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[PMID]:29173559
[Au] Autor:Mathew M; Dhollander A; Getgood A
[Ad] Endereço:The Fowler Kennedy Sport Medicine Clinic, University of Western Ontario, London, Ontario, Canada.
[Ti] Título:Anterolateral Ligament Reconstruction or Extra-Articular Tenodesis: Why and When?
[So] Source:Clin Sports Med;37(1):75-86, 2018 Jan.
[Is] ISSN:1556-228X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Residual rotational laxity following anterior cruciate ligament (ACL) reconstruction has been identified as significant concern in many patients, despite evolution of techniques. The expanding body of knowledge on the anatomy and biomechanics of the anterolateral soft tissue restraints in rotational control of the knee has reignited an interest in extra-articular reconstruction techniques for augmenting ACL reconstruction. Reconstruction techniques currently used can be broadly categorized as either lateral extra-articular tenodesis or reconstruction of the anterolateral ligament. In this article, we outline the relevant anatomy, biomechanics, and rationale behind the indications and technique of our current extra-articular augmentation procedure.
[Mh] Termos MeSH primário: Lesões do Ligamento Cruzado Anterior/cirurgia
Reconstrução do Ligamento Cruzado Anterior
Instabilidade Articular/cirurgia
Articulação do Joelho/cirurgia
Ligamentos Articulares/cirurgia
Tenodese
[Mh] Termos MeSH secundário: Lesões do Ligamento Cruzado Anterior/fisiopatologia
Fenômenos Biomecânicos
Seres Humanos
Articulação do Joelho/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180115
[Lr] Data última revisão:
180115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


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[PMID]:29173560
[Au] Autor:Cerciello S; Batailler C; Darwich N; Neyret P
[Ad] Endereço:Orthopaedic Surgery, Casa di Cura Villa Betania, Via Piccolomini 27, Rome 00165, Italy; Orthopaedic Surgery, Marrelli Hospital, Via Gioacchino da Fiore, Crotone 0962, Italy. Electronic address: simone.cerciello@me.com.
[Ti] Título:Extra-Articular Tenodesis in Combination with Anterior Cruciate Ligament Reconstruction: An Overview.
[So] Source:Clin Sports Med;37(1):87-100, 2018 Jan.
[Is] ISSN:1556-228X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Anterior cruciate ligament (ACL) reconstruction is a successful procedure with high rates of return to sport. However, some patients experience persistent instability and graft failure. These adverse events have a significant impact, especially on high-level athletes. In an effort to improve outcomes for these patients, more attention is being paid to the anatomic structures at the anterolateral aspect of the knee. The anterolateral structures of the knee have been shown to play a major role in decreasing rotatory knee instability and forces across the ACL graft following reconstruction. This article discusses the indications and techniques for anterolateral ligament reconstruction or lateral extra-articular tenodesis, along with the newest anatomic and biomechanics concepts.
[Mh] Termos MeSH primário: Lesões do Ligamento Cruzado Anterior/cirurgia
Reconstrução do Ligamento Cruzado Anterior/métodos
Instabilidade Articular/cirurgia
Articulação do Joelho/cirurgia
Tenodese/métodos
[Mh] Termos MeSH secundário: Lesões do Ligamento Cruzado Anterior/fisiopatologia
Fenômenos Biomecânicos
Seres Humanos
Instabilidade Articular/etiologia
Instabilidade Articular/fisiopatologia
Articulação do Joelho/anatomia & histologia
Articulação do Joelho/fisiologia
Articulação do Joelho/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180115
[Lr] Data última revisão:
180115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


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[PMID]:29173558
[Au] Autor:Inderhaug E; Williams A
[Ad] Endereço:Surgical Clinic, Haraldsplass Deaconess Hospital, Ulriksdal 8c, Bergen 5009, Norway; Imperial College London, Exhibiton Road, London SW7 2AZ, UK.
[Ti] Título:Do We Need Extra-Articular Reconstructive Surgery?
[So] Source:Clin Sports Med;37(1):61-73, 2018 Jan.
[Is] ISSN:1556-228X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:With renewed interest in the lateral soft tissue envelope anatomy, there is also a rise in the popularity of extra-articular anterolateral procedures. There is reasonable laboratory-based evidence for additional benefit of such procedures, but clinical data are not sufficient to judge outcome in the long term for better or worse. Furthermore, the decision-making process to decide when to add an extra-articular procedure is lacking; there are no clinical tests or investigations to guide the clinician. This article presents an overview of the literature and reflections from the authors on the subject.
[Mh] Termos MeSH primário: Reconstrução do Ligamento Cruzado Anterior
Instabilidade Articular/cirurgia
Traumatismos do Joelho/cirurgia
Ligamentos Articulares/cirurgia
[Mh] Termos MeSH secundário: Lesões do Ligamento Cruzado Anterior/fisiopatologia
Lesões do Ligamento Cruzado Anterior/cirurgia
Reconstrução do Ligamento Cruzado Anterior/métodos
Fenômenos Biomecânicos
Seres Humanos
Instabilidade Articular/fisiopatologia
Traumatismos do Joelho/fisiopatologia
Complicações Pós-Operatórias
Rotação
Tenodese/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180115
[Lr] Data última revisão:
180115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


