Anterior Cruciate Ligament Reconstruction With the All-Inside Technique: Equivalent Outcomes and Failure Rate at Three-Year Follow-Up Compared to a Doubled Semitendinosus-Gracilis Graft

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2022 Jan 24

PMID 35070545

Authors

George Kyriakopoulos

Spyros Manthas

Maria Vlachou

Leon Oikonomou

Stamatios A Papadakis

Konstantinos Kateros

Affiliations

Soon will be listed here.

Abstract

Purpose: To compare in terms of failure rates, clinical and functional outcomes the all-inside anterior cruciate ligament (ACL) reconstruction with double suspensory fixation and quadrupled semitendinosus autograft with anteromedial portal doubled semitendinosus-gracilis autograft with suspensory femoral and tibial interference screw fixation.

Methods: Forty-four patients were sequentially allocated into two groups and followed up prospectively for a 3-year period. The first group was the all-inside group and the second was the "classic" AM portal with S-G graft. Each group comprised 22 patients. All patients underwent KT-1000 testing preoperatively and at a minimum of six months postoperatively. Visual pain analog was recorded preoperatively and during both the immediate postoperative period and throughout the follow-up. The Lysholm knee score was used comparing the preoperative and 24-month timepoints.

Results: The visual analog scale (VAS) pain scores showed a significant difference at two weeks (2.4 vs 1.8, p < 0.01 ) in favor of the all-inside group, but that difference disappeared in the later follow-up visits. Similarly, there was no significant difference with Lysholm knee scores at two years and the side-to-side anterior translation measured with the KT-1000. At the three-year mark, there were no failures in either of the groups.

Conclusion: The all-inside technique appears to be equivalent in terms of outcomes to the classic S-G technique, and given the less-invasive nature and versatility in graft choices is a safe and effective technique for primary ACL reconstruction.

Citing Articles

Anterior Cruciate Ligament Reconstruction Utilizing Double Adjustable-Loop Suspensory Fixation Devices Provides Good Clinical Outcomes in Patients under the Age of 40 Years at Two-Year Follow-Up.

Kyriakidis T, Tzaveas A, Melas I, Petras K, Iosifidou A, Iosifidis M J Clin Med. 2024; 13(18).

PMID: 39336922 PMC: 11432479. DOI: 10.3390/jcm13185436.

All-inside arthroscopic anterior cruciate ligament reconstruction with internal brace Ligament Augmentation using semitendinosus tendon autograft: A case series.

Duong T, Tran D, Do B, Nguyen T, Le S, Le H Asia Pac J Sports Med Arthrosc Rehabil Technol. 2022; 29:15-21.

PMID: 35847193 PMC: 9256544. DOI: 10.1016/j.asmart.2022.05.002.

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