Publication: Arthroscopic reconstruction of anterior cruciate ligament injury with and without anterolateral ligament reconstruction in patients with sports injury
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Date
2025
Authors
Abdelsattar, Hossam Abdelghany ; Elbana, Emad ; Abdelrahman, Mohamed Alaaeldin ; Abdelsamad, Ayman Abdelbaset
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Publisher
Universidad de Murcia. Servicio de Publicaciones
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DOI
https://doi.org/10.6018/sportk.672021
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info:eu-repo/semantics/article
Description
Abstract
The current
study aimed to evaluate postoperative knee stability in cases with high grade pivot shift
test treated with ACL reconstruction with ALL reconstruction versus cases treated with ACL
reconstruction only . This prospective comparative randomized study involved 40 patients with
unilateral single ligamentous ACL injuries exhibiting advanced pivot shift test results. Patients were
classified equally into two cohorts: Group I received solo ACL repair (ACLR), whereas Group II got
ACL reconstruction with ALL reconstruction (ALLR) ALLR). The postoperative scores from the
International Knee Documentation Committee, Cincinnati, Lysholm, and Tegner were considerably
elevated in the ACLR + ALLR gro up compared to the ACLR group (p 0.05), with notable
imp rovements seen in both groups (p <0.05). The negative post operative Lachman and Pivot shift
tests were substantially greater in the ACLR + A LLR group than the ACLR group (p <0.05), and there
was a high improvement pre and post operat i vely in the ACLR + ALLR group (p <0.05). The
anterior drawer test demonstrated a substantial enhancement in both groups (P<0.05). Post operative
effusion exhibited a wide variation between groups (p <0.05), and there was a notab le improvement in
both groups (p <0.05). Post operative pain was considerably reduced in the ACLR + ALLR group
compared to the ACLR group (p <0.05), with notable im provement seen in both groups (p <0.05). The
single leg hop test showed considerab le improvement in both groups (p <0.05). Po stoperative patient
satisfaction exhibited a statist ical variation between groups (p < Additional rotational stability is
achieved through ACL + ALLR reconstruction, which enhances the likelihood of professional
athletes returning to sports activities.
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