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- Talk
- 15/09/2021
- Canada
Hamstring ACL Reconstruction with and without Anterolateral Ligament Reconstruction in Young Athletes
Description
In a detailed presentation, Pierre Laboudie discusses his research on hamstring reconstruction techniques, particularly in young athletes. Laboudie highlights the risks that student athletes face concerning ACL injuries and subsequent complications like graft failure and meniscal lesions, referencing Scandinavian registry data to underscore these risks. He notes that despite extensive studies, there remains a lack of concrete evidence on the optimal graft choice for this demographic.
Drawing on historical context, he mentions the rediscovery of the anatomic ligament by Steven Claes in 2013, originally identified by Paul Segond in the 19th century. This ligament's relevance is established through various anatomical and MRI studies, suggesting it may influence ACL rupture incidence as it seems to provide functional benefits without increasing complications.
Laboudie details his retrospective study, focusing on participants aged 20 or younger engaged in pivoting sports. The study compares two different surgical techniques—standard hamstring reconstruction and a modified method that includes the anterolateral ligament (ALL). With a participant pool comprising 101 in the HT group and 102 in the HT plus ALL group, various surgical techniques and graft placements are meticulously outlined.
Findings reveal a comparative analysis of graft failure rates and meniscal injuries between the two techniques, with a noted decrease in graft failure in the HT plus ALL group, though not reaching statistical significance. However, when combining graft failure with reoperations for complications, the HT plus ALL group demonstrated a significantly improved survival rate, managing better side-to-side laxity at the six-month follow-up. Despite no significant difference in overall functional outcomes between the groups, Laboudie's conclusions indicate that the inclusion of the ALL reconstructive technique may present advantages concerning reoperation rates and graft survival.
The presentation concludes with a touch of personal flair, as Laboudie apologizes for his accent while inviting attendees to appreciate the beauty of his native region in France.