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• W4378977903 abstract "Purpose To determine whether the addition of an LET to ACLR would improve return to sport rates in young, active patients who play high-risk sports. Methods This multicenter, RCT compared standard hamstring tendon ACLR with combined ACLR and LET, utilizing a strip of iliotibial band (Modified Lemaire). Patients aged 25 years or less with an ACL deficient knee were included. They also had to have two of the following criteria: 1) Grade 2 pivot shift or greater; 2) Participation in a high risk/pivoting sport; 3) Generalized ligamentous laxity. Time to return and level of return to sport was determined via administration of a questionnaire at 24 months postoperative. Results We randomized 618 patients and 553 played high-risk sports preoperative. The proportion of patients who did not RTS was similar between the ACLR (11%) and ACLR + LET (14%) groups however, graft rupture rate was significantly different (ACLR = 11.2%, ACLR + LET = 4.1%, p = 0.004). Lack of confidence and fear of re-injury was the most cited reason for no RTS. A stable knee was associated with nearly two times greater odds of return to high-level high-risk sport postoperative (OR = 1.92, 95%CI: 1.11 to 3.35, p = 0.02). There were no significant differences in patient-reported functional outcomes or the hop test between groups (p>0.05). Patients who returned to high-risk sport had better hamstring symmetry than those who did not RTS (p = 0.001). Conclusions At 24-months postoperative, patients who underwent ACLR + LET had a similar RTS rate as those who underwent ACLR alone. While the subgroup analysis did not show a statistically significant increase in RTS with the addition of LET, on returning, the addition of LET kept subjects playing longer by reducing graft failure rates. Level of evidence I – Randomized controlled trial" @default.
• W4378977903 created "2023-06-02" @default.
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• W4378977903 date "2023-06-01" @default.
• W4378977903 modified "2023-10-07" @default.
• W4378977903 title "Anterior Cruciate Ligament Reconstruction Plus Lateral Extra-articular Tenodesis Has a Similar Return to Sports Rate as ACLR Alone, But Lower Failure Rate" @default.
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