Intra-articular Anterior Cruciate Ligament Reconstruction With Extra-articular Lateral Tenodesis of the Iliotibial Band

An increasing concern has been given to the rotation stability of the knee in the setting of an anterior cruciate ligament (ACL) reconstruction. This growing interest stems from a better understanding of the rotational stability of the knee afforded by the identification of the anterolateral ligamen...

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Main Authors: João Luiz Ellera Gomes, M.D., Ph.D., Murilo Anderson Leie, M.D., Marcos Marczwski, M.D., George Sánchez, B.S., Márcio Balbinotti Ferrari, M.D.
Format: Article
Language:English
Published: Elsevier 2017-10-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628717301998
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author João Luiz Ellera Gomes, M.D., Ph.D.
Murilo Anderson Leie, M.D.
Marcos Marczwski, M.D.
George Sánchez, B.S.
Márcio Balbinotti Ferrari, M.D.
author_facet João Luiz Ellera Gomes, M.D., Ph.D.
Murilo Anderson Leie, M.D.
Marcos Marczwski, M.D.
George Sánchez, B.S.
Márcio Balbinotti Ferrari, M.D.
author_sort João Luiz Ellera Gomes, M.D., Ph.D.
collection DOAJ
description An increasing concern has been given to the rotation stability of the knee in the setting of an anterior cruciate ligament (ACL) reconstruction. This growing interest stems from a better understanding of the rotational stability of the knee afforded by the identification of the anterolateral ligament. Previously, a residual abnormal pivot-shift test had been found after an anatomic single-band reconstruction of the ACL because of a lack of rotational stability, which may lead to the development of osteoarthritis. Residual instability affects function, especially in high-demand athletes who perform many flexion-rotation movements during sporting activity. The purpose of this Technical Note is to describe our preferred method of intra-articular ACL reconstruction using a hamstring tendon autograft in combination with an extra-articular iliotibial band tenodesis for reinforcement of rotational stability.
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spelling doaj.art-6f30f14756c14ac99d32a640a1b16feb2022-12-21T22:01:51ZengElsevierArthroscopy Techniques2212-62872017-10-0165e1507e1514Intra-articular Anterior Cruciate Ligament Reconstruction With Extra-articular Lateral Tenodesis of the Iliotibial BandJoão Luiz Ellera Gomes, M.D., Ph.D.0Murilo Anderson Leie, M.D.1Marcos Marczwski, M.D.2George Sánchez, B.S.3Márcio Balbinotti Ferrari, M.D.4Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil; Address correspondence to João Luiz Ellera Gomes, M.D., Ph.D., Rua Ramiro Barcelos, 2350–Santa Cecília 90035-903, Porto Alegre, Rio Grande do Sul, Brazil.Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, BrazilHospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, BrazilSteadman Philippon Research Institute, Vail, Colorado, U.S.A.Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, BrazilAn increasing concern has been given to the rotation stability of the knee in the setting of an anterior cruciate ligament (ACL) reconstruction. This growing interest stems from a better understanding of the rotational stability of the knee afforded by the identification of the anterolateral ligament. Previously, a residual abnormal pivot-shift test had been found after an anatomic single-band reconstruction of the ACL because of a lack of rotational stability, which may lead to the development of osteoarthritis. Residual instability affects function, especially in high-demand athletes who perform many flexion-rotation movements during sporting activity. The purpose of this Technical Note is to describe our preferred method of intra-articular ACL reconstruction using a hamstring tendon autograft in combination with an extra-articular iliotibial band tenodesis for reinforcement of rotational stability.http://www.sciencedirect.com/science/article/pii/S2212628717301998
spellingShingle João Luiz Ellera Gomes, M.D., Ph.D.
Murilo Anderson Leie, M.D.
Marcos Marczwski, M.D.
George Sánchez, B.S.
Márcio Balbinotti Ferrari, M.D.
Intra-articular Anterior Cruciate Ligament Reconstruction With Extra-articular Lateral Tenodesis of the Iliotibial Band
Arthroscopy Techniques
title Intra-articular Anterior Cruciate Ligament Reconstruction With Extra-articular Lateral Tenodesis of the Iliotibial Band
title_full Intra-articular Anterior Cruciate Ligament Reconstruction With Extra-articular Lateral Tenodesis of the Iliotibial Band
title_fullStr Intra-articular Anterior Cruciate Ligament Reconstruction With Extra-articular Lateral Tenodesis of the Iliotibial Band
title_full_unstemmed Intra-articular Anterior Cruciate Ligament Reconstruction With Extra-articular Lateral Tenodesis of the Iliotibial Band
title_short Intra-articular Anterior Cruciate Ligament Reconstruction With Extra-articular Lateral Tenodesis of the Iliotibial Band
title_sort intra articular anterior cruciate ligament reconstruction with extra articular lateral tenodesis of the iliotibial band
url http://www.sciencedirect.com/science/article/pii/S2212628717301998
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