The scientific rationale for lateral tenodesis augmentation of intra-articular ACL reconstruction using a modified 'Lemaire' procedure
File(s)
Author(s)
Type
Journal Article
Abstract
Purpose
The purpose of this work was to develop the rationale for adding a lateral extra-articular tenodesis to an ACL reconstruction in a knee with an injury that included both the ACL and anterolateral structures, and to show the early clinical picture.
Methods
The paper includes a review of recent anatomical and biomechanical studies of the anterolateral aspect of the knee. It then provides a detailed description of a modified Lemaire tenodesis technique. A short-term clinical follow-up of a case and control group was performed, with two sequential groups of patients treated by isolated ACL reconstruction, and by combined ACL plus lateral tenodesis.
Results
The anatomical and biomechanical literature guide the surgeon towards a procedure based on the ilio-tibial band. The clinical study found a reduction in pivot-shift instability in the group of patients with the combined procedure.
Conclusion
The evidence suggests that it should be appropriate to add a lateral extra-articular procedure to an ACL reconstruction in selected cases, but it was concluded that further data are required before definitive guidelines on the use of a lateral tenodesis can be established.
Level of evidence
III.
The purpose of this work was to develop the rationale for adding a lateral extra-articular tenodesis to an ACL reconstruction in a knee with an injury that included both the ACL and anterolateral structures, and to show the early clinical picture.
Methods
The paper includes a review of recent anatomical and biomechanical studies of the anterolateral aspect of the knee. It then provides a detailed description of a modified Lemaire tenodesis technique. A short-term clinical follow-up of a case and control group was performed, with two sequential groups of patients treated by isolated ACL reconstruction, and by combined ACL plus lateral tenodesis.
Results
The anatomical and biomechanical literature guide the surgeon towards a procedure based on the ilio-tibial band. The clinical study found a reduction in pivot-shift instability in the group of patients with the combined procedure.
Conclusion
The evidence suggests that it should be appropriate to add a lateral extra-articular procedure to an ACL reconstruction in selected cases, but it was concluded that further data are required before definitive guidelines on the use of a lateral tenodesis can be established.
Level of evidence
III.
Date Issued
2017-04-01
Date Acceptance
2017-03-27
Citation
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2017, 25 (4), pp.1339-1344
ISSN
0942-2056
Publisher
SPRINGER
Start Page
1339
End Page
1344
Journal / Book Title
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
Volume
25
Issue
4
Copyright Statement
© 2017 European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA). The final publication is available at https://dx.doi.org/10.1007/s00167-017-4537-3
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000400855000047&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Orthopedics
Sport Sciences
Surgery
Anterior cruciate ligament
Anterolateral ligament
Iliotibial band
Lateral tenodesis
Lemaire
Lateral collateral ligament
CRUCIATE LIGAMENT RECONSTRUCTION
ANTEROLATERAL LIGAMENT
EXTRAARTICULAR TENODESIS
LENGTH CHANGES
KNEE
ANATOMY
LAXITY
Publication Status
Published
Date Publish Online
2017-04-09