Long-term clinical outcomes of combined BPTB ACL reconstruction and popliteus tendon plasty

Maurilio Marcacci, Tommaso Bonanzinga, Alberto Grassi, Costanza Musiani, Andrea Benzi, Giulio Maria Marcheggiani Muccioli, Vittorio Vaccari, Stefano Zaffagnini

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Purpose: A deficiency of posterolateral structures significantly increases the varus load on the ACL, while a chronic ACL lesion, the increased tibial rotation and the repetitive non-physiological knee motion, could affect and damage the integrity of the popliteus tendon. Therefore, the aim of the present study was to report the very long clinical outcomes of a combined single-bundle BPTB ACL reconstruction and popliteus plasty according to Bousquets technique, for the treatment of combined chronic anterior and posterolateral laxities. Methods: Fifteen patients that underwent combined ACL reconstruction and popliteal plasty according to Bousquets technique were available at mean 26.8 ± 1.0 years (range 25.4–28.0 years). All the patients were evaluated clinically and 13 by means of KT-1000 Arthrometer as well. Subjective evaluation was performed with the subjective IKDC, WOMAC and a 0–10 VAS for pain scales. Results: At clinical evaluation, 10 patients (67 %) presented a negative anterior drawer test; Lachman test was negative in nine patients (60 %); the varus stress test was negative in eight (53 %); and the dial test was negative in all but one patient (93 %). Only two patients (15 %) presented a side-to-side difference >5 mm at the instrumented laxity evaluation. Conclusion: The combined single-bundle BPTB ACL reconstruction and popliteal plasty according to Bousquets technique were able to produce very good long-term results, in terms of knee stability, subjective outcomes, functional results and return to sport activity, in case of chronic anterior and posterolateral laxities. Level of evidence: Retrospective case series, Level IV.

Original languageEnglish
Pages (from-to)2930-2935
Number of pages6
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume23
Issue number10
DOIs
Publication statusPublished - Jun 23 2015

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Tendons
Knee
Exercise Test
Pain

Keywords

  • ACL
  • Knee
  • Popliteus tendon
  • Posterolateral corner

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Long-term clinical outcomes of combined BPTB ACL reconstruction and popliteus tendon plasty. / Marcacci, Maurilio; Bonanzinga, Tommaso; Grassi, Alberto; Musiani, Costanza; Benzi, Andrea; Muccioli, Giulio Maria Marcheggiani; Vaccari, Vittorio; Zaffagnini, Stefano.

In: Knee Surgery, Sports Traumatology, Arthroscopy, Vol. 23, No. 10, 23.06.2015, p. 2930-2935.

Research output: Contribution to journalArticle

Marcacci, M, Bonanzinga, T, Grassi, A, Musiani, C, Benzi, A, Muccioli, GMM, Vaccari, V & Zaffagnini, S 2015, 'Long-term clinical outcomes of combined BPTB ACL reconstruction and popliteus tendon plasty', Knee Surgery, Sports Traumatology, Arthroscopy, vol. 23, no. 10, pp. 2930-2935. https://doi.org/10.1007/s00167-015-3673-x
Marcacci, Maurilio ; Bonanzinga, Tommaso ; Grassi, Alberto ; Musiani, Costanza ; Benzi, Andrea ; Muccioli, Giulio Maria Marcheggiani ; Vaccari, Vittorio ; Zaffagnini, Stefano. / Long-term clinical outcomes of combined BPTB ACL reconstruction and popliteus tendon plasty. In: Knee Surgery, Sports Traumatology, Arthroscopy. 2015 ; Vol. 23, No. 10. pp. 2930-2935.
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abstract = "Purpose: A deficiency of posterolateral structures significantly increases the varus load on the ACL, while a chronic ACL lesion, the increased tibial rotation and the repetitive non-physiological knee motion, could affect and damage the integrity of the popliteus tendon. Therefore, the aim of the present study was to report the very long clinical outcomes of a combined single-bundle BPTB ACL reconstruction and popliteus plasty according to Bousquets technique, for the treatment of combined chronic anterior and posterolateral laxities. Methods: Fifteen patients that underwent combined ACL reconstruction and popliteal plasty according to Bousquets technique were available at mean 26.8 ± 1.0 years (range 25.4–28.0 years). All the patients were evaluated clinically and 13 by means of KT-1000 Arthrometer as well. Subjective evaluation was performed with the subjective IKDC, WOMAC and a 0–10 VAS for pain scales. Results: At clinical evaluation, 10 patients (67 {\%}) presented a negative anterior drawer test; Lachman test was negative in nine patients (60 {\%}); the varus stress test was negative in eight (53 {\%}); and the dial test was negative in all but one patient (93 {\%}). Only two patients (15 {\%}) presented a side-to-side difference >5 mm at the instrumented laxity evaluation. Conclusion: The combined single-bundle BPTB ACL reconstruction and popliteal plasty according to Bousquets technique were able to produce very good long-term results, in terms of knee stability, subjective outcomes, functional results and return to sport activity, in case of chronic anterior and posterolateral laxities. Level of evidence: Retrospective case series, Level IV.",
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AU - Marcacci, Maurilio

