ACL Versus ALL + ACL Study

Assessment of the Results of Combined Anterolateral Ligament (ALL) + Antero Crusader Ligament (ACL) Plasty Compared to Classical KJ Plasty in Isolated ACL Ruptures

The aim of the study is to show a reduction of a re-rupture rate with an ACL (antero crusader ligament) + ALL (anterolateral ligament) combined technique compared to a classical Kenneth-Jones ACL (antero crusader ligament) reconstruction technique.

The aim is to evaluate the rate of re-rupture and to analyze knee function through scores analysis as International Knee Documentation Committee Subjective Knee (IKDC), Knee injury and osteoarthritis outcome score (KOOS), Lysholm-Tegner, and by objective measurements of laximetry and rotation.

This study should include 2 groups of 296 patients with isolated ACL (antero crusader ligament) with clinical rotation :

• operated by a conventional patellar tendon technique (first group)
• operated by a technique combining a ALL (anterolateral ligament) and ACL plasty for the second group

Inclusion Criteria:

• Patients with total isolated antero crusader ligament (ACL) rupture who are candidates for surgical reconstruction
• Patients between 18 and 35 years old
• Patients with weekly sporting activities
• Patients with chronic rotatory instability with a positive pivot shift
• Patients who have been informed and do not object the research

Exclusion Criteria:

• Patients with multi-ligament knee involvement
• Patients under 18 years old or over 35 years old
• Patients with a BMI of under 18.5 or over 30
• Patients with any contraindication to general anaesthesia
• Professional sportsmen/women
• Patients with congenital malformation or a rheumatic disease
• Patients with repeated antero crusader ligament (ACL) rupture
• Patients with serious ligament disease in the contralateral knee
• Patients who refuse to take part in the study