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 language | English |
|---|---|
| Pages (from-to) | 2930-2935 |
| Number of pages | 6 |
| Journal | Knee Surgery, Sports Traumatology, Arthroscopy |
| Volume | 23 |
| Issue number | 10 |
| DOIs | |
| Publication status | Published - Jun 23 2015 |
Fingerprint
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 journal › Article
}
TY - JOUR
T1 - Long-term clinical outcomes of combined BPTB ACL reconstruction and popliteus tendon plasty
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
PY - 2015/6/23
Y1 - 2015/6/23
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
UR - http://www.scopus.com/inward/record.url?scp=84942293660&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84942293660&partnerID=8YFLogxK
U2 - 10.1007/s00167-015-3673-x
DO - 10.1007/s00167-015-3673-x
M3 - Article
C2 - 26100299
AN - SCOPUS:84942293660
VL - 23
SP - 2930
EP - 2935
JO - Knee Surgery, Sports Traumatology, Arthroscopy
JF - Knee Surgery, Sports Traumatology, Arthroscopy
SN - 0942-2056
IS - 10
ER -