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Lateral extra articular tenodesis

S Zaffagnini, C Signorelli, T Bonanzinga, T Roberti Di Sarsina, A Grassi, A Budeyri, G M Marcheggiani Muccioli, F Raggi, L Bragonzoni, N Lopomo, M Marcacci
PURPOSE: The hypothesis was that an alteration of different surgical variables of ACL reconstruction would produce significant changes in post-operative static laxity of knee joint. METHODS: Joint laxity was acquired by a surgical navigation system for 17 patients just after graft fixation during single-bundle reconstruction with extra-articular lateral tenodesis. The analysed laxity parameters were: internal/external rotation at 30° (IE30) and 90° (IE90) of flexion, varus/valgus rotation at 0° (VV0) and 30° (VV30) of flexion and anterior/posterior displacement at 30° (AP30) and 90° (AP90) of flexion...
September 15, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Matteo Guzzini, Daniele Mazza, Mattia Fabbri, Riccardo Lanzetti, Andrea Redler, Carlo Iorio, Edoardo Monaco, Andrea Ferretti
PURPOSE: The growing popularity of elite soccer among female participants has led to increased incidents of anterior cruciate ligament (ACL) ruptures. Many authors underline a positive glide after ACL reconstruction (ACLR), especially in women. In fact, an isolated intra-articular ACLR may be inadequate to control rotational instability after a combined injury of the ACL and the peripheral structures of the knee. Extra-articular procedures are sometimes used in primary cases displaying excessive antero-lateral rotatory instability...
October 2016: International Orthopaedics
Erik L Slette, Jacob D Mikula, Jason M Schon, Daniel C Marchetti, Matthew M Kheir, Travis Lee Turnbull, Robert F LaPrade
PURPOSE: To systematically review and compare biomechanical results of lateral extra-articular tenodesis (LET) procedures. METHODS: A systematic review was performed using the PubMed, Medline, Embase, and Cochrane databases. The search terms included the following: extraarticular, anterolateral, iliotibial, tenodesis, plasty, augmentation, procedure, reconstruction, technique, biomechanics, kinematic, robot, cadaver, knee, lateral tenodesis, ACL, Marcacci, Lemaire, Losee, Macintosh, Ellison, Andrews, Hughston, and Muller...
June 18, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
Mai Katakura, Hideyuki Koga, Kaori Nakamura, Ichiro Sekiya, Takeshi Muneta
PURPOSE: Several kinds of anterolateral ligament (ALL) reconstructions to augment intra-articular anterior cruciate ligament reconstruction to better control anterolateral rotational instability (ALRI) have been reported. However, the optimal femoral attachment site for ALL reconstruction is still unclear. The purpose of this study was to investigate the effects of different femoral attachment sites on the tension changes through knee motions in different situations in order to determine a recommended femoral attachment site for ALL reconstruction...
May 25, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Ata A Rahnemai-Azar, R Matthew Miller, Daniel Guenther, Freddie H Fu, Bryson P Lesniak, Volker Musahl, Richard E Debski
BACKGROUND: The role of the anterolateral capsule in knee stability has recently been advocated by studies reporting that a distinct ligament exists in this area. Defining the structural properties of the anterolateral capsule can provide insight into its contribution to joint stability. The structural properties of the iliotibial band also need to be determined, as it is a common graft used for extra-articular tenodesis. PURPOSE/HYPOTHESIS: The purpose of this study was to determine the structural properties of the anterolateral capsule and iliotibial band...
April 2016: American Journal of Sports Medicine
Guan-Yang Song, Lei Hong, Hui Zhang, Jin Zhang, Yue Li, Hua Feng
PURPOSE: To evaluate the clinical outcomes of combined lateral extra-articular tenodesis (LET) and intra-articular anterior cruciate ligament (ACL) reconstruction (ACLR) in addressing the high-grade pivot-shift phenomenon. METHODS: The PubMed/Medline database was searched for articles reporting clinical outcomes of combined LET and intra-articular ACLR in treating ACL injuries with high-grade pivot shift. High-grade pivot shift was defined as the presence of moderate to severe rotational instability shown by a grade II or III manual pivot shift preoperatively (grade 0, normal; grade I, glide; grade II, clunk; and grade III, locking, according to International Knee Documentation Committee [IKDC] form)...
May 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
James H Lubowitz
Knee lateral extra-articular tenodesis (LET) can be combined with anterior cruciate ligament (ACL) reconstruction with a goal of reducing anterolateral rotatory instability. Like double-bundle ACL reconstruction, LET combined with ACL reconstruction reduces pivot-shift, a subjective test, but results in no significant difference in clinical outcome.
October 2015: Arthroscopy: the Journal of Arthroscopic & related Surgery
Thomas Branch, Frédéric Lavoie, Christian Guier, Eric Branch, Timothy Lording, Shaun Stinton, Philippe Neyret
PURPOSE: The purpose of this study was to compare the biomechanical characteristics and patient outcomes after either isolated intraarticular ACL reconstruction or intraarticular reconstruction with lateral extra-articular tenodesis. In addition, we aimed to evaluate biomechanical parameters of the entire uninjured, contralateral knee as a baseline during the analysis. METHODS: Eighteen patients were evaluated at an average of 9.3 years after ACL reconstruction...