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[PMID]:29173551
[Au] Autor:Ntagiopoulos P; Dejour D
[Ad] Endereço:Hip & Knee Unit, Mediterraneo Hospital, 10 Ilias Street, Glyfada, Athens 16675, Greece. Electronic address: ntagiopoulos@hotmail.com.
[Ti] Título:Extra-Articular Plasty for Revision Anterior Cruciate Ligament Reconstruction.
[So] Source:Clin Sports Med;37(1):115-125, 2018 Jan.
[Is] ISSN:1556-228X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Recent studies have renewed interest in the structures of the anterolateral aspect of the knee. Concomitant damage to these structures in the setting of anterior cruciate ligament rupture has led to various surgical techniques to address these combined injuries. This article is a description of the rationale and the indications for lateral extra-articular tenodesis as well as surgical technique.
[Mh] Termos MeSH primário: Lesões do Ligamento Cruzado Anterior/cirurgia
Reconstrução do Ligamento Cruzado Anterior
Instabilidade Articular/cirurgia
Articulação do Joelho/cirurgia
Tenodese
[Mh] Termos MeSH secundário: Reconstrução do Ligamento Cruzado Anterior/efeitos adversos
Seres Humanos
Complicações Pós-Operatórias
Reoperação
Tenodese/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180115
[Lr] Data última revisão:
180115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


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[PMID]:29173550
[Au] Autor:Miller TK
[Ad] Endereço:Department of Orthopaedic Surgery, Virginia Tech/Carilion School of Medicine, Institute for Orthopaedics and Neurosciences, 2331 Franklin Road, Roanoke, VA 24018, USA. Electronic address: tkmiller@carilionclinic.org.
[Ti] Título:The Role of an Extra-Articular Tenodesis in Revision of Anterior Cruciate Ligament Reconstruction.
[So] Source:Clin Sports Med;37(1):101-113, 2018 Jan.
[Is] ISSN:1556-228X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Patients who present for anterior cruciate ligament (ACL) revision with a high-grade pivot shift at the time of an index ACL revision procedure and subsequent reconstruction failure or a high-grade pivot shift at revision surgery, patients with generalized joint laxity, and those requiring softs tissue grafts should be considered candidates for lateral tenodesis to supplement intraarticular graft revision. Although there is no consensus regarding the optimal lateral tenodesis technique, due to the tibial positioning associated with tensioning and fixation of extra-articular procedures, a lateral tenodesis should not be used in patients with posterolateral corner injuries or lateral compartment articular disease.
[Mh] Termos MeSH primário: Lesões do Ligamento Cruzado Anterior/cirurgia
Reconstrução do Ligamento Cruzado Anterior/métodos
Instabilidade Articular/cirurgia
Articulação do Joelho/cirurgia
Tenodese/métodos
[Mh] Termos MeSH secundário: Seres Humanos
Instabilidade Articular/etiologia
Reoperação
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180115
[Lr] Data última revisão:
180115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


