FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2760200679> ?p ?o ?g. }

• W2760200679 endingPage "e48" @default.
• W2760200679 startingPage "e47" @default.
• W2760200679 abstract "The rate of ACL graft failure when combined with anterolateral ligament (ALL) reconstruction is significantly less than with isolated ACL reconstruction with B-PT-B or hamstring tendons. ACL+ALL is also associated with significantly greater odds of returning to the pre-injury level of sport. Clinical results at latest follow up show no evidence of increased complications or overconstraint. Graft failure and low rates of return to sport are major concerns after ACL reconstruction. It is for this reason that there is currently great interest in the role of the anterolateral ligament (ALL) in controlling rotatory laxity and its ability to share load with the ACL graft. However, the vast majority of research relating to ALL reconstruction is laboratory based and its clinical role remains undefined. There are concerns regarding overconstraint of the knee based on historical experience with non-anatomical lateral extra-articular tenodeses. To evaluate the role of combined ACL and ALL reconstruction in reducing graft rupture rates and improving return to sport in a high risk population of young patients participating in contact sports. A prospective series of 502 patients who underwent primary ACL reconstruction with either bone-patellar tendon-bone graft (BPTB n=105), quadrupled hamstring tendons (4HT n=176), or combined hamstring tendon and anterolateral ligament reconstruction (HT+ALL n=221) was studied. Kaplan Meier analysis was performed to provide survivorship data that were analyzed in multivariate Cox regression models to identify prognosticators of graft rupture and return to sport. The mean age was 22.4 ± 4.0 years (range 16-30), 364/502 patients (72.5%) were male. The mean duration of follow-up was 38.4 months (range 24-54). The mean post-operative subjective IKDC score was 84.4 +/- 11.6. There was no difference between groups with respect to the postoperative improvement in subjective IKDC (mean delta IKDC 27.0 +/-15.7, P=0.84) or the mean side-to-side laxity difference 0.5 +/-0.9mm (P=0.3879). The rate of graft failure in patients with HT+ALL grafts was 3.1 times less than with 4HT [hazard ratio, 0.327; 95% CI 0.13-0.758] and 2.5 times less than with B-PT-B [hazard ratio, 0.393; 95% CI 0.153-0.953]. There was no significant difference in the graft failure rate between 4HT and B-PT-B groups [hazard ratio, 1.204; 95% CI 0.555-2.66]. Overall, 93% of patients returned to sport at latest follow-up. Return to self-described pre-injury level of sport was 64.6%. The HT+ALL graft was associated with higher odds of return to pre-injury level of sport than 4HT [Odds ratio, 1.938; 95% CI 1.174-3.224] but not compared to B-PT-B [Odds ratio, 1.460; 95% CI 0.813-2.613]. The role of the anterolateral ligament in the ACL injured knee has been a topic of great controversy. The main reason for this has been a reliance on laboratory-based studies in lieu of clinical results. This study is the first to compare HT+ALL with other common techniques for ACL reconstruction. This large series with medium-term follow up conducted in a high-risk population of young patients participating in pivoting sports demonstrates that the rate of graft failure with HT+ALL is significantly less than with ACL reconstruction performed with B-PT-B or 4HT only. HT+ALL is also associated with significantly greater odds of returning to the pre-injury level of sport when compared to 4HT. Clinical results at latest follow up show no evidence of increased complications or overconstraint compared to other common techniques of ACL reconstruction." @default.
• W2760200679 created "2017-10-06" @default.
• W2760200679 creator A5005249123 @default.
• W2760200679 creator A5027555221 @default.
• W2760200679 creator A5036936217 @default.
• W2760200679 creator A5051459960 @default.
• W2760200679 creator A5052542325 @default.
• W2760200679 creator A5054396803 @default.
• W2760200679 creator A5061210062 @default.
• W2760200679 creator A5071847647 @default.
• W2760200679 creator A5085047854 @default.
