The iliotibial band lateral sling procedure and its effect on the results of anterior cruciate ligament reconstruction |
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Authors: | S J O'Brien R F Warren T L Wickiewicz B A Rawlins A A Allen R Panariello A M Kelly |
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Affiliation: | Hospital for Special Surgery, New York, New York 10021. |
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Abstract: | The effect of iliotibial band "lateral sling" augmentation on long-term outcome in ACL reconstruction using free autogenous central-third patellar tendon was evaluated retrospectively. Eighty reconstructions were reviewed; the minimum followup was 2 years and the average was 4 years. Sixty percent of the procedures involved supplementation with a lateral sling. By both clinical evaluation and KT-1000 measurement, there were no differences in the results of patients with lateral sling augmentation and those without it. In addition, 40% of patients had chronic pain and/or swelling related to the lateral sling. We do not currently recommend the routine use of a lateral sling augmentation for ACL reconstruction using central-third patellar tendon. |
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