Trial reportJournal of orthopaedic surgery and research2026
Comparative study between lateral extra-articular tenodesis versus anterolateral ligament reconstruction in combination with anterior cruciate ligament reconstruction.
Trial report in Journal of orthopaedic surgery and research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06222814 (Evaluation of the Results of Two Different Methods in Management of Antero-lateral Instability of the Knee), which is not on this map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Evaluation of the Results of Two Different Methods in Management of Antero-lateral Instability of the Knee
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5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResidual laxity after anterior cruciate ligament reconstruction (ACL-R) is found in some cases. Nowadays, anterolateral augmentation procedures are performed to prevent this laxity. MATERIALS AND
methodsA prospective randomized comparative clinical study took place from January 2021 to November 2022. The study included 48 patients after exclusion of losses to follow-up, who acquired ACL-R combined with either lateral extraarticular tenodesis (LET) in 25 or anterolateral reconstruction (ALL) in 23 patients. The patients were evaluated with the Tegner-Lysholm score, and follow-up was for 26 ± 7 months. Also, laxity tests, pivot shift and Lachman preoperatively and postoperatively were evaluated. The failure rate was assessed.
resultsTegner-Lysholm score improved significantly from 51.28 preoperatively to 93.76 points two years postoperatively in the LET-group and from 54.55 preoperatively to 94.23 points two years postoperatively in the ALL-group (P-value < 0.0001 in both groups). There was no significant difference between values of the Tegner-Lysholm score for the two groups at two-year follow-up (P-value = 0.24). Also, there was a significant reduction in the number of patients with positive pivot shift and Lachman tests in each group (P value < 0.0001 in both groups). The failure rate was 8% for LET and 8.7% for ALL (P-value = 0.46). Revisions were done from the contralateral side within the follow-up period.
conclusionsThe clinical outcome and stability after anterior cruciate ligament reconstruction combined with either lateral extraarticular tenodesis or anterolateral ligament reconstruction improved significantly after two years. However, no significant difference between them was found after two years. Both groups had comparable failure rates. However, the intraoperative and postoperative findings support anterolateral ligament reconstruction. LEVEL OF EVIDENCE: Level 1, prospective randomized comparative study.
trial registrationClinical trial registry: NCT06222814. Registered at 01/01/2024, retrospectively. KEY POINTS: Comparative study between extraaricular tenodesis and anterolateral reconstruction combined with ACL-R., Clinical outcome after ACL reconstruction combination. Anterolateral Ligament Reconstruction or extraaricular tenodesis, rotatory and anterior laxity knee, lateral stabilization of the knee.
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