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Lateral extra articular tenodesis

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https://www.readbyqxmd.com/read/30292594/revision-anterior-cruciate-ligament-reconstruction-with-hamstrings-and-extra-articular-tenodesis-a-mid-to-long-term-clinical-and-radiological-study
#1
Andrea Redler, Raffaele Iorio, Edoardo Monaco, Francesco Puglia, Megan R Wolf, Daniele Mazza, Andrea Ferretti
PURPOSE: To present the mid- to long-term clinical and radiographic outcomes of a series of patients who underwent revision anterior cruciate ligament (ACL) reconstruction with doubled gracilis and semitendinosus (DGST) autograft and a lateral extra-articular tenodesis (LET). METHODS: Patients who underwent revision ACL reconstruction with DGST and LET by a single surgeon between January 1997 and December 2013 were included. Revision was indicated by ACL failure noted on magnetic resonance imaging, persistent clinical instability, or laxity on clinical exam...
October 3, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/30233974/combined-acl-and-anterolateral-ligament-reconstruction
#2
Adnan Saithna, Mathieu Thaunat, Jean Romain Delaloye, Hervé Ouanezar, Jean Marie Fayard, Bertrand Sonnery-Cottet
Background: Clinical results of combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction have demonstrated a significant reduction in ACL graft rupture rates and improved rates of return to sports compared with isolated ACL reconstruction1 . This finding is supported by laboratory studies that have demonstrated that combined ACL reconstruction and lateral extra-articular tenodesis procedures protect the ACL graft by load-sharing with it and by more reliably restoring normal knee kinematics compared with isolated ACL reconstruction...
March 28, 2018: JBJS essential surgical techniques
https://www.readbyqxmd.com/read/30227449/outcome-after-combined-lateral-extra-articular-tenodesis-and-anterior-cruciate-ligament-revision-in-professional-soccer-players
#3
Mattia Alessio-Mazzola, Matteo Formica, Antonio Russo, Francesca Sanguineti, Andrea Giorgio Capello, Stefano Lovisolo, Lamberto Felli
We report the functional outcome after combined anterior cruciate ligament (ACL) reconstruction and lateral extra-articular tenodesis (LET) for ACL re-rupture and high-grade pivot shift in professional soccer players. For this retrospective review, the medical records of 24 professional soccer players were analyzed. The mean age at surgery was 23.8 ± 4.2 years and the mean follow-up was 42.2 ± 16.9 months. Pre- and postoperative assessment included the KT-1000 Lachman test, pivot shift test, International Knee Documentation Committee (IKDC) subjective knee evaluation, Tegner activity scale (TAS), and Lysholm score...
September 18, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/30209520/anterior-cruciate-ligament-reconstruction-with-an-all-epiphyseal-over-the-top-technique-is-safe-and-shows-low-rate-of-failure-in-skeletally-immature-athletes
#4
Tommaso Roberti di Sarsina, Luca Macchiarola, Cecilia Signorelli, Alberto Grassi, Federico Raggi, Giulio Maria Marcheggiani Muccioli, Stefano Zaffagnini
PURPOSE: The aim of this study was to follow up, clinically and radiographically, skeletally immature patients who underwent ACL reconstruction with an all-epiphyseal "over-the-top" technique. METHODS: Twenty athletes aged between 8 and 13 years were enrolled and retrospectively evaluated. The subjects underwent surgical ACL reconstruction between 2009 and 2013. The surgical technique consisted of a single-bundle all-epiphyseal ACL reconstruction with an extra-articular lateral tenodesis...
September 12, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/30173809/two-different-knee-rotational-instabilities-occur-with-anterior-cruciate-ligament-and-anterolateral-ligament-injuries-a-robotic-study-on-anterior-cruciate-ligament-and-extra-articular-reconstructions-in-restoring-rotational-stability
#5
Frank R Noyes, Lauren E Huser, John West, Darin Jurgensmeier, James Walsh, Martin S Levy
PURPOSE: To determine the effect of 2 extra-articular reconstructions on pivot-shift rotational stability and tibial internal rotation as a basis for clinical recommendations. METHODS: A robotic simulator tested 15 cadaver knees. Group 1 (anterior cruciate ligament [ACL] cut) underwent ACL bone-patellar tendon-bone reconstruction followed by sectioning the anterolateral structures and an extra-articular, manual-tension iliotibial band (ITB) tenodesis. Group 2 (ACL intact) tested the rotational stabilizing effect of a low-tension ITB tenodesis before and after sectioning the anterolateral ligament/ITB structures...
