Faculty Sponsor

Jana Stedman

College

Nursing

Department/Program

Physician Assistant Program

Presentation Type

Poster Presentation

Symposium Date

Summer 7-24-2024

Abstract

Objective: To evaluate if the addition of Lateral Extra-Articular Tenodesis (LET) with the Iliotibial (IT) band during Anterior Cruciate Ligament Reconstruction (ACLR) in athletes is more advantageous when compared to an isolated ACLR. Specifically looking at patient outcomes, return to sport time, graft rupture, and laxity in the knee post-surgical intervention.

Methods: A review of the literature was conducted utilizing multiple databases. Inclusion criteria for this paper were radiologic evidence of ACL rupture, patients undergoing isolated ACLR, patients undergoing ACLR with LET, and participation in sports/physical activity. Exclusion criteria for this paper were studies published prior to 2018, not participating in sports/physical activity, and studies that were not available as full text online. Primary outcomes included return to sport and re-rupture rates. Secondary outcomes included patient reported outcome measures and overall knee stability. After applying the criteria listed above, five studies were chosen to be included in this research paper.

Results: Athletes who undergo ACLR with LET have better return to sport time, decreased laxity in the knee, and more satisfactory patient outcomes when compared to those who undergo isolated ACLR. Studies demonstrate efficacy of the procedure with statistically relevant results.

Conclusion: The ACLR with LET gives the joint more anterolateral laxity and increases overall stability. This procedure helps athletes return to their pre-injurious activity level. The technique is safe and efficacious in professional, collegiate, and pediatric athletes.

Keywords: anterior cruciate ligament, lateral extra-articular tenodesis, iliotibial band, Physical activity, return to sport, laxity, elite athlete, pediatric population

Biographical Information about Author(s)

Ellison Pratley is a Physician Assistant student who has a special interest in Orthopedic/Sports Medicine Surgery and plans to work in this specialty following graduation. She will be presenting on “The Addition of Lateral Extra-Articular Tenodesis with the Iliotibial band during Anterior Cruciate Ligament Reconstruction in Athletes” because she has a special interest in the surgical management of ACL tears in athletes.

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