AU - Bonanzinga, Tommaso

AU - Grassi, Alberto

AU - Musiani, Costanza

AU - Benzi, Andrea

AU - Muccioli, Giulio Maria Marcheggiani

AU - Vaccari, Vittorio

AU - Zaffagnini, Stefano

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N2 - Purpose: A deficiency of posterolateral structures significantly increases the varus load on the ACL, while a chronic ACL lesion, the increased tibial rotation and the repetitive non-physiological knee motion, could affect and damage the integrity of the popliteus tendon. Therefore, the aim of the present study was to report the very long clinical outcomes of a combined single-bundle BPTB ACL reconstruction and popliteus plasty according to Bousquets technique, for the treatment of combined chronic anterior and posterolateral laxities. Methods: Fifteen patients that underwent combined ACL reconstruction and popliteal plasty according to Bousquets technique were available at mean 26.8 ± 1.0 years (range 25.4–28.0 years). All the patients were evaluated clinically and 13 by means of KT-1000 Arthrometer as well. Subjective evaluation was performed with the subjective IKDC, WOMAC and a 0–10 VAS for pain scales. Results: At clinical evaluation, 10 patients (67 %) presented a negative anterior drawer test; Lachman test was negative in nine patients (60 %); the varus stress test was negative in eight (53 %); and the dial test was negative in all but one patient (93 %). Only two patients (15 %) presented a side-to-side difference >5 mm at the instrumented laxity evaluation. Conclusion: The combined single-bundle BPTB ACL reconstruction and popliteal plasty according to Bousquets technique were able to produce very good long-term results, in terms of knee stability, subjective outcomes, functional results and return to sport activity, in case of chronic anterior and posterolateral laxities. Level of evidence: Retrospective case series, Level IV.

AB - Purpose: A deficiency of posterolateral structures significantly increases the varus load on the ACL, while a chronic ACL lesion, the increased tibial rotation and the repetitive non-physiological knee motion, could affect and damage the integrity of the popliteus tendon. Therefore, the aim of the present study was to report the very long clinical outcomes of a combined single-bundle BPTB ACL reconstruction and popliteus plasty according to Bousquets technique, for the treatment of combined chronic anterior and posterolateral laxities. Methods: Fifteen patients that underwent combined ACL reconstruction and popliteal plasty according to Bousquets technique were available at mean 26.8 ± 1.0 years (range 25.4–28.0 years). All the patients were evaluated clinically and 13 by means of KT-1000 Arthrometer as well. Subjective evaluation was performed with the subjective IKDC, WOMAC and a 0–10 VAS for pain scales. Results: At clinical evaluation, 10 patients (67 %) presented a negative anterior drawer test; Lachman test was negative in nine patients (60 %); the varus stress test was negative in eight (53 %); and the dial test was negative in all but one patient (93 %). Only two patients (15 %) presented a side-to-side difference >5 mm at the instrumented laxity evaluation. Conclusion: The combined single-bundle BPTB ACL reconstruction and popliteal plasty according to Bousquets technique were able to produce very good long-term results, in terms of knee stability, subjective outcomes, functional results and return to sport activity, in case of chronic anterior and posterolateral laxities. Level of evidence: Retrospective case series, Level IV.

KW - ACL

KW - Knee

KW - Popliteus tendon

KW - Posterolateral corner

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