September 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29401410/lateral-augmentation-procedures-in-anterior-cruciate-ligament-reconstruction-anatomic-biomechanical-imaging-and-clinical-evidence
#6
Alexander E Weber, William Zuke, Erik N Mayer, Brian Forsythe, Alan Getgood, Nikhil N Verma, Bernard R Bach, Asheesh Bedi, Brian J Cole
BACKGROUND: There has been an increasing interest in lateral-based soft tissue reconstructive techniques as augments to anterior cruciate ligament reconstruction (ACLR). The objective of these procedures is to minimize anterolateral rotational instability of the knee after surgery. Despite the relatively rapid increase in surgical application of these techniques, many clinical questions remain. PURPOSE: To provide a comprehensive update on the current state of these lateral-based augmentation procedures by reviewing the origins of the surgical techniques, the biomechanical data to support their use, and the clinical results to date...
February 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29354466/intra-articular-anterior-cruciate-ligament-reconstruction-with-extra-articular-lateral-tenodesis-of-the-iliotibial-band
#7
João Luiz Ellera Gomes, Murilo Anderson Leie, Marcos Marczwski, George Sánchez, Márcio Balbinotti Ferrari
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...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29304967/editorial-commentary-filling-the-void-in-translational-research-for-lateral-extra-articular-tenodesis-for-anterior-cruciate-ligament-reconstruction-are-we-saturated-with-biomechanical-studies
#8
EDITORIAL
Patrick A Smith
Anterior cruciate ligament (ACL) graft failure rates remain unacceptably high in certain populations, and researchers are examining the effect that the anterolateral ligament (ALL) has on knee stability following ACL reconstruction. Currently, most available research examining the ALL has focused on cadaveric biomechanical kinematic studies, including the effect of surgical techniques for ALL reconstruction/lateral extra-articular tenodesis (LET). However, it is critical for ongoing and future research to focus on clinical outcome measures relating to individuals who have had ALL reconstruction or LET along with their ACL reconstructions...
January 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29173560/extra-articular-tenodesis-in-combination-with-anterior-cruciate-ligament-reconstruction-an-overview
#9
REVIEW
Simone Cerciello, Cécile Batailler, Nader Darwich, Philippe Neyret
Anterior cruciate ligament (ACL) reconstruction is a successful procedure with high rates of return to sport. However, some patients experience persistent instability and graft failure. These adverse events have a significant impact, especially on high-level athletes. In an effort to improve outcomes for these patients, more attention is being paid to the anatomic structures at the anterolateral aspect of the knee. The anterolateral structures of the knee have been shown to play a major role in decreasing rotatory knee instability and forces across the ACL graft following reconstruction...
January 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29173559/anterolateral-ligament-reconstruction-or-extra-articular-tenodesis-why-and-when
#10
REVIEW
Manoj Mathew, Aad Dhollander, Alan Getgood
Residual rotational laxity following anterior cruciate ligament (ACL) reconstruction has been identified as significant concern in many patients, despite evolution of techniques. The expanding body of knowledge on the anatomy and biomechanics of the anterolateral soft tissue restraints in rotational control of the knee has reignited an interest in extra-articular reconstruction techniques for augmenting ACL reconstruction. Reconstruction techniques currently used can be broadly categorized as either lateral extra-articular tenodesis or reconstruction of the anterolateral ligament...
January 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29173551/extra-articular-plasty-for-revision-anterior-cruciate-ligament-reconstruction
#11
REVIEW
Panagiotis Ntagiopoulos, David Dejour
Recent studies have renewed interest in the structures of the anterolateral aspect of the knee. Concomitant damage to these structures in the setting of anterior cruciate ligament rupture has led to various surgical techniques to address these combined injuries. This article is a description of the rationale and the indications for lateral extra-articular tenodesis as well as surgical technique.
