Anterolateral augmentation procedures during anterior cruciate ligament reconstructions in skeletally immature patients: Scoping review of surgical techniques and outcomes
Abstract Purpose Graft failure rates after anterior cruciate ligament reconstruction (ACLR) in children and adolescents are higher compared to adults. Anterolateral augmentation procedures have recently generated increased focus regarding their ability to reduce graft failure rates. Concerns in skel...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Journal of Experimental Orthopaedics |
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| Online Access: | https://doi.org/10.1002/jeo2.12012 |
| _version_ | 1797242816502431744 |
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| author | Martijn Dietvorst Stéphanie Verhagen Marieke C. van derSteen Florens Q. M. P. vanDouveren Rob P. A. Janssen |
| author_facet | Martijn Dietvorst Stéphanie Verhagen Marieke C. van derSteen Florens Q. M. P. vanDouveren Rob P. A. Janssen |
| author_sort | Martijn Dietvorst |
| collection | DOAJ |
| description | Abstract Purpose Graft failure rates after anterior cruciate ligament reconstruction (ACLR) in children and adolescents are higher compared to adults. Anterolateral augmentation procedures have recently generated increased focus regarding their ability to reduce graft failure rates. Concerns in skeletally immatures are potential growth disturbances and overconstraint after anterolateral augmentation. The aim of this scoping review is to provide an overview of all current anterolateral augmentation procedures in skeletally immature patients and to discuss surgical techniques, clinical and biomechanical outcomes. Methods This scoping review was performed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta‐Analysis) statement extension for scoping reviews. On 22 December 2022, an information specialist performed a systematic literature search in Cochrane, PubMed (Medline) and EMBASE databases. Inclusion criteria were anterolateral augmentation procedures, including lateral extra‐articular tenodesis (LET) and anterolateral ligament reconstruction (ALLR), in combination with ACLR in skeletally immatures. Results Twenty studies were included after screening 1.485 abstracts. Seventeen studies describe LET techniques, four studies ALLR techniques and one study both techniques. Biomechanical data is scarce and shows conflicting results. Two studies compared ACLR with LET to ACLR in skeletally immatures with promising results in favour of the combined procedure. There were no differences in outcomes between LET and ALLR. Conclusions Several LET and ALLR techniques have been described for skeletally immature patients and the first clinical data on LET and ALLR is available, which showed promising results. Further research is necessary to evaluate the risk of growth disturbances and overconstraint in skeletally immatures. Level of Evidence Level IV. |
| first_indexed | 2024-04-24T18:45:14Z |
| format | Article |
| id | doaj.art-5d7fa7c335c440ceacae83d6891f06be |
| institution | Directory Open Access Journal |
| issn | 2197-1153 |
| language | English |
| last_indexed | 2024-04-24T18:45:14Z |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Experimental Orthopaedics |
| spelling | doaj.art-5d7fa7c335c440ceacae83d6891f06be2024-03-27T05:40:27ZengWileyJournal of Experimental Orthopaedics2197-11532024-01-01111n/an/a10.1002/jeo2.12012Anterolateral augmentation procedures during anterior cruciate ligament reconstructions in skeletally immature patients: Scoping review of surgical techniques and outcomesMartijn Dietvorst0Stéphanie Verhagen1Marieke C. van derSteen2Florens Q. M. P. vanDouveren3Rob P. A. Janssen4Department of Orthopaedic Surgery & Trauma Maxima Medical Centre Eindhoven The NetherlandsDepartment of Orthopaedic Surgery & Trauma Maxima Medical Centre Eindhoven The NetherlandsDepartment of Orthopaedic Surgery & Trauma Maxima Medical Centre Eindhoven The NetherlandsDepartment of Orthopaedic Surgery & Trauma Maxima Medical Centre Eindhoven The NetherlandsDepartment of Orthopaedic Surgery & Trauma Maxima Medical Centre Eindhoven The NetherlandsAbstract Purpose Graft failure rates after anterior cruciate ligament reconstruction (ACLR) in children and adolescents are higher compared to adults. Anterolateral augmentation procedures have recently generated increased focus regarding their ability to reduce graft failure rates. Concerns in skeletally immatures are potential growth disturbances and overconstraint after anterolateral augmentation. The aim of this scoping review is to provide an overview of all current anterolateral augmentation procedures in skeletally immature patients and to discuss surgical techniques, clinical and biomechanical outcomes. Methods This scoping review was performed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta‐Analysis) statement extension for scoping reviews. On 22 December 2022, an information specialist performed a systematic literature search in Cochrane, PubMed (Medline) and EMBASE databases. Inclusion criteria were anterolateral augmentation procedures, including lateral extra‐articular tenodesis (LET) and anterolateral ligament reconstruction (ALLR), in combination with ACLR in skeletally immatures. Results Twenty studies were included after screening 1.485 abstracts. Seventeen studies describe LET techniques, four studies ALLR techniques and one study both techniques. Biomechanical data is scarce and shows conflicting results. Two studies compared ACLR with LET to ACLR in skeletally immatures with promising results in favour of the combined procedure. There were no differences in outcomes between LET and ALLR. Conclusions Several LET and ALLR techniques have been described for skeletally immature patients and the first clinical data on LET and ALLR is available, which showed promising results. Further research is necessary to evaluate the risk of growth disturbances and overconstraint in skeletally immatures. Level of Evidence Level IV.https://doi.org/10.1002/jeo2.12012anterior cruciate ligamentanterolateral ligament reconstructionlateral extra‐articular tenodesisopen growth platesskeletally immatures |
| spellingShingle | Martijn Dietvorst Stéphanie Verhagen Marieke C. van derSteen Florens Q. M. P. vanDouveren Rob P. A. Janssen Anterolateral augmentation procedures during anterior cruciate ligament reconstructions in skeletally immature patients: Scoping review of surgical techniques and outcomes Journal of Experimental Orthopaedics anterior cruciate ligament anterolateral ligament reconstruction lateral extra‐articular tenodesis open growth plates skeletally immatures |
| title | Anterolateral augmentation procedures during anterior cruciate ligament reconstructions in skeletally immature patients: Scoping review of surgical techniques and outcomes |
| title_full | Anterolateral augmentation procedures during anterior cruciate ligament reconstructions in skeletally immature patients: Scoping review of surgical techniques and outcomes |
| title_fullStr | Anterolateral augmentation procedures during anterior cruciate ligament reconstructions in skeletally immature patients: Scoping review of surgical techniques and outcomes |
| title_full_unstemmed | Anterolateral augmentation procedures during anterior cruciate ligament reconstructions in skeletally immature patients: Scoping review of surgical techniques and outcomes |
| title_short | Anterolateral augmentation procedures during anterior cruciate ligament reconstructions in skeletally immature patients: Scoping review of surgical techniques and outcomes |
| title_sort | anterolateral augmentation procedures during anterior cruciate ligament reconstructions in skeletally immature patients scoping review of surgical techniques and outcomes |
| topic | anterior cruciate ligament anterolateral ligament reconstruction lateral extra‐articular tenodesis open growth plates skeletally immatures |
| url | https://doi.org/10.1002/jeo2.12012 |
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