Does the Lateral Extra-Articular Tenodesis Reduce Post-Surgical Rotational Instability with Anterior Cruciate Ligament Tears: A Critically Appraised Topic
Date
2-14-2024
Faculty Mentor
Christopher Clark, Kinesiology; Jennifer Burgett, Kinesiology; David Kean, Kinesiology
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Submission Type
Conference Proceeding
Location
12:15-12:25pm | Houston Cole Library, 11th Floor
Description
Context: Anterior cruciate ligament tears have become more common over the past 20-years, with an increase of 12 times the amount of surgical anterior cruciate ligament reconstruction. Athletic individuals are the most at risk for these injuries, as well as re-injury. The lateral extra-articular tenodesis is a surgical procedure that takes a piece of the iliotibial band, looping it under the lateral collateral ligament, and securing it at Gerdy’s tubercle. Therefore, the purpose of this critically appraised topic is to determine whether adding the lateral extra-articular tenodesis to an anterior cruciate ligament reconstruction will decrease the amount of rotational instability post-operation.
Methods: A computerized search was conducted in October 2023. The search terms used were “lateral extra-articular tenodesis,” “anterior cruciate ligament tears,” “rotational instability,” and “rotational instability post-operation.” Electronic databases used were Google Scholar, PubMed, and SportDiscus. Inclusion criteria included articles that were written after 2010 in the English language and articles about anterior cruciate ligament reconstruction with the addition of the lateral extra-articular tenodesis. Exclusion criteria included studies with cadavers or individuals older than 60 years of age. Validity of the selected studies was determined using the PEDro scale and the COSORT checklist. One author independently reviewed the studies, scored each paper, and reviewed the completed appraisals to come to a consensus on the study quality.
Results: The literature search retrieved 5,300 total articles and 5,296 were excluded based on the exclusion criteria, resulting in four studies. All cited studies used the following special tests: Pivot Shift Test, Lachman Test, and patient-reported outcome measures to determine rotational instability. The results demonstrated that when using the Pivot Shift to assess rotational instability, the lateral extra-articular tenodesis decreased the amount of rotational instability post-operation with 81% of Pivot Shift tests being negative post-operation. When using patient-reported outcome measures, patients reported more pain with the lateral extra-articular tenodesis as compared to an isolated anterior cruciate ligament reconstruction.
Conclusions: Patients who underwent an anterior cruciate ligament reconstruction with the lateral extra-articular tenodesis demonstrated a decrease in rotational instability post-operatively. Applying this knowledge to the athletic training population can better assist athletic trainers to understand the positive attributes and the inclusion of the lateral extra-articular tenodesis surgical technique will allow athletic trainers to understand if their patient would or would not be a good candidate for the procedure.
Keywords
student research, kinesiology
Rights
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Disciplines
Sports Sciences
Recommended Citation
Stephens, Rian, "Does the Lateral Extra-Articular Tenodesis Reduce Post-Surgical Rotational Instability with Anterior Cruciate Ligament Tears: A Critically Appraised Topic" (2024). JSU Student Symposium 2024. 22.
https://digitalcommons.jsu.edu/ce_jsustudentsymp_2024/22