Reconstrução Primária Do Ligamento Cruzado Anterior Associada À Tenodese Extra-articular Lateral Versus Reconstrução Isolada: Uma Revisão Sistemática
Year: 2026
Type: article
Study design: Systematic Review
Abstract: This systematic review compared primary anterior cruciate ligament reconstruction (ACLR) combined with lateral extra-articular tenodesis (LET) versus isolated ACLR, assessing graft failure, knee stability, functional outcomes, return to sport, and complications. The review followed the PRISMA 2020 recommendations, with searches conducted in PubMed/MEDLINE, LILACS, and SciELO without date restrictions. Comparative clinical studies were included, and risk of bias was assessed using the RoB 2 and ROBINS-I tools. Of 62 records identified, 12 publications were included. Overall, LET was associated with lower graft failure rates and improved rotational stability, particularly in young patients, athletes participating in pivoting sports, and individuals with high-grade pivot shift. Benefits regarding functional outcomes and return to sport were less consistent. No relevant overall increase in complications was observed, while findings regarding graft maturation and long-term degenerative changes were conflicting. In conclusion, LET may represent a complementary strategy to primary ACLR, particularly in patients at higher risk of failure or rotational instability, and its indication should be individualized.
Authors: Bruna Helena Miranda, Leonardo Kennedy Fialho Duarte, Felipe Melo Ramalho, João Gomes de Carvalho Neto, João Paulo Borges de Oliveira, Luiz Felipe Pereira Rocha, Enzo Coelho Abrantes, Bruna Caixeta de Barros Guimarães, Kaique Pereira Nazario, João Lucas de Jesus da Silva Paixão, Nicole Keller Silva Rabelo, Natan Pincer Porichis
Institutions: Centro Universitário Ateneu, Faculdade de Ciências Médicas de Minas Gerais, Pontifícia Universidade Católica de Minas Gerais, Universidade Federal de Goiás, Universidad Nacional del Centro de la Provincia de Buenos Aires, Universidade Estadual de Campinas (UNICAMP), Universidade Federal de Ouro Preto
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7224123134