Arthroscopic-Assisted Lateral Extra-Articular Tenodesis With Knotless Anchor Fixation

Recent studies have reported the biomechanical and clinical advantages of lateral extraarticular augmentation procedures including the modified lateral extra-articular tenodesis (LET) in the setting of anterior cruciate ligament reconstruction. LET has been shown to significantly decrease re-rupture...

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Main Authors: Gregory L. Darville, M.D., Bradley L. Young, M.D., Joseph D. Lamplot, M.D., John W. Xerogeanes, M.D.
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628723002463
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author Gregory L. Darville, M.D.
Bradley L. Young, M.D.
Joseph D. Lamplot, M.D.
John W. Xerogeanes, M.D.
author_facet Gregory L. Darville, M.D.
Bradley L. Young, M.D.
Joseph D. Lamplot, M.D.
John W. Xerogeanes, M.D.
author_sort Gregory L. Darville, M.D.
collection DOAJ
description Recent studies have reported the biomechanical and clinical advantages of lateral extraarticular augmentation procedures including the modified lateral extra-articular tenodesis (LET) in the setting of anterior cruciate ligament reconstruction. LET has been shown to significantly decrease re-rupture rates in high-risk patients and decrease anterior cruciate ligament graft forces during pivoting loads and instrumented anterior laxity testing. Many variations of the modified LET approaches have been described. However, concerns including lateral hematoma, wound-healing complications, and increased operative time exist. This minimally invasive, arthroscopic-assisted approach using a knotless, all-suture anchor allows for direct visualization through a 2-cm incision and inherently decreases the morbidity associated with traditional LET techniques.
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spelling doaj.art-67e77948babb40b68ba65c8da5bbdedf2023-12-23T05:20:39ZengElsevierArthroscopy Techniques2212-62872023-12-011212e2257e2264Arthroscopic-Assisted Lateral Extra-Articular Tenodesis With Knotless Anchor FixationGregory L. Darville, M.D.0Bradley L. Young, M.D.1Joseph D. Lamplot, M.D.2John W. Xerogeanes, M.D.3Address correspondence to Gregory Darville, M.D., Department of Orthopaedic Surgery, Emory University School of Medicine, 59 Executive Park S, Ste. 2000, Atlanta, Georgia, U.S.A.; Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia, U.S.A.Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia, U.S.A.Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia, U.S.A.Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia, U.S.A.Recent studies have reported the biomechanical and clinical advantages of lateral extraarticular augmentation procedures including the modified lateral extra-articular tenodesis (LET) in the setting of anterior cruciate ligament reconstruction. LET has been shown to significantly decrease re-rupture rates in high-risk patients and decrease anterior cruciate ligament graft forces during pivoting loads and instrumented anterior laxity testing. Many variations of the modified LET approaches have been described. However, concerns including lateral hematoma, wound-healing complications, and increased operative time exist. This minimally invasive, arthroscopic-assisted approach using a knotless, all-suture anchor allows for direct visualization through a 2-cm incision and inherently decreases the morbidity associated with traditional LET techniques.http://www.sciencedirect.com/science/article/pii/S2212628723002463
spellingShingle Gregory L. Darville, M.D.
Bradley L. Young, M.D.
Joseph D. Lamplot, M.D.
John W. Xerogeanes, M.D.
Arthroscopic-Assisted Lateral Extra-Articular Tenodesis With Knotless Anchor Fixation
Arthroscopy Techniques
title Arthroscopic-Assisted Lateral Extra-Articular Tenodesis With Knotless Anchor Fixation
title_full Arthroscopic-Assisted Lateral Extra-Articular Tenodesis With Knotless Anchor Fixation
title_fullStr Arthroscopic-Assisted Lateral Extra-Articular Tenodesis With Knotless Anchor Fixation
title_full_unstemmed Arthroscopic-Assisted Lateral Extra-Articular Tenodesis With Knotless Anchor Fixation
title_short Arthroscopic-Assisted Lateral Extra-Articular Tenodesis With Knotless Anchor Fixation
title_sort arthroscopic assisted lateral extra articular tenodesis with knotless anchor fixation
url http://www.sciencedirect.com/science/article/pii/S2212628723002463
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