BACKGROUND Rupture of the anterior cruciate ligament (ACL) is one of the most common sports injuries of the knee joint. Today, we have a large number of approaches to arthroscopic reconstruction of the anterior cruciate ligament that lead to successful outcomes and allow the patients to return to a significant level of activity post-operatively. Nevertheless, the return to competitions rate stays relatively low. The functional state is thought to be dependent on rotational and anteroposterior stability of the knee. These data encourage search for methods of additional stabilization of the knee joint, one of them being extra-articular tenodesis, or reconstruction of anterolateral ligament of the knee. THE AIM OF THE STUDY To evaluate medium-term results of combined simultaneous arthroscopic reconstruction of anterior cruciate ligament and anterolateral ligament of the knee joint in sportsmen and to access the probability of return to competitions. MATERIALS AND METHODS The surgeries were performed in 2014-2015 in 50 patients who fulfilled the entry criteria: 20 patients (including 10 professional sportsmen) underwent arthroscopic ACL reconstruction together with reconstruction of anterolateral ligament-group 1 (main group), and 30 patients (including 10 professional sportsmen) underwent arthroscopic ACL reconstruction-group 2 (control group). RESULTS Group 1: All patients of group 1 were able to return to the pre-operative sports level in two years after the surgery. The mean Tegner Lysholm score was 72.6 ± 6.45 (hereinafter, SE-standard error) before the surgery and 97.4 ± 1.18 after the surgery. The mean IKDC score was 63.1 ± 4.8% before the surgery and 96.3 ± 1.8% after the surgery. Group 2: 20 of 30 patients (66.7%) returned to the pre-operative level of activity and returned to competitions (if they were professional sportsmen) in a year after the surgery. Five of ten patients (50%) (professional sportsmen) returned to competitions. Fifteen of 20 patients (75%) (amateur sportsmen) also returned to competitions. The mean pre-operative Tegner Lysholm score was 69.6 ± 3.5, and the mean post-operative score was 92.1 ± 3.9. The mean pre-operative IKDC score was 73.4 ± 3.2%, and the mean post-operative score was 90.3 ± 3.7%. CONCLUSION The results of the study show that more patients with higher functional demands and more professional sportsmen returned to sports. Despite the results of our and other foreign studies, a need remains for studies that will compare outcomes of ALL reconstruction with the same surgical technique in homogenous groups of patients.

中文翻译：

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运动员膝关节前交叉韧带和前外侧韧带联合重建的临床经验。

背景技术前十字韧带（ACL）破裂是膝关节最常见的运动损伤之一。今天，我们有大量的方法可以通过关节镜重建前交叉韧带，从而获得成功的结果，并使患者能够在术后恢复到重要的活动水平。尽管如此，竞争的回报率仍然相对较低。人们认为功能状态取决于膝盖的旋转稳定性和前后稳定性。这些数据鼓励寻找进一步稳定膝关节的方法，其中一种方法是关节外伸肌固定术或重建膝前外侧韧带。本研究的目的是评估关节镜同时进行的膝关节前十字韧带和前外侧韧带联合关节镜重建的中期结果，并探讨重返比赛的可能性。材料与方法手术于2014-2015年对50例符合入组标准的患者进行了手术：20例（包括10名职业运动员）接受了关节镜ACL重建及前外侧韧带第1组（主要组）的重建，30例（包括10名专业运动员）进行了关节镜ACL重建-第2组（对照组）。结果第1组：第1组的所有患者在术后两年内都能够恢复到术前运动水平。Tegner Lysholm的平均得分为72.6±6.45（以下称为 SE标准误差）手术前和手术后97.4±1.18。IKDC的平均评分在手术前为63.1±4.8％，在手术后为96.3±1.8％。第2组：30名患者中的20名（66.7％）在手术后的一年内恢复了术前活动水平并恢复了比赛（如果他们是专业运动员）。十名患者中的五名（50％）（专业运动员）重返比赛。20名患者中的15名（75％）（业余运动员）也重返比赛。术前Tegner Lysholm评分平均为69.6±3.5，术后平均评分为92.1±3.9。术前IKDC平均得分为73.4±3.2％，术后平均得分为90.3±3.7％。结论研究结果表明，更多的具有更高功能需求和更多职业运动员的患者重返运动场。