Combined Anterior Cruciate Ligament Reconstruction and Lateral Extra-Articular Tenodesis

Anterolateral rotational instability may persist after anterior cruciate ligament (ACL) reconstruction for a variety of reasons including damage to lateral or posterolateral structures, injury to the meniscus, disruption of anterolateral soft tissue structures, or increased tibial slope. In the sett...

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Main Authors: David L. Bernholt, M.D., Mitchell I. Kennedy, B.S., Matthew D. Crawford, M.D., Nicholas N. DePhillipo, M.S., A.T.C., O.T.C., Robert F. LaPrade, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2019-08-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628719300751
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author David L. Bernholt, M.D.
Mitchell I. Kennedy, B.S.
Matthew D. Crawford, M.D.
Nicholas N. DePhillipo, M.S., A.T.C., O.T.C.
Robert F. LaPrade, M.D., Ph.D.
author_facet David L. Bernholt, M.D.
Mitchell I. Kennedy, B.S.
Matthew D. Crawford, M.D.
Nicholas N. DePhillipo, M.S., A.T.C., O.T.C.
Robert F. LaPrade, M.D., Ph.D.
author_sort David L. Bernholt, M.D.
collection DOAJ
description Anterolateral rotational instability may persist after anterior cruciate ligament (ACL) reconstruction for a variety of reasons including damage to lateral or posterolateral structures, injury to the meniscus, disruption of anterolateral soft tissue structures, or increased tibial slope. In the setting of revision or primary ACL reconstruction with persistent anterolateral laxity, despite repair or reconstruction of other injured structures or in the setting of increased tibial slope, a lateral extra-articular tenodesis procedure can be used to augment an ACL reconstruction to aid in restoring anterolateral rotational stability and to upload the ACL reconstruction graft. This article details our technique for performing a modified Lemaire lateral extra-articular tenodesis using iliotibial band autograft as an adjunct to ACL reconstruction.
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spelling doaj.art-25a09f75feb04eb69bbe128c7358a28d2022-12-21T20:25:21ZengElsevierArthroscopy Techniques2212-62872019-08-0188e855e859Combined Anterior Cruciate Ligament Reconstruction and Lateral Extra-Articular TenodesisDavid L. Bernholt, M.D.0Mitchell I. Kennedy, B.S.1Matthew D. Crawford, M.D.2Nicholas N. DePhillipo, M.S., A.T.C., O.T.C.3Robert F. LaPrade, M.D., Ph.D.4Steadman Clinic, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Clinic, Vail, Colorado, U.S.A.Steadman Clinic, Vail, Colorado, U.S.A.Steadman Clinic, Vail, Colorado, U.S.A.; Address correspondence to Robert F. LaPrade, M.D., Ph.D., The Steadman Clinic, 181 West Meadow Dr, Ste 400, Vail, CO 81657, U.S.A.Anterolateral rotational instability may persist after anterior cruciate ligament (ACL) reconstruction for a variety of reasons including damage to lateral or posterolateral structures, injury to the meniscus, disruption of anterolateral soft tissue structures, or increased tibial slope. In the setting of revision or primary ACL reconstruction with persistent anterolateral laxity, despite repair or reconstruction of other injured structures or in the setting of increased tibial slope, a lateral extra-articular tenodesis procedure can be used to augment an ACL reconstruction to aid in restoring anterolateral rotational stability and to upload the ACL reconstruction graft. This article details our technique for performing a modified Lemaire lateral extra-articular tenodesis using iliotibial band autograft as an adjunct to ACL reconstruction.http://www.sciencedirect.com/science/article/pii/S2212628719300751
spellingShingle David L. Bernholt, M.D.
Mitchell I. Kennedy, B.S.
Matthew D. Crawford, M.D.
Nicholas N. DePhillipo, M.S., A.T.C., O.T.C.
Robert F. LaPrade, M.D., Ph.D.
Combined Anterior Cruciate Ligament Reconstruction and Lateral Extra-Articular Tenodesis
Arthroscopy Techniques
title Combined Anterior Cruciate Ligament Reconstruction and Lateral Extra-Articular Tenodesis
title_full Combined Anterior Cruciate Ligament Reconstruction and Lateral Extra-Articular Tenodesis
title_fullStr Combined Anterior Cruciate Ligament Reconstruction and Lateral Extra-Articular Tenodesis
title_full_unstemmed Combined Anterior Cruciate Ligament Reconstruction and Lateral Extra-Articular Tenodesis
title_short Combined Anterior Cruciate Ligament Reconstruction and Lateral Extra-Articular Tenodesis
title_sort combined anterior cruciate ligament reconstruction and lateral extra articular tenodesis
url http://www.sciencedirect.com/science/article/pii/S2212628719300751
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