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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(03): e397-e402
DOI: 10.1055/s-0044-1785516
Artigo Original
Joelho

Outcomes of Anterior Cruciate Ligament Reconstruction in Patients with Associated Anterolateral Ligament Injury

Article in several languages: português | English
João Paulo Fernandes Guerreiro 
1   Faculdade de Medicina, Pontifícia Universidade Católica do Paraná (PUCPR) – Câmpus Londrina, Londrina, PR, Brasil
2   Hospital de Ortopedia Uniort.e, Londrina, PR, Brasil
,
Larissa Baldow Rosa 
3   Departamento de Ortopedia e Traumatologia, Faculdade de Medicina, Pontifícia Universidade Católica do Paraná (PUCPR) – Câmpus Londrina, Londrina, PR, Brasil
,
Ellen Liceras Gonçalves 
4   Serviço de Ortopedia e Traumatologia, Hospital Evangélico de Londrina, Londrina, PR, Brasil
,
Amon Ramysés Rodrigues Curcio 
4   Serviço de Ortopedia e Traumatologia, Hospital Evangélico de Londrina, Londrina, PR, Brasil
,
Paulo Roberto Bignardi 
1   Faculdade de Medicina, Pontifícia Universidade Católica do Paraná (PUCPR) – Câmpus Londrina, Londrina, PR, Brasil
,
Marcus Vinicius Danieli 
1   Faculdade de Medicina, Pontifícia Universidade Católica do Paraná (PUCPR) – Câmpus Londrina, Londrina, PR, Brasil
2   Hospital de Ortopedia Uniort.e, Londrina, PR, Brasil
› Author Affiliations Financial Support The authors declare that they did not receive funding from agencies in the public, private, or not-for-profit sectors for the conduction of the present study.
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Abstract

Objective To evaluate if there is a significant difference in the outcomes of isolated anterior cruciate ligament (ACL) reconstruction in patients with or without associated anterolateral ligament (ALL) injury.

Methods We conducted a retrospective cross-sectional study through the analysis of medical records and the application of the questionnaires of the Lysholm Knee Scoring Scale and the International Knee Documentation Committee (IKDC) Subjective Knee Form to patients undergoing isolated ACL reconstruction.

Results The 52 participants included were divided into two groups: 19 with associated ALL injury and 33 with no associated ALL injury. None of the patients with associated ALL injury suffered an ACL rerupture, and 21.1% presented injuries to other knee structures after surgery. Among the patients with no associated injury, 6.1% suffered ACL rerupture, and 18.2% presented injuries to other structures after surgery (p = 0.544). Return to activities at the same level as that of the preoperative period occurred in 60% of the patients with associated ALL injury and in 72% of those with no associated injury (p = 0.309). The mean score on the Lysholm Knee Scoring Scale was of 81.6 points in patients with associated ALL injury, and of 90.1 in those with no associated injury (p = 0.032). The mean score on the IKDC Subjective Knee Form was of 70.3 points in patients with associated ALL injury and of 76.7 in those with no associated injury (p = 0.112).

Conclusion There was no statistically significant difference regarding graft injuries or new injuries to other structures, satisfaction with the operated knee, or the score on the IKDC Subjective Knee Form. Return to activity was similar in the groups with and without associated ALL injuries. The scores on the Lysholm Knee Scoring Scale were better, with a statistically significant difference in the group with no associated ALL injuries.

Keywords

anterior cruciate ligament - anterolateral ligament - articular ligaments - knee

Authors' Contributions:

Each author contributed individually and significantly to the development of the article. JPFG wrote and reviewed the article, analyzed the results, developed the statistical analysis, participated in the intellectual conception of the study, and coordinated the entire project; LBR collected data, analyzed the results, and wrote and reviewed the article; ELG and ARRC collected data, and wrote and reviewed the article; PRB analyzed the results and developed the statistical analysis; and MVD: reviewed the article and participated in the intellectual conception of the study.


Work developed at the Hospital de Ortopedia Uniort.e, Hospital Evangélico de Londrina, and School of Medicine, Pontifícia Universidade Católica do Paraná (PUCPR) – Câmpus Londrina, Londrina, Paraná, Brazil.




Publication History

Received: 21 August 2023

Accepted: 06 November 2023

Article published online:
22 June 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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