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[PMID]:29016616
[Au] Autor:Shang X; Chen J; Chen S
[Ad] Endereço:Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China.
[Ti] Título:A meta-analysis comparing tenotomy and tenodesis for treating rotator cuff tears combined with long head of the biceps tendon lesions.
[So] Source:PLoS One;12(10):e0185788, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this meta-analysis was to assess whether there were differences in the outcomes between tenotomy and tenodesis in treating LHBT lesions combined with rotator cuff repairs. METHODS: Using Medline, Embase, and Cochrane, we searched for articles comparing tenotomy and tenodesis combined with rotator cuff repair which were published before April 2016 with the terms "biceps", "tenotomy", "tenodesis", and "rotator cuff". The controlled clinical studies that met the inclusion and exclusion criteria were assessed for quality of methodology by utilizing the Coleman score. RESULTS: On the basis of the inclusion and exclusion criteria, ten articles (903 patients) were included in this meta-analysis. The Coleman score ranged between 40 and 89 in the included studies. The results showed that the incidence of the popeye sign (OR, 2.777, P = 0.000) were higher in tenotomy group compared with tenodesis group when concomitant rotator cuff repair. Statistically significant difference in favor of tenodesis was observed for Constant score (SMD, -0.230, P = 0.025). As for the arm cramping pain, patient satisfaction, VAS score, ASES score and UCLA increased score, the strength and the range of motion, there were no significant differences between tenodesis and tenotomy of the LHBT, corresponding to the currently available results in the literature. CONCLUSIONS: Based on this meta-analysis, both tenotomy and tenodesis are effective in pain relief and function improvement in patients with repairable rotator cuff tears. No significant differences in post-operative functional outcome between tenotomy and tenodesis for the treatment of LHBT lesions were observed except for a lower Constant score and higher risk of Popeye deformity in tenotomy.
[Mh] Termos MeSH primário: Tendões dos Isquiotibiais/fisiopatologia
Traumatismos dos Tendões/cirurgia
Tenodese/métodos
Tenotomia/métodos
[Mh] Termos MeSH secundário: Artroscopia
Tendões dos Isquiotibiais/cirurgia
Seres Humanos
Músculo Esquelético/fisiopatologia
Músculo Esquelético/cirurgia
Amplitude de Movimento Articular/fisiologia
Procedimentos Cirúrgicos Reconstrutivos
Lesões do Manguito Rotador/epidemiologia
Lesões do Manguito Rotador/fisiopatologia
Lesões do Manguito Rotador/cirurgia
Articulação do Ombro/fisiopatologia
Articulação do Ombro/cirurgia
Traumatismos dos Tendões/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171011
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0185788


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[PMID]:28976430
[Au] Autor:Guenther D; Irarrázaval S; Bell KM; Rahnemai-Azar AA; Fu FH; Debski RE; Musahl V
[Ad] Endereço:1Orthopaedic Robotics Laboratory (D.G., S.I., K.M.B., A.A.R.-A., F.H.F., R.E.D., and V.M.) and Departments of Orthopaedic Surgery (D.G., S.I., A.A.R.-A., F.H.F., and V.M.) and Bioengineering (K.M.B. and R.E.D.), University of Pittsburgh, Pittsburgh, Pennsylvania 2Trauma Department, Hannover Medical School (MHH), Hannover, Germany.
[Ti] Título:The Role of Extra-Articular Tenodesis in Combined ACL and Anterolateral Capsular Injury.
[So] Source:J Bone Joint Surg Am;99(19):1654-1660, 2017 Oct 04.
[Is] ISSN:1535-1386
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The "gold standard" treatment of anterolateral capsular injuries in anterior cruciate ligament (ACL)-deficient knees has not been determined. The purpose of this study was to determine the effects of ACL reconstruction and extra-articular reconstruction on joint motion in the ACL-deficient knee and in the combined ACL and anterolateral capsule-deficient knee. METHODS: An anterior tibial load of 134 N and internal tibial torque of 7 Nm were applied to 7 fresh-frozen cadaveric knees using a robotic testing system continuously throughout the range of flexion. The resulting joint motion was recorded for 6 knee states: intact, ACL-deficient, ACL-reconstructed, combined ACL and anterolateral capsule-deficient, ACL-reconstructed + anterolateral capsule-deficient, and ACL-reconstructed + extra-articular tenodesis. RESULTS: Anterior tibial translation of the ACL-reconstructed + anterolateral capsule-deficient knee in response to an anterior tibial load was restored to that of the intact knee at all knee-flexion angles (p > 0.05). However, for this knee state, internal tibial rotation in response to internal tibial torque was not restored to that of the intact knee at 60° or 90° of knee flexion (p < 0.05). For the knee state of ACL-reconstructed + extra-articular tenodesis, internal rotation in response to internal tibial torque was restored to the motion of the intact knee at each of the tested knee-flexion angles (p > 0.05). Compared with the intact knee, 2 of 7 specimens showed decreased internal tibial rotation with ACL reconstruction + extra-articular tenodesis. CONCLUSIONS: In this study, an extra-articular tenodesis was necessary to restore rotatory knee stability in response to internal tibial torque in a combined ACL and anterolateral capsule-deficient knee. The amount of rotatory knee instability should be carefully assessed to avoid over-constraint of the knee in these combined ligament-reconstruction procedures. CLINICAL RELEVANCE: On the basis of our findings, the surgical procedure needs to be personalized depending on the amount of rotatory knee instability in the injured knee and the amount of rotation in the contralateral knee.
[Mh] Termos MeSH primário: Lesões do Ligamento Cruzado Anterior/cirurgia
Reconstrução do Ligamento Cruzado Anterior/métodos
Cápsula Articular/lesões
Traumatismos do Joelho/cirurgia
Tenodese/métodos
[Mh] Termos MeSH secundário: Lesões do Ligamento Cruzado Anterior/complicações
Cadáver
Seres Humanos
Traumatismos do Joelho/complicações
Meia-Idade
Amplitude de Movimento Articular
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171005
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.16.01462