January 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29173550/the-role-of-an-extra-articular-tenodesis-in-revision-of-anterior-cruciate-ligament-reconstruction
#12
REVIEW
Thomas K Miller
Patients who present for anterior cruciate ligament (ACL) revision with a high-grade pivot shift at the time of an index ACL revision procedure and subsequent reconstruction failure or a high-grade pivot shift at revision surgery, patients with generalized joint laxity, and those requiring softs tissue grafts should be considered candidates for lateral tenodesis to supplement intraarticular graft revision. Although there is no consensus regarding the optimal lateral tenodesis technique, due to the tibial positioning associated with tensioning and fixation of extra-articular procedures, a lateral tenodesis should not be used in patients with posterolateral corner injuries or lateral compartment articular disease...
January 2018: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/29124075/the-role-of-lateral-extra-articular-tenodesis-in-primary-anterior-cruciate-ligament-reconstruction-a-systematic-review-with-meta-analysis-and-best-evidence-synthesis
#13
Brian M Devitt, Stuart W Bell, Clare L Ardern, Taylor Hartwig, Tabitha J Porter, Julian A Feller, Kate E Webster
Background: The role of lateral extra-articular tenodesis (LEAT) to augment primary anterior cruciate ligament reconstruction (ACLR) remains controversial. Purpose: To determine whether the addition of LEAT to primary ACLR provides greater control of rotational laxity and improves clinical outcomes compared with ACLR alone and to assess the impact of early versus delayed ACLR. Study Design: Systematic review; Level of evidence, 3. Methods: Two reviewers independently searched 7 databases for randomized and nonrandomized clinical studies comparing ACLR plus LEAT versus ACLR alone...
October 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29079261/lateral-extra-articular-tenodesis-has-no-effect-in-knees-with-isolated-anterior-cruciate-ligament-injury
#14
Elmar Herbst, Fabio V Arilla, Daniel Guenther, Carlos Yacuzzi, Ata A Rahnemai-Azar, Freddie H Fu, Richard E Debski, Volker Musahl
PURPOSE: To investigate knee kinematics in response to physical examinations to determine the effect of anterolateral capsular injury and lateral extra-articular tenodesis (LET) in anterior cruciate ligament (ACL)-deficient and -reconstructed knees. METHODS: Seven human lower limb cadavers were used in this study (mean age, 60 years; age range, 56-63 years). Physical examinations were performed, including the pivot-shift test, Lachman test, anterior drawer at 90°, and internal and external tibial rotation at 30°, 60°, and 90° of knee flexion...
January 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28922015/over-the-top-acl-reconstruction-plus-extra-articular-lateral-tenodesis-with-hamstring-tendon-grafts-prospective-evaluation-with-20-year-minimum-follow-up
#15
Stefano Zaffagnini, Giulio Maria Marcheggiani Muccioli, Alberto Grassi, Tommaso Roberti di Sarsina, Federico Raggi, Cecilia Signorelli, Francisco Urrizola, Paolo Spinnato, Eugenio Rimondi, Maurilio Marcacci
BACKGROUND: There are few published studies with very long-term follow-up of combined intra- and extra-articular anterior cruciate ligament (ACL) reconstruction. PURPOSE: To analyze clinical and radiographic outcomes of over-the-top ACL reconstruction plus extra-articular lateral tenodesis with autologous hamstrings at minimum 20-year follow-up. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Of 60 originally eligible patients who underwent over-the-top ACL reconstruction with double-stranded hamstring tendon (leaving intact graft tibial insertions) and extra-articular lateral plasty (performed with the remnant part of tendons), 52 were prospectively evaluated at a minimum 20-year follow-up (mean follow-up, 24 years; 41 men, 11 women; mean age at time of surgery, 25...
