caa a22 4500 605458448 CHVBK 20210128100229.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00167-015-3673-x doi (NATIONALLICENCE)springer-10.1007/s00167-015-3673-x Long-term clinical outcomes of combined BPTB ACL reconstruction and popliteus tendon plasty [Elektronische Daten] [Maurilio Marcacci, Tommaso Bonanzinga, Alberto Grassi, Costanza Musiani, Andrea Benzi, Giulio Muccioli, Vittorio Vaccari, Stefano Zaffagnini] 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±1.0years (range 25.4-28.0years). 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 >5mm 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. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 Knee nationallicence Posterolateral corner nationallicence ACL nationallicence Popliteus tendon nationallicence Marcacci Maurilio Clinica Ortopedica e Traumatologica II - Lab. di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano, 1/10, 40136, Bologna, Italy aut Bonanzinga Tommaso Clinica Ortopedica e Traumatologica II - Lab. di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano, 1/10, 40136, Bologna, Italy aut Grassi Alberto Clinica Ortopedica e Traumatologica II - Lab. di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano, 1/10, 40136, Bologna, Italy aut Musiani Costanza Clinica Ortopedica e Traumatologica II - Lab. di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano, 1/10, 40136, Bologna, Italy aut Benzi Andrea Clinica Ortopedica e Traumatologica II - Lab. di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano, 1/10, 40136, Bologna, Italy aut Muccioli Giulio Clinica Ortopedica e Traumatologica II - Lab. di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano, 1/10, 40136, Bologna, Italy aut Vaccari Vittorio Clinica Ortopedica e Traumatologica II - Lab. di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano, 1/10, 40136, Bologna, Italy aut Zaffagnini Stefano Clinica Ortopedica e Traumatologica II - Lab. di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano, 1/10, 40136, Bologna, Italy aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/10(2015-10-01), 2930-2935 0942-2056 23:10<2930 2015 23 167 https://doi.org/10.1007/s00167-015-3673-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-015-3673-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Marcacci Maurilio Clinica Ortopedica e Traumatologica II - Lab. di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano, 1/10, 40136, Bologna, Italy aut NATIONALLICENCE 700 1- Bonanzinga Tommaso Clinica Ortopedica e Traumatologica II - Lab. di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano, 1/10, 40136, Bologna, Italy aut NATIONALLICENCE 700 1- Grassi Alberto Clinica Ortopedica e Traumatologica II - Lab. di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano, 1/10, 40136, Bologna, Italy aut NATIONALLICENCE 700 1- Musiani Costanza Clinica Ortopedica e Traumatologica II - Lab. di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano, 1/10, 40136, Bologna, Italy aut NATIONALLICENCE 700 1- Benzi Andrea Clinica Ortopedica e Traumatologica II - Lab. di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano, 1/10, 40136, Bologna, Italy aut NATIONALLICENCE 700 1- Muccioli Giulio Clinica Ortopedica e Traumatologica II - Lab. di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano, 1/10, 40136, Bologna, Italy aut NATIONALLICENCE 700 1- Vaccari Vittorio Clinica Ortopedica e Traumatologica II - Lab. di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano, 1/10, 40136, Bologna, Italy aut NATIONALLICENCE 700 1- Zaffagnini Stefano Clinica Ortopedica e Traumatologica II - Lab. di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano, 1/10, 40136, Bologna, Italy aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/10(2015-10-01), 2930-2935 0942-2056 23:10<2930 2015 23 167