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- Title
The scientific rationale for lateral tenodesis augmentation of intra-articular ACL reconstruction using a modified 'Lemaire' procedure.
- Authors
Williams, Andy; Ball, Simon; Stephen, Jo; White, Nathan; Jones, Mary; Amis, Andrew
- Abstract
<bold>Purpose: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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.<bold>Conclusion: </bold>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.<bold>Level Of Evidence: </bold>III.
- Subjects
ANTERIOR cruciate ligament injury treatment; TENODESIS; KNEE surgery; KNEE injuries; ORTHOPEDIC surgery; TENDON surgery; TIBIA surgery; ANTERIOR cruciate ligament surgery; JOINT hypermobility; DISEASE complications
- Publication
Knee Surgery, Sports Traumatology, Arthroscopy, 2017, Vol 25, Issue 4, p1339
- ISSN
0942-2056
- Publication type
journal article
- DOI
10.1007/s00167-017-4537-3