Additional Anterolateral Ligament Reconstruction Helps Patients Improve Dynamic Postural Stability in Revision Anterior Cruciate Ligament Reconstruction
<i>Background and Objectives</i>: The goal in treating anterior cruciate ligament (ACL) injury especially in revision cases is return to sports activity by regaining dynamic postural stability. Among various methods to achieve this goal, additional anterolateral ligament reconstruction (...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-07-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/7/1242 |
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| author | Joon Kyu Lee Seung-Ik Cho Dhong-Won Lee Sang-Jin Yang Tae-Wook Kim Jin-Goo Kim |
| author_facet | Joon Kyu Lee Seung-Ik Cho Dhong-Won Lee Sang-Jin Yang Tae-Wook Kim Jin-Goo Kim |
| author_sort | Joon Kyu Lee |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: The goal in treating anterior cruciate ligament (ACL) injury especially in revision cases is return to sports activity by regaining dynamic postural stability. Among various methods to achieve this goal, additional anterolateral ligament reconstruction (ALLR) is gaining attention. The purpose of this study was to evaluate the effects of additional ALLR in revision ACL reconstruction (RACLR). <i>Materials and Methods</i>: Patients who underwent RACLR between July 2015 and June 2018 were enrolled. The exclusion criteria were less than 1-year follow-up, age older than 45 years, concomitant multiple ligament injuries, contralateral knee injury, subtotal or total meniscectomized state, and articular cartilage lesions worse than Outerbridge grade 3. Thirty-nine patients (20 patients; RACLR only (Group A), 19 patients; RACLR with additional ALLR (Group B)) were included. Clinical scores (Lysholm score, subjective International Knee Documentation Committee (IKDC) score, Tegner activity scale), isokinetic strength test, single-leg-hop for distance test (SLHDT), Y-balance test (YBT) were checked preoperatively and 1-year postoperatively. <i>Results</i>: Limb symmetry index values in YBT showed significantly better result in Group B 1-year postoperatively (Group A: 97.2 ± 4.0, Group B: 100.3 ± 2.9, <i>p</i> = 0.010), although there were no differences preoperatively between groups (Group A: 90.4 ± 6.7, Group B: 89.3 ± 5.5, <i>p</i> = 0.594). Regarding clinical scores, isokinetic strength tests, and SLHDT, there were no differences between groups preoperatively nor 1-year postoperatively. <i>Conclusions</i>: Additional ALLR in RACLR helped patients gain better dynamic postural stability at 1-year postoperative follow-up. |
| first_indexed | 2024-03-11T00:51:21Z |
| format | Article |
| id | doaj.art-f80ec500984e46a7b95f20609a394e77 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-11T00:51:21Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-f80ec500984e46a7b95f20609a394e772023-11-18T20:23:53ZengMDPI AGMedicina1010-660X1648-91442023-07-01597124210.3390/medicina59071242Additional Anterolateral Ligament Reconstruction Helps Patients Improve Dynamic Postural Stability in Revision Anterior Cruciate Ligament ReconstructionJoon Kyu Lee0Seung-Ik Cho1Dhong-Won Lee2Sang-Jin Yang3Tae-Wook Kim4Jin-Goo Kim5Department of Orthopaedic Surgery, Konkuk University Medical Center, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul 05030, Republic of KoreaDepartment of Orthopaedic Surgery, Konkuk University Medical Center, Seoul 05030, Republic of KoreaDepartment of Orthopaedic Surgery, Konkuk University Medical Center, Seoul 05030, Republic of KoreaDepartment of Health & Exercise Management, Tongwon University, Gwangju-si 12813, Republic of KoreaDepartment of Orthopaedic Surgery, Konkuk University Medical Center, Seoul 05030, Republic of KoreaDepartment of Orthopaedic Surgery, Myong-Ji Hospital, Goyang-si 10475, Republic of Korea<i>Background and Objectives</i>: The goal in treating anterior cruciate ligament (ACL) injury especially in revision cases is return to sports activity by regaining dynamic postural stability. Among various methods to achieve this goal, additional anterolateral ligament reconstruction (ALLR) is gaining attention. The purpose of this study was to evaluate the effects of additional ALLR in revision ACL reconstruction (RACLR). <i>Materials and Methods</i>: Patients who underwent RACLR between July 2015 and June 2018 were enrolled. The exclusion criteria were less than 1-year follow-up, age older than 45 years, concomitant multiple ligament injuries, contralateral knee injury, subtotal or total meniscectomized state, and articular cartilage lesions worse than Outerbridge grade 3. Thirty-nine patients (20 patients; RACLR only (Group A), 19 patients; RACLR with additional ALLR (Group B)) were included. Clinical scores (Lysholm score, subjective International Knee Documentation Committee (IKDC) score, Tegner activity scale), isokinetic strength test, single-leg-hop for distance test (SLHDT), Y-balance test (YBT) were checked preoperatively and 1-year postoperatively. <i>Results</i>: Limb symmetry index values in YBT showed significantly better result in Group B 1-year postoperatively (Group A: 97.2 ± 4.0, Group B: 100.3 ± 2.9, <i>p</i> = 0.010), although there were no differences preoperatively between groups (Group A: 90.4 ± 6.7, Group B: 89.3 ± 5.5, <i>p</i> = 0.594). Regarding clinical scores, isokinetic strength tests, and SLHDT, there were no differences between groups preoperatively nor 1-year postoperatively. <i>Conclusions</i>: Additional ALLR in RACLR helped patients gain better dynamic postural stability at 1-year postoperative follow-up.https://www.mdpi.com/1648-9144/59/7/1242dynamic postural stabilityanterolateral ligament reconstructionrevision anterior cruciate ligament reconstructionY-balance test |
| spellingShingle | Joon Kyu Lee Seung-Ik Cho Dhong-Won Lee Sang-Jin Yang Tae-Wook Kim Jin-Goo Kim Additional Anterolateral Ligament Reconstruction Helps Patients Improve Dynamic Postural Stability in Revision Anterior Cruciate Ligament Reconstruction Medicina dynamic postural stability anterolateral ligament reconstruction revision anterior cruciate ligament reconstruction Y-balance test |
| title | Additional Anterolateral Ligament Reconstruction Helps Patients Improve Dynamic Postural Stability in Revision Anterior Cruciate Ligament Reconstruction |
| title_full | Additional Anterolateral Ligament Reconstruction Helps Patients Improve Dynamic Postural Stability in Revision Anterior Cruciate Ligament Reconstruction |
| title_fullStr | Additional Anterolateral Ligament Reconstruction Helps Patients Improve Dynamic Postural Stability in Revision Anterior Cruciate Ligament Reconstruction |
| title_full_unstemmed | Additional Anterolateral Ligament Reconstruction Helps Patients Improve Dynamic Postural Stability in Revision Anterior Cruciate Ligament Reconstruction |
| title_short | Additional Anterolateral Ligament Reconstruction Helps Patients Improve Dynamic Postural Stability in Revision Anterior Cruciate Ligament Reconstruction |
| title_sort | additional anterolateral ligament reconstruction helps patients improve dynamic postural stability in revision anterior cruciate ligament reconstruction |
| topic | dynamic postural stability anterolateral ligament reconstruction revision anterior cruciate ligament reconstruction Y-balance test |
| url | https://www.mdpi.com/1648-9144/59/7/1242 |
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