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[PMID]:28393268
[Au] Autor:Williams A; Ball S; Stephen J; White N; Jones M; Amis A
[Ad] Endereço:Fortius Clinic, London, UK. andy.williams@fortiusclinic.com.
[Ti] Título:The scientific rationale for lateral tenodesis augmentation of intra-articular ACL reconstruction using a modified 'Lemaire' procedure.
[So] Source:Knee Surg Sports Traumatol Arthrosc;25(4):1339-1344, 2017 Apr.
[Is] ISSN:1433-7347
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this work was to develop the rationale for adding a lateral extra-articular tenodesis to an ACL reconstruction in a knee with an injury that included both the ACL and anterolateral structures, and to show the early clinical picture. METHODS: The paper includes a review of recent anatomical and biomechanical studies of the anterolateral aspect of the knee. It then provides a detailed description of a modified Lemaire tenodesis technique. A short-term clinical follow-up of a case and control group was performed, with two sequential groups of patients treated by isolated ACL reconstruction, and by combined ACL plus lateral tenodesis. RESULTS: The anatomical and biomechanical literature guide the surgeon towards a procedure based on the ilio-tibial band. The clinical study found a reduction in pivot-shift instability in the group of patients with the combined procedure. CONCLUSION: The evidence suggests that it should be appropriate to add a lateral extra-articular procedure to an ACL reconstruction in selected cases, but it was concluded that further data are required before definitive guidelines on the use of a lateral tenodesis can be established. LEVEL OF EVIDENCE: III.
[Mh] Termos MeSH primário: Lesões do Ligamento Cruzado Anterior/cirurgia
Reconstrução do Ligamento Cruzado Anterior/métodos
Traumatismos do Joelho/cirurgia
Tenodese/métodos
[Mh] Termos MeSH secundário: Adulto
Lesões do Ligamento Cruzado Anterior/complicações
Seres Humanos
Instabilidade Articular/cirurgia
Traumatismos do Joelho/complicações
Articulação do Joelho/cirurgia
Masculino
Tendões/cirurgia
Tíbia/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170411
[St] Status:MEDLINE
[do] DOI:10.1007/s00167-017-4537-3


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[PMID]:28349161
[Au] Autor:Hardy A; Casabianca L; Hardy E; Grimaud O; Meyer A
[Ad] Endereço:Service de chirurgie Orthopédique et traumatologie, Hôpital Cochin APHP, Paris, France. Alexandre.hardy@me.com.
[Ti] Título:Combined reconstruction of the anterior cruciate ligament associated with anterolateral tenodesis effectively controls the acceleration of the tibia during the pivot shift.
[So] Source:Knee Surg Sports Traumatol Arthrosc;25(4):1117-1124, 2017 Apr.
[Is] ISSN:1433-7347
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The pivot shift test is quantified subjectively during assessment of patients presenting with suspected Anterior Cruciate Ligament (ACL) tears and has a low interobserver reproducibility. The Kinematic Rapid Assessment (KiRA) is a triaxial accelerometer that makes it possible to non-invasively quantify tibial acceleration during the pivot shift test. Abolishing pivot shift is considered to be a key element in surgical reconstruction but is incomplete in 25-38% of patients. METHODS: Patients were included prospectively. Inclusion criteria were patients requiring ACL reconstruction associated with at least one of the following factors corresponding to the patient who have a high risk of rupture either by their sports activity, a failure case, or the notion of important rotational laxity: the patient practiced a competitive pivot-contact sport, revision ACL reconstruction (besides STG (semitendinosus-gracilis graft) repair), subjective explosive rotational laxity, Segond fracture, and TELOS value of >10 mm. Standardized pre- and postoperative pivot shift tests were immediately performed under anesthesia in both knees. RESULTS: Forty-three patients were included. Mean preoperative variations in tibial acceleration in the healthy and injured knees were 1.2 ± 0.1 and 2.7 ± 0.3 m/s , respectively, p < 0.01. A statistically significant decrease in immediate postoperative mean variations in acceleration in the injured knee occurred: 1.5 ± 0.3 m/s , p < 0.01. There was no longer any statistical difference between postoperative contralateral healthy knees and operated knees (n.s). CONCLUSIONS: Combined ACL reconstruction associated with anterolateral tenodesis suppress acute pathologic tibial acceleration in the pivot shift. LEVEL OF EVIDENCE: III.
[Mh] Termos MeSH primário: Reconstrução do Ligamento Cruzado Anterior
Instabilidade Articular/cirurgia
Articulação do Joelho/fisiopatologia
Tenodese
[Mh] Termos MeSH secundário: Acelerometria
Adolescente
Adulto
Feminino
Seres Humanos
Instabilidade Articular/fisiopatologia
Masculino
Exame Físico
Estudos Prospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170329
[St] Status:MEDLINE
[do] DOI:10.1007/s00167-017-4515-9