• W2760200679 creator A5089060990 @default.
• W2760200679 date "2017-10-01" @default.
• W2760200679 modified "2023-10-18" @default.
• W2760200679 title "Clinical Results from the First Large Series of Anterolateral Ligament Reconstruction Demonstrate Reduced ACL Graft Rupture Rates and Improved Return to Sport" @default.
• W2760200679 doi "https://doi.org/10.1016/j.arthro.2017.08.019" @default.
• W2760200679 hasPublicationYear "2017" @default.
• W2760200679 type Work @default.
• W2760200679 sameAs 2760200679 @default.
• W2760200679 citedByCount "1" @default.
• W2760200679 countsByYear W27602006792020 @default.
• W2760200679 crossrefType "journal-article" @default.
• W2760200679 hasAuthorship W2760200679A5005249123 @default.
• W2760200679 hasAuthorship W2760200679A5027555221 @default.
• W2760200679 hasAuthorship W2760200679A5036936217 @default.
• W2760200679 hasAuthorship W2760200679A5051459960 @default.
• W2760200679 hasAuthorship W2760200679A5052542325 @default.
• W2760200679 hasAuthorship W2760200679A5054396803 @default.
• W2760200679 hasAuthorship W2760200679A5061210062 @default.
• W2760200679 hasAuthorship W2760200679A5071847647 @default.
• W2760200679 hasAuthorship W2760200679A5085047854 @default.
• W2760200679 hasAuthorship W2760200679A5089060990 @default.
• W2760200679 hasBestOaLocation W27602006791 @default.
• W2760200679 hasConcept C141071460 @default.
• W2760200679 hasConcept C2776141760 @default.
• W2760200679 hasConcept C2778434673 @default.
• W2760200679 hasConcept C2780695755 @default.
• W2760200679 hasConcept C2780887989 @default.
• W2760200679 hasConcept C2781170992 @default.
• W2760200679 hasConcept C2908647359 @default.
• W2760200679 hasConcept C60465272 @default.
• W2760200679 hasConcept C71924100 @default.
• W2760200679 hasConcept C99454951 @default.
• W2760200679 hasConceptScore W2760200679C141071460 @default.
• W2760200679 hasConceptScore W2760200679C2776141760 @default.
• W2760200679 hasConceptScore W2760200679C2778434673 @default.
• W2760200679 hasConceptScore W2760200679C2780695755 @default.
• W2760200679 hasConceptScore W2760200679C2780887989 @default.
• W2760200679 hasConceptScore W2760200679C2781170992 @default.
• W2760200679 hasConceptScore W2760200679C2908647359 @default.
• W2760200679 hasConceptScore W2760200679C60465272 @default.
• W2760200679 hasConceptScore W2760200679C71924100 @default.
• W2760200679 hasConceptScore W2760200679C99454951 @default.
• W2760200679 hasIssue "10" @default.
• W2760200679 hasLocation W27602006791 @default.
• W2760200679 hasOpenAccess W2760200679 @default.
• W2760200679 hasPrimaryLocation W27602006791 @default.
• W2760200679 hasRelatedWork W2031386650 @default.
• W2760200679 hasRelatedWork W2070166418 @default.
• W2760200679 hasRelatedWork W2085025885 @default.
• W2760200679 hasRelatedWork W2144160373 @default.
• W2760200679 hasRelatedWork W2332104889 @default.
• W2760200679 hasRelatedWork W2744942443 @default.
• W2760200679 hasRelatedWork W2755389123 @default.
• W2760200679 hasRelatedWork W2762368776 @default.
• W2760200679 hasRelatedWork W2950683634 @default.
• W2760200679 hasRelatedWork W4310699952 @default.
• W2760200679 hasVolume "33" @default.
• W2760200679 isParatext "false" @default.
• W2760200679 isRetracted "false" @default.
• W2760200679 magId "2760200679" @default.
• W2760200679 workType "article" @default.