December 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28917520/short-term-complications-in-intra-and-extra-articular-anterior-cruciate-ligament-reconstruction-comparison-with-the-literature-on-isolated-intra-articular-reconstruction-a-multicenter-study-by-the-french-arthroscopy-society
#16
MULTICENTER STUDY
J C Panisset, R Pailhé, B Schlatterer, L Sigwalt, B Sonnery-Cottet, C Lutz, S Lustig, C Batailler, S Bertiaux, F P Ehkirch, P Colombet, C Steltzlen, M L Louis, P D'ingrado, F Dalmay, P Imbert, D Saragaglia
INTRODUCTION: Lateral tenodesis (LT) is performed to limit the risk of iterative tear following anterior cruciate ligament (ACL) reconstruction in at-risk patients. By adding an extra procedure to isolated ACL graft, LT reconstruction increases operating time and may complicate postoperative course. The objective of the present study was to evaluate the rate of early complications. The study hypothesis was that associating ALL reconstruction to ACL reconstruction does not increase the complications rate found with isolated ACL reconstruction...
December 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28669473/editorial-commentary-ultrasound-barely-beats-magnetic-resonance-imaging-in-knee-anterolateral-ligament-evaluation%C3%A2-but-does-this-change-the-treatment-of-the-anterior-cruciate-ligament-deficient-knee
#17
EDITORIAL
Michael J Rossi
Ultrasound (US) examination of the anterolateral ligament (ALL) in the anterior cruciate ligament-deficient knee betters magnetic resonance imaging analysis with slightly higher identification rate of the entire ALL presumably due to the ability to test in a functional pivot shift configuration. The ALL was injured in 63% of the anterior cruciate ligament-deficient knees and the injury occurred at the tibial insertion in all cases. Although the authors propose US to be the new "gold standard" for diagnosing ALL injuries, there still remains a question of whether there is any necessity for an US diagnosis of ALL injury when the pivot shift test may provide the necessary information, and the consensus for ALL reconstruction or lateral extra-articular tenodesis has yet to be reached...
July 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28610433/reoperation-rates-after-combined-anterior-cruciate-ligament-and-anterolateral-ligament-reconstruction-a-series-of-548-patients-from-the-santi-study-group-with-a-minimum-follow-up-of-2-years
#18
Mathieu Thaunat, Gilles Clowez, Adnan Saithna, Maxime Cavalier, Eric Choudja, Thais D Vieira, Jean-Marie Fayard, Bertrand Sonnery-Cottet
BACKGROUND: Early clinical results of anterolateral ligament (ALL) reconstruction are promising, but concerns exist due to high rates of complications after other types of lateral extra-articular tenodesis. The rate of surgery after combined anterior cruciate ligament (ACL) and ALL reconstruction is not known. PURPOSE: To determine the rate of reoperation after combined ACL and ALL reconstruction. STUDY DESIGN: Case series; Level of evidence, 4...
September 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28608009/clinical-outcomes-of-extra-articular-tenodesis-anterolateral-reconstruction-in-the-acl-injured-knee
#19
REVIEW
Bertrand Sonnery-Cottet, Nuno Camelo Barbosa, Thais Dutra Vieira, Adnan Saithna
PURPOSE: The role of concomitant extra-articular procedures in improving the outcome of ACL reconstruction has experienced a recent resurgence in interest. The aim of this article is to highlight the differences in philosophies and outcomes of historical lateral extra-articular tenodesis (LET) and contemporary, anterolateral reconstruction. METHODS: A narrative review was performed using PubMed/MEDLINE using the keywords "lateral extra-articular tenodesis" and "anterolateral ligament reconstruction"...
February 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28580262/minimally-invasive-combined-anterior-and-anterolateral-stabilization-of-the-knee-using-hamstring-tendons-and-adjustable-loop-suspensory-fixation-device-surgical-technique
#20
Achilleas Boutsiadis, Paul Brossard, Jean-Claude Panisset, Nicolas Graveleau, Johannes Barth
Despite the numerous techniques described regarding isolated anterior cruciate ligament (ACL) reconstruction, many authors have reported that residual knee rotational instability is not always eliminated. The combination of lateral extra-articular knee tenodesis and ACL reconstruction is an alternative surgical approach with very promising clinical results. The purpose of this article is to describe a reliable and reproducible technique of combined ACL reconstruction and lateral extra-articular knee tenodesis using a continuous looped hamstring tendon autograft...
April 2017: Arthroscopy Techniques
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