Presentation given by Dr Saithna at the 2019 AANA (Arthroscopy Association North America) Annual Meeting on the Outcomes of Combined ACL and anterolateral ligament reconstruction in Professional Athletes
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Combined ACL and Anterolateral Ligament Reconstruction in Professional Athletes
1. Clinical Outcomes of Combined Anterior Cruciate
and Anterolateral Ligament Reconstruction in A
Series of Seventy Professional Athletes
Saithna A, Rosenstiel N, Praz C, Ouanezar H, Thaunat M, Sonnery-Cottet B
Dr Adnan Saithna
King James IV Professor, Royal College of Surgeons Edinburgh
Honorary Professor, Nottingham Trent University, UK
Adjunct Clinical Faculty, Kansas City University of Medicine and Biosciences
Sano Orthopedics, Kansas City, USA
2. Disclosures
Consultant for Arthrex. Consultancy for Smith & Nephew in the last 12 months
AANA research committee member and Arthroscopy Journal Editorial Board
3. • Anterolateral Ligament Reconstruction Is Associated With Significantly Reduced ACL
Graft Rupture Rates at a Minimum Follow-up of 2 Years: A Prospective Comparative
Study of 502 Patients From the SANTI Study Group.
– 2.5-3 fold reduction in ACL graft rupture rates when compared to isolated ACLR in a high
population (young patients, pivoting sports)
Winner of 2017 Richard J O’Connor Award
7. – Protects repaired medial meniscus: Two fold reduction in re-
operation for MM repair failure in patients with ACLR+ALLR
compared to patients with isolated ACLR (hazard ratio, 0.443;
95% CI, 0.218-0.866).
8.
9. Almost 40% of respondents to AOSSM survey had performed LEAPs at the time of ACLR
15. At latest Follow-Up: Retirement
No. (%)
Retirement from professional sports 16 (22.5)
Age 5 (31.25)
Without a Club 4 (25)
Studies 5 (31.25)
Knee 1 (6.25)
Other injuries 1 (6.25)
16. Total number of contralateral ACL ruptures 19 (27.1%)
Before index procedure 9 (12.8%)
After index procedure 10 (14.3%)
Contralateral Graft Ruptures
19. Conclusions
Combined ACL and ALL reconstruction is associated with excellent outcomes in professional
athletes with respect to graft rupture rates, return to sport, and re-operation rates