title: Revision ACL reconstruction: influence of a lateral tenodesis.
abstract: OBJECTIVE
  The aims of this article were to report the objective results of revision ACL reconstruction and to assess the influence of an associated lateral extra-articular tenodesis on knee stability and IKDC score.
  
  
  METHODS
  This study focused on revision ACL reconstruction and was conducted over a 10-year period, from 1994 to 2003 with ten French orthopedic centers participating. The minimum follow-up required was 2 years. To be included, patients had to be evaluated at follow-up with the objective International Knee Documenting Committee (IKDC) scoring system. In 2006, 163 patients met the inclusion criteria.
  
  
  RESULTS
  The objective IKDC knee score improved significantly after revision ACL reconstruction, with 72% IKDC A + B (26% A). When a lateral tenodesis was performed, 80% had a negative pivot shift, versus 63% without (P = 0.03), but there was no significant difference in the IKDC score.
  
  
  CONCLUSIONS
  This study shows a significant improvement in the IKDC score after revision ACL reconstruction. The association of a lateral extra-articular tenodesis with the intra-articular graft increases knee stability after revision ACL reconstruction; however, this additional procedure does not significantly alter the IKDC score at follow-up.
  
  
  METHODS
  Retrospective case series, Level IV.
authors.affiliation: Department of Orthopaedic Surgery and Sports Traumatology, Service de Chirurgie Orthopédique, L'Archet 2 Hospital, 151 route de St Antoine de Ginestière, 06200, Nice, France. trojani.c@chu-nice.fr
authors.forename: Christophe
authors.initials: C
authors.lastname: Trojani
authors.forename: Philippe
authors.initials: P
authors.lastname: Beaufils
authors.forename: Gilles
authors.initials: G
authors.lastname: Burdin
authors.forename: Christophe
authors.initials: C
authors.lastname: Bussière
authors.forename: Vincent
authors.initials: V
authors.lastname: Chassaing
authors.forename: Patrick
authors.initials: P
authors.lastname: Djian
authors.forename: Frédéric
authors.initials: F
authors.lastname: Dubrana
authors.forename: François-Paul
authors.initials: FP
authors.lastname: Ehkirch
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Franceschi
authors.forename: Christophe
authors.initials: C
authors.lastname: Hulet
authors.forename: Franck
authors.initials: F
authors.lastname: Jouve
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Potel
authors.forename: Abderahmane
authors.initials: A
authors.lastname: Sbihi
authors.forename: Philippe
authors.initials: P
authors.lastname: Neyret
authors.forename: Philippe
authors.initials: P
authors.lastname: Colombet
mesh_terms: D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013710:Tendons / Q000601:surgery*; D053656:Tenodesis / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult
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