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...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2017-10-01
|
Series: | Arthroscopy Techniques |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628717301998 |
_version_ | 1818664035167502336 |
---|---|
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. |
first_indexed | 2024-12-17T05:26:20Z |
format | Article |
id | doaj.art-6f30f14756c14ac99d32a640a1b16feb |
institution | Directory Open Access Journal |
issn | 2212-6287 |
language | English |
last_indexed | 2024-12-17T05:26:20Z |
publishDate | 2017-10-01 |
publisher | Elsevier |
record_format | Article |
series | Arthroscopy Techniques |
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 |
work_keys_str_mv | AT joaoluizelleragomesmdphd intraarticularanteriorcruciateligamentreconstructionwithextraarticularlateraltenodesisoftheiliotibialband AT muriloandersonleiemd intraarticularanteriorcruciateligamentreconstructionwithextraarticularlateraltenodesisoftheiliotibialband AT marcosmarczwskimd intraarticularanteriorcruciateligamentreconstructionwithextraarticularlateraltenodesisoftheiliotibialband AT georgesanchezbs intraarticularanteriorcruciateligamentreconstructionwithextraarticularlateraltenodesisoftheiliotibialband AT marciobalbinottiferrarimd intraarticularanteriorcruciateligamentreconstructionwithextraarticularlateraltenodesisoftheiliotibialband |