Modified iliotibial band tenodesis versus lateral extracapsular tenodesis, to augment anterior cruciate ligament reconstruction: a 2-year randomized controlled trial
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OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2022;10(21):17 ANZ J Surg. 2022 Sep;92(9):2247-2253.What this means for my practice?
The results of this study suggest that augmenting an ACL reconstruction with a modified iliotibial band tenodesis provides significantly greater function and quality of life, with a lower risk of a recurrent ACL tear or medial meniscal tear vs. augmentation with a lateral extracapsular tenodesis procedure. This study was limited by the performance of all surgeries by a single surgeon limiting external validity and short follow-up time.
Study Summary
One hundred and sixty-four patients with anterior cruciate ligament (ACL) ruptures were randomized to receive an ACL reconstruction augmented with either a lateral extracapsular tenodesis (LET) procedure or a modified iliotibial band tenodesis (MITBT) procedure. The outcomes of interest included the Tegner activity score, the ACL Quality of life (ACL QoL) Score, Knee Injury and Osteoarthritis Outcomes Scores (KOOS), and the rate of recurrence. Outcomes were assessed up to 2 years post-operation. Results revealed significantly favourable Tegner activity scores and a lower rate of medial meniscal tear and recurrent ACL tear in the MITBT group at 2 years. Moreover, ACL QoL scores, KOOS sports/rec scores, and KOOS quality of life scores were in favour of the MITBT group at 1 and 2 years. The KOOS activity of daily living score was in favour of the MITBT group at 1-year post-operation only.
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