سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Yazdi, Hamid reza, Torkaman, Ali, Khorrami, Amir, Ghaeini, Moein, Fakharian, Arman, Moein, Seyed Arman, Ayatizadeh, Seyyed Hamidreza, Latifi, Nariman. (1404). Differences in Clinical Outcomes and Rotational Stability Between Anterolateral Ligament Reconstruction and Lemaire Lateral Tenodesis Following Primary Anterior Cruciate Ligament Reconstruction. , 13(7), 426-434. doi: 10.22038/abjs.2025.84170.3826
Hamid reza Yazdi; Ali Torkaman; Amir Mohsen Khorrami; Moein Ghaeini; Arman Fakharian; Seyed Arman Moein; Seyyed Hamidreza Ayatizadeh; Nariman Latifi. "Differences in Clinical Outcomes and Rotational Stability Between Anterolateral Ligament Reconstruction and Lemaire Lateral Tenodesis Following Primary Anterior Cruciate Ligament Reconstruction". , 13, 7, 1404, 426-434. doi: 10.22038/abjs.2025.84170.3826
Yazdi, Hamid reza, Torkaman, Ali, Khorrami, Amir, Ghaeini, Moein, Fakharian, Arman, Moein, Seyed Arman, Ayatizadeh, Seyyed Hamidreza, Latifi, Nariman. (1404). 'Differences in Clinical Outcomes and Rotational Stability Between Anterolateral Ligament Reconstruction and Lemaire Lateral Tenodesis Following Primary Anterior Cruciate Ligament Reconstruction', , 13(7), pp. 426-434. doi: 10.22038/abjs.2025.84170.3826
Yazdi, Hamid reza, Torkaman, Ali, Khorrami, Amir, Ghaeini, Moein, Fakharian, Arman, Moein, Seyed Arman, Ayatizadeh, Seyyed Hamidreza, Latifi, Nariman. Differences in Clinical Outcomes and Rotational Stability Between Anterolateral Ligament Reconstruction and Lemaire Lateral Tenodesis Following Primary Anterior Cruciate Ligament Reconstruction. , 1404; 13(7): 426-434. doi: 10.22038/abjs.2025.84170.3826

Differences in Clinical Outcomes and Rotational Stability Between Anterolateral Ligament Reconstruction and Lemaire Lateral Tenodesis Following Primary Anterior Cruciate Ligament Reconstruction

The Archives of Bone and Joint Surgery
مقاله 6، دوره 13، شماره 7، مهر 2025، صفحه 426-434    اصل مقاله (961.46 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2025.84170.3826
نویسندگان
Hamid reza Yazdi1؛ Ali Torkaman2؛ Amir Mohsen Khorrami* 2؛ Moein Ghaeini2؛ Arman Fakharian3؛ Seyed Arman Moein4؛ Seyyed Hamidreza Ayatizadeh5؛ Nariman Latifi6
1Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
2versity of Medical Sciences, Tehran, Iran 2 Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
3University of California, Davis School of Medicine, Sacramento, CA, USA
4Orthopedic & Rehabilitation Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
5Trauma Research Center, Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
6Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
چکیده
Objectives: Residual instability following anterior cruciate ligament reconstruction (ACLR) is a common 
concern among young, active patients. Currently, two primary methods are used to address this matter: 
anterolateral ligament reconstruction (ALLR) using a graft and lateral extra-articular tenodesis (LET). 
This study aims to compare the Lemaire method for LET with ALLR in minimizing rotational instability 
after ACLR.
Methods: This retrospective cohort study included patients with ACL ruptures who underwent simultaneous 
arthroscopic ACLR and either Lemaire lateral tenodesis or ALL reconstruction between April 2013 and March 2021. 
Patients were re-examined approximately 24 months post-operatively. We evaluated rotational instability using the 
pivot shift test, and anterior stability with the KT-1000 test. Outcomes were measured using the Lysholm and 
International Knee Documentation Committee (IKDC) questionnaires.
Results: This study evaluated 53 patients who underwent ACLR using either the Lemaire method for LET (n=24) 
or ALLR technique (n=29). No substantial differences were observed in terms of age, sex, body mass index (BMI), 
number of physiotherapy sessions, time from injury to surgery, or the diameter of the ACL graft. Rotational stability 
was significantly better in the Lemaire group (16.7% vs. 82.8%, P < 0.001). Although functional outcomes were 
higher in the Lemaire group, these differences were not statistically significant. Multivariate logistic regression 
analysis revealed that the surgical technique was the only significant predictor of rotational instability, with patients 
undergoing ALLR being 18.8 times more likely to experience a positive pivot shift (OR: 18.78, 95% CI: 4.34–81.18, 
P < 0.001).
Conclusion: This retrospective cohort study suggests that Lemaire LET may be more effective than ALLR in 
minimizing rotational instability following arthroscopic ACLR. However, there was no superiority in functional scores 
between the groups.
 Level of evidence: III
کلیدواژه‌ها
Anterior cruciate ligament؛ Anterolateral ligament؛ Anterolateral ligament reconstruction؛ Lateral extraarticular tenodesis؛ Lemaire technique؛ Rotational instabilit
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