Evidence map›Paper›PMID 41541339›Full record

ArticleArthroscopy techniques2025

Pedicled Anterior Cruciate Ligament Reconstruction and Lateral Extra-articular Tenodesis Without Additional Implants-"PARLET" Technique.

Piotr Wodzinski, Tomasz Zoraw, Andrzej Wielgus, Boguslaw Sadlik, Szymon Dragan

Abstract read
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Article in Arthroscopy techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Piotr WodzinskiCenter of Reconstructive Orthopedics and Arthroscopy, Department of Orthopedics, Arthroscopy and Traumatology, Lower Silesian Specialistic Hospital-Fieldorfa 2, Wroclaw, Poland.
Tomasz ZorawCenter of Reconstructive Orthopedics and Arthroscopy, Department of Orthopedics, Arthroscopy and Traumatology, Lower Silesian Specialistic Hospital-Fieldorfa 2, Wroclaw, Poland.
Andrzej WielgusCenter of Reconstructive Orthopedics and Arthroscopy, Department of Orthopedics, Arthroscopy and Traumatology, Lower Silesian Specialistic Hospital-Fieldorfa 2, Wroclaw, Poland.
Boguslaw SadlikDepartment of Orthopedics, ORTHOS Hospital, LuxMed Group, Komorowice, Wroclaw, Poland.
Szymon DraganCenter of Reconstructive Orthopedics and Arthroscopy, Department of Orthopedics, Arthroscopy and Traumatology, Lower Silesian Specialistic Hospital-Fieldorfa 2, Wroclaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite constant development of surgical techniques, the outcomes of anterior cruciate ligament (ACL) reconstructions remain unpredictable, and the failure rate remains unacceptably high. Among many factors influencing results, the graft-healing process called ligamentization has recently been highly emphasized. Improvement of healing potential, connected with graft diameter optimization and the addition of lateral extra-articular tenodesis, might lead to superior treatment results. We describe a simple technique of combined anterior cruciate ligament reconstruction with a pedicled hamstring graft of case-specific diameter and lateral extra-articular tenodesis with limited hardware. "PARLET" stands for pedicled anterior cruciate ligament reconstruction and lateral extra-articular tenodesis without additional implants. Three options of graft preparation (3, 4, or 6 strands) enable diameter versatility and optimization during surgery. Preserving the hamstring pedicle and limiting its interference with tibial fixation due to the use of an ACL adjustable cortical button might improve graft healing potential. Fixation of lateral tenodesis with a femoral ACL cortical button solves the problem of tunnel or implant interference.

Identifiers

PMID41541339
PMCPMC12801068

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