ArticleVideo journal of sports medicine
Lateral Extra-articular Tenodesis Using a Double-Knotless, All-Suture Anchor for Onlay Fixation.
Article in Video journal of sports medicine. 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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5 authors.
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Abstract
Background: Lateral extra-articular augmentation procedures, including lateral extra-articular tenodesis (LET), are advocated in high-risk patients undergoing anterior cruciate ligament reconstruction (ACLR) to provide improved rotational stability and reduce rates of graft rupture postoperatively. Indications: Indications for performing a LET concomitantly with ACLR continue to evolve, but are recommended for patients with certain demographics and in the presence of anatomic risk factors for graft rupture. Technique Description: After the ACL femoral tunnel is reamed, a lateral approach to the knee is performed, and an 8 cm long by 1 cm wide strip of the posterior iliotibial band is harvested and passed retrograde, deep to the lateral collateral ligament. While "tunneloscopy" is performed to confirm the absence of tunnel interference, a double-knotless, all-suture anchor is placed just proximal and posterior to the lateral epicondyle. After the ACL graft is passed and fixated, the limb is positioned in 30° of knee flexion and neutral tibial rotation. The double-knotless mechanism is then employed to achieve surface fixation of the LET graft. Results: The literature suggests that performing a LET with ACLR improves rotational stability and reduces the rate of graft rupture postoperatively in high-risk patients, without deviating from standard ACLR postoperative protocols or causing additional morbidity at short- or midterm follow-up. Discussion/Conclusion: This article demonstrates a safe and reproducible method of performing a LET concomitantly with ACLR using a quadriceps autograft in appropriately indicated patients. Ongoing research continues to refine the indications and techniques for performing a LET with ACLR. Patient Consent Disclosure Statement: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.
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