The Effect of Lateral Extra-Articular Tenodesis on Lower-Extremity Lean Mass Recovery Following Anterior Cruciate Ligament Reconstruction: A Randomized Controlled Trial
University of Alabama at Birmingham
Summary
The purpose of this study is to determine whether the addition of Lateral Extra-Articular Tenodesis (LET) influences postoperative lower-extremity LM recovery following bone-patellar tendon-bone (BTB) Anterior Cruciate Ligament Reconstruction (ACLR). We hypothesize that patients undergoing ACLR BTB with LET will demonstrate greater loss of operative-leg LM at 9 months postoperatively compared with patients undergoing isolated ACLR BTB.
Eligibility
- Age range
- 16–60 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Skeletally mature patients less than or equal to 60 years of age with ACL insufficiency scheduled to undergo primary BTB ACL reconstruction with or without LET. * Patients presenting with acute ACL injuries. Patients presenting with acute ACL injuries will be eligible for enrollment. * Acute injuries will be defined as injuries occurring within 6 weeks of presentation. Exclusion Criteria: * undergoing multi ligamentous reconstruction (PCL, MCL, or PLC) * revision ACL reconstruction * neuromuscular disorders * contralateral ACL injury * pregnant or nursing * unable to r…
Interventions
- ProcedureBone-patellar Tendon-bone (BTB)
Harvested with bone on both ends of soft tissue. A portion of the patient's patellar tendon, along with bone plugs from the patella and tibial tubercle, is harvested and used to reconstruct the torn ACL through bone tunnels created in the tibia and femur.
- ProcedureBone-patellar Tendon-bone (BTB) and Lateral Extra-Articular Tenodesis (LET)
A strip of the iliotibial band on the outside of the knee is used to provide additional stability and reduce abnormal rotational movement following ACL reconstruction.
Location
- University of Alabama at BirminghamBirmingham, Alabama