DOI: 10.36347/sasjs.2023.v09i06.002

Pages: 482-792

Background: The primary issue after isolated intra-articular anterior cruciate ligament (ACL) surgery is the continuation of pivot shift. By limiting rotational laxity, the lateral extra-articular tenodesis (LET) treatment added to the ACL surgery improves knee stability. This study's objective was to assess the long-term clinical and radiological results of ACL restoration coupled with LET utilizing a continuous hamstring graft as the first operation. Method and Analysis: Four years postoperatively, 20 patients were examined. Collecting subjective outcome ratings (IKDC, Lysholm, KOOS, and Tegner). A clinical and radiological evaluation was conducted. The anteroposterior laxity of the knees was assessed using a rollimeter. Using SPSS version 23, the statistical analysis was conducted. The mean and standard deviation of quantitative data were used to summarize the data. Fischer's exact test was used to compare qualitative characteristics, whereas Student's t-test was used to compare mean values. A p value of 0.05 or less was regarded as significant. Result: The mean IKDC subjective score was 83.1, the mean Lysholm score was 89.02 and 75% of patients had exceptional or excellent scores. In 85% of patients, there was no pivot shift, and 60% of patients had a definitive endpoint on the Lachman test. Conclusion: The addition of primary LET to ACL restoration enhances rotational laxity control over time without raising the risk of complications.