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.
- Only 46.9% of patients returned to sports after isolated ACLR compared to 59.5% after ACLR with ALLR.
- 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 their scores for how active they are and how ready they feel to play again are about the same.
Methodology
A systematic review and meta-analysis comparing return to sports and competition rates, Tegner scores, and ACL-RSI scores between patients who underwent 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, which may have influenced the results.
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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