Better Sports Return After Combined ACL and ALL Reconstruction
Author Information
Author(s): Lumban‐Gaol Imelda, Putramega Dananjaya, Phatama Krisna Yuarno, Utomo Dwikora Novembri, Budhiparama Nicolaas C.
Primary Institution: Nicolaas Institute of Constructive Orthopaedic Research & Education Foundation for Arthroplasty & Sports Medicine at Medistra Hospital Jakarta Indonesia
Hypothesis
Does combining anterolateral ligament reconstruction with anterior cruciate ligament reconstruction improve return to sports compared to ACL reconstruction alone?
Conclusion
Patients who underwent ACLR with ALLR had higher rates of return to sports and competition, but their activity and psychological readiness scores were similar to those who had ACLR alone.
Supporting Evidence
- ACLR combined with ALLR resulted in a higher rate of return to sports and competition compared to ACLR alone.
- Patients who underwent ACLR with ALLR had a 59.5% return to sports rate, while ACLR alone had 46.9%.
- The Tegner score and ACL‐RSI scores were similar between the two groups.
Takeaway
This study found that more people can go back to playing sports after having two surgeries together than just one. But how active they feel and their confidence in returning to sports didn't change much.
Methodology
The study involved a systematic review and meta-analysis of 14 studies comparing outcomes of ACLR with and without ALLR.
Potential Biases
The lack of randomization in non-RCTs may introduce bias.
Limitations
The study included a limited number of studies with varying designs and potential biases, and the assessment of preoperative rotational instability was uncertain.
Participant Demographics
Among the 2357 patients, 1133 underwent ACLR combined with ALLR and 1224 underwent ACLR only.
Statistical Information
P-Value
p<0.00001
Confidence Interval
95% CI, 1.44–2.46
Statistical Significance
p<0.00001
Digital Object Identifier (DOI)
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