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 compared to ACLR alone.
- The incidence of patients returning to competition was greater in the combined ACLR and ALLR group.
- No significant differences were found in the Tegner score or ACL‐RSI score between the two groups.
Takeaway
This study found that more people can go back to playing sports if they have a special surgery along with their knee repair, but their overall activity level and confidence in playing sports are about the same as those who only had the knee repair.
Methodology
The study involved a systematic review and meta-analysis of 14 studies comparing outcomes of ACLR with and without ALLR.
Potential Biases
The heterogeneity of study designs and lack of multicenter studies 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
1.44–2.46
Statistical Significance
p<0.00001
Digital Object Identifier (DOI)
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