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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 10/2015

01-10-2015 | Knee

Long-term clinical outcomes of combined BPTB ACL reconstruction and popliteus tendon plasty

Authors: Maurilio Marcacci, Tommaso Bonanzinga, Alberto Grassi, Costanza Musiani, Andrea Benzi, Giulio Maria Marcheggiani Muccioli, Vittorio Vaccari, Stefano Zaffagnini

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 10/2015

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Abstract

Purpose

A deficiency of posterolateral structures significantly increases the varus load on the ACL, while a chronic ACL lesion, the increased tibial rotation and the repetitive non-physiological knee motion, could affect and damage the integrity of the popliteus tendon. Therefore, the aim of the present study was to report the very long clinical outcomes of a combined single-bundle BPTB ACL reconstruction and popliteus plasty according to Bousquets technique, for the treatment of combined chronic anterior and posterolateral laxities.

Methods

Fifteen patients that underwent combined ACL reconstruction and popliteal plasty according to Bousquets technique were available at mean 26.8 ± 1.0 years (range 25.4–28.0 years). All the patients were evaluated clinically and 13 by means of KT-1000 Arthrometer as well. Subjective evaluation was performed with the subjective IKDC, WOMAC and a 0–10 VAS for pain scales.

Results

At clinical evaluation, 10 patients (67 %) presented a negative anterior drawer test; Lachman test was negative in nine patients (60 %); the varus stress test was negative in eight (53 %); and the dial test was negative in all but one patient (93 %). Only two patients (15 %) presented a side-to-side difference >5 mm at the instrumented laxity evaluation.

Conclusion

The combined single-bundle BPTB ACL reconstruction and popliteal plasty according to Bousquets technique were able to produce very good long-term results, in terms of knee stability, subjective outcomes, functional results and return to sport activity, in case of chronic anterior and posterolateral laxities.

Level of evidence

Retrospective case series, Level IV.
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Metadata
Title
Long-term clinical outcomes of combined BPTB ACL reconstruction and popliteus tendon plasty
Authors
Maurilio Marcacci
Tommaso Bonanzinga
Alberto Grassi
Costanza Musiani
Andrea Benzi
Giulio Maria Marcheggiani Muccioli
Vittorio Vaccari
Stefano Zaffagnini
Publication date
01-10-2015
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 10/2015
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-015-3673-x

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