Clinical outcomes of cruciate ligament reconstruction and lateral extra-articular tenodesis of knee using superficial and deep techniques

Abstract

The anterior cruciate ligament (ACL) is one of the most important stability components of the knee joint. This ligament is subject to potential damage in daily activities and sports activities. In some cases, damage to the anterior cruciate ligament of the knee is accompanied by damage to the lateral components of the knee, which have a significant stabilizing effect on the stability of the knee joint. One of the most important components is the anterior-lateral ligament of the knee (ALL), which damage is accompanied by damage to the ACL. Various repair and reconstruction methods have been used over time to repair or reconstruct the anterior-lateral ligament of the knee. One of the most important reconstruction methods is lateral extra-articular tenodesis of the knee, which is performed using iliofemoral band and with different techniques. One of the most common techniques is the modified Lemaire technique, which is implemented in two deep and surface methods. This study compares these two methods in improving life function and knee functional criteria. Methods: The selected patients will be called back at least one year after the surgery and the self-report questionnaires that were filled out for them before the surgery will be collected again. The patients are examined again and the stability of the knee is measured. Also, according to the failure criteria of the surgery, the rate of graft failure in both groups is obtained. Results: The rate of operation failure is very low among patients. The self-reported scores of the patients regarding their knee function were effective in improving knee function after surgery, but there is no significant difference between them. Also, according to the results of the pivot shift test, both surgical methods were effective in improving the stability of the knee joint, although there is no significant difference between the two groups in the pivot test scores, the scores of the superficial Lemaire group are slightly higher. Arthrometer results also confirm. The small difference in the results of arthrometry in two groups shows the similarity of the performance of the two surgical methods in improving the stability of the knee joint.