Outcomes and Complication Rates of Anterior Cruciate Ligament Reconstruction Using the "Over-the-top" Technique Combined With Lateral Extra-articular Tenodesis in Patients Over 50 Years Old Compared With Patients Under 30

What this Trial Is About

Researchers are investigating the outcomes and complication rates of anterior cruciate ligament (ACL) reconstruction using the single-bundle "over-the-top" technique combined with lateral extra-articular tenodesis (LET) in patients over 50 years old, compared with a control group under 30 years old. ACL injuries are common in the knee and surgical reconstruction is widely performed in younger, active individuals. However, this study explores the effectiveness and safety of this surgical approach in older adults, a group with increasing functional demands and life expectancy. The surgical method studied involves reconstructing the ACL using the gracilis and semitendinosus tendons with the over-the-top technique, combined with LET, an additional step that may reduce failure rates and improve knee stability. All patients in the study have undergone this combined procedure, enabling a direct comparison between older and younger groups treated with the same technique. The study includes patients operated on between 2007 and 2023. Participants will be assessed over a period of at least two years following surgery. Researchers will monitor complications, knee function through scores such as the Lysholm Knee Score and KOOS, pain levels using a Visual Analog Scale, and activity levels with the Tegner Score. This comprehensive follow-up aims to evaluate safety, functional outcomes, and the potential benefits of the combined ACL + LET technique across different age groups.

Outcomes and Complication Rates of Anterior Cruciate Ligament Reconstruction Using the "Over-the-top" Technique Combined With Lateral Extra-articular Tenodesis in Patients Over 50 Years Old, Compared With a Control Group of Patients Under 30