| Popis: |
Introduction: The goal in treating anterior cruciate ligament (ACL) injury, especially in revision cases is to return to sports activity by regaining dynamic postural stability. Additional anterolateral ligament reconstruction (ALLR) is gaining attention to achieve this goal. The purpose was to evaluate the effects of additional ALLR in revision ACL reconstruction (RACLR). Methods: Patients who underwent RACLR between July 2015 and June 2018 were enrolled. The exclusion criteria were less than the 1-year follow-up, age older than 45 years, concomitant multiple ligament injuries, contralateral knee injury, subtotal or total meniscectomized state, and 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, isokinetic strength test, single-leg-hop for distance test (SLHDT), and Y-balance test (YBT) were checked preoperatively and 1-year postoperatively.Results: Limb symmetry index values in YBT showed significantly better results in Group B 1-year postoperatively, although there were no differences preoperatively between groups. Regarding clinical scores, isokinetic strength tests, and SLHDT, there were no differences between groups preoperatively or 1-year postoperatively.Conclusion: Additional ALLR in RACLR helped patients gain better dynamic postural stability at 1-year postoperative follow-up. |
