A Comparative Study of Iliotibial Band Tenodesis for Extra-articular Augmentation of ACL Reconstruction Using Staple Versus Interference Screw

Background: Rotational laxity has been demonstrated to persist, even in the face of a well-performed Anterior Cruciate Ligament (ACL) reconstruction. The iliotibial band (ITB) has also been shown to have an impact on the control of anterolateral rotational laxity. In particular, recent research would suggest that the capsulo-osseous layer of the ITB, is a major contributor to anterolateral rotational control. Methods: From December 2018 to December 2020, a prospective randomized (simple randomization) analytical clinical study was done to compare the functional outcome of group of patients undergoing ITB for extra articular augmentation of ACL Reconstruction using staple versus group of patients using interference screw. Results: Upon comparing the postoperative, the primary finding is there was significant improvement of pivot shift in both groups with (100 % grade A pivot shift) in group A and (85 % grade A pivot shift) and (15% grade B pivot shift) in group B. So, the primary finding in this study is significant rotational control. The secondary finding is there was statistically significant difference in the postoperative IKDC objective score between the 2 groups (p= 0.004)