKDC score after revision ACL reconstruction. The association of a lateral extra-articular tenodesis with the intra-articular graft increases knee stability after revision ACL reconstruction; however, this additional procedure does not significantly alter the IKDC score at follow-up.
Level Of Evidence:
Retrospective case series, Level IV.