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[PMID]:28289822
[Au] Autor:Devitt BM; Bouguennec N; Barfod KW; Porter T; Webster KE; Feller JA
[Ad] Endereço:OrthoSport Victoria Research Unit, Epworth Healthcare, Melbourne, Australia. bdevitt@osv.com.au.
[Ti] Título:Combined anterior cruciate ligament reconstruction and lateral extra-articular tenodesis does not result in an increased rate of osteoarthritis: a systematic review and best evidence synthesis.
[So] Source:Knee Surg Sports Traumatol Arthrosc;25(4):1149-1160, 2017 Apr.
[Is] ISSN:1433-7347
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The role of lateral extra-articular tenodesis (LEAT) as an augment to primary anterior cruciate ligament reconstruction (ACLR) remains controversial. However, concerns exist regarding the risk of development of osteoarthritis due to over constraint of the knee. To systematically review the literature to analyse the long-term incidence of osteoarthritis in patients who had an LEAT performed in isolation or in combination with intra-articular ACLR for the treatment of ACL deficiency. METHODS: Two reviewers independently searched five databases for randomized controlled trials (RCTs), non-randomized comparative, and retrospective cohort studies (CS) with long-term radiological follow-up of patients with ACL deficiency treated with ACLR combined with LEAT or LEAT in isolation. Risk of bias was performed using a modified Downs & Black's checklist. The primary outcome was the development of osteoarthritis. The studies were divided into those with moderate/severe osteoarthritis at between 5 to 10 years and >10-year follow-up. The rate of meniscal pathology at the time of the index surgery was recorded. A best evidence synthesis was performed. RESULTS: Eight studies reported on 421 patients in which an LEAT procedure was carried out. There were two high-quality RCTs and six low-quality CS. The follow-up was between 5- and 10-years in 5 studies and >10-years in 3. The presence of moderate/severe osteoarthritis was not detected in three studies and was found in 4/44 (9%) and 13/70 (18.6%) patients in the other two. At 11 year follow-up, one study demonstrated no osteoarthritis, while the other two studies reported rates of 54/100 (54%) and 17/24 (71%) respectively at >24 years. In the latter two cases, the rate of meniscal pathology was >50%. A best evidence synthesis revealed that there was insufficient evidence that the addition of a LEAT to an ACLR resulted in an increased rate of osteoarthritis. CONCLUSION: The best available evidence would suggest that the addition of a LEAT to ACLR does not result in an increase rate of osteoarthritis of the knee. In knees that have undergone a combined ACLR and LEAT, the incidence of osteoarthritis was low up to 11 years but increased thereafter. The presence of meniscal injury at the index surgery was reported to be greater predictor of the development of osteoarthritis. LEVEL OF EVIDENCE: IV.
[Mh] Termos MeSH primário: Reconstrução do Ligamento Cruzado Anterior
Osteoartrite do Joelho/etiologia
Tenodese
[Mh] Termos MeSH secundário: Seres Humanos
Lesões do Menisco Tibial/complicações
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170315
[St] Status:MEDLINE
[do] DOI:10.1007/s00167-017-4510-1



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