Surgical techniques and outcomes after anterior cruciate ligament reconstruction in preadolescent patients.

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Abstract

[Indexed for MEDLINE] 14. Arthroscopy. 2024 Oct;40(10):2610-2613. doi: 10.1016/j.arthro.2024.02.041. Epub 2024 Mar 13. Editorial Commentary: Knee Lateral Extra-articular Tenodesis Procedures: Appropriate Study Design Is Essential for Reducing Conflicting Findings and Unnecessary Controversy in the Orthopaedic Literature. Sonnery-Cottet B(1), Fabre C(2), Vieira TD(1), Saithna A(3). Author information: (1)Centre Orthopédique Santy. (2)Honoria. (3)University of Arizona. Knee lateral extra-articular tenodesis procedures (LEAPs) reduce graft rupture rates when performed at the time of anterior cruciate ligament (ACL) reconstruction. However, in the setting of revision ACL reconstruction, LEAPs are less studied and remain controversial. Many studies support combined procedures (ACL + LEAP), yet others do not. When the literature comprises small patient cohorts and short follow-up periods, conflicting results often arise. The controversy surrounding them may be unnecessarily generated by the publication of low-quality studies. Future studies should focus on adequate power; appropriate design and methodology, including matching or randomization to account for potential confounding factors; proper statistical analyses; and avoidance of spin bias. Copyright © 2024 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. DOI: 10.1016/j.arthro.2024.02.041