October 2015: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Christopher E Hewison, Michael N Tran, Nicole Kaniki, Alliya Remtulla, Dianne Bryant, Alan M Getgood
PURPOSE: To determine whether the addition of lateral extra-articular tenodesis (LET) to anterior cruciate ligament (ACL) reconstruction would provide greater control of rotational laxity and improved clinical outcomes compared with ACL reconstruction alone. METHODS: Two independent reviewers searched 9 databases for randomized and nonrandomized clinical studies comparing ACL reconstruction plus LET versus ACL reconstruction alone in a human adult population. All years and 5 languages were included...
October 2015: Arthroscopy: the Journal of Arthroscopic & related Surgery
Luke Spencer, Timothy A Burkhart, Michael N Tran, Alex James Rezansoff, Shaneel Deo, Scott Caterine, Alan M Getgood
BACKGROUND: Anatomic anterolateral ligament (ALL) reconstruction has been proposed to assist anterior cruciate ligament (ACL) reconstruction in controlling anterolateral rotational laxity of the knee. However, the biomechanical effects have not been reported. PURPOSE: (1) To investigate the effect of ALL transection on rotational knee kinematics and (2) to determine the effect on knee biomechanics of ALL reconstruction procedures compared with lateral extra-articular tenodesis (LET)...
September 2015: American Journal of Sports Medicine
Daniel Guenther, Chad Griffith, Bryson Lesniak, Nicola Lopomo, Alberto Grassi, Stefano Zaffagnini, Freddie H Fu, Volker Musahl
Recent publications have generated renewed interest in the anatomy of the anterolateral capsule. Knowledge of the biomechanical function of the anterolateral components is lacking. Further research is required to evaluate the influence of the anterolateral capsule on rotatory laxity of the knee. The role of surgical procedures, such as an extra-articular tenodesis or lateral plasty, has to be defined based on quantification of the injury. This article seeks to summarize the current literature and discusses the role of the anterolateral capsule and reconstructive techniques in combined ligamentous knee trauma...
October 2015: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Edoardo Monaco, Barbara Maestri, Fabio Conteduca, Daniele Mazza, Carlo Iorio, Andrea Ferretti
BACKGROUND: The pivot-shift test is considered a reliable examination to evaluate the results of anterior cruciate ligament (ACL) reconstruction, as it strongly correlates with patient satisfaction, giving-way episodes, and activity level. The addition of lateral tenodesis (LT) to current techniques of intra-articular reconstruction with a hamstring graft could potentially improve knee laxity in cases of severe rotational instability. PURPOSE: To biomechanically investigate the effect of intra- and extra-articular ACL reconstructions on knee laxity and the pivot-shift phenomenon...
July 2014: American Journal of Sports Medicine
Diego García-Germán, Pablo Menéndez, Samuel González, Pablo de la Cuadra, Ricardo Rodríguez-Arozena
We present the case of an extra-articular lateral tenodesis for an anterior cruciate ligament (ACL) deficient knee. A 46-year-old male patient sustained an ACL graft rupture after a motorcycle accident. He complained of rotational instability and giving-way episodes. His previous graft was fixed by an intra-articular femoral staple that was not possible to remove at the time of the ACL revision. A modified Lemaire procedure was then performed. He gained rotational stability and was able to resume his sporting activities...
2013: Case Reports in Orthopedics
Dominique Saragaglia, Alexis Pison, Ramsay Refaie
PURPOSE: The aim of this study was to assess the anatomical results, functional results and the incidence of arthritis of a mixed intra- and extra-articular hamstring tendon based reconstruction for anterior instability of the knee. METHODS: This retrospective study consists of 100 knees in 99 patients (22 female and 77 male) operated upon between November 2003 and March 2006. The average age was 29.7 ± 10.4 years and the average interval between injury and surgery was 26...
August 2013: International Orthopaedics
Faycal Trichine, Ma'ad Alsaati, Julien Chouteau, Bernard Moyen, Mahdjoub Bouzitouna, Rabah Maza
PURPOSE: A prospective randomized study was performed to assess the influence of extra-articular ilio-tibial band tenodesis on the results of arthroscopic anterior cruciate ligament (ACL) reconstruction in patients with advanced-stage chronic anterior laxity of the knee. METHODS: Preoperatively, the two constituent groups of our series of 120 patients: group 1 (Kenneth Jones) and group 2 (Kenneth Jones+extra-articular ilio-tibial band tenodesis) were strictly comparable with regard to demographic data, activity level, interval between the injury and the operation, and even objective laxity...
January 2014: Knee
Victoria B Duthon, Robert A Magnussen, Elvire Servien, Philippe Neyret
The purpose of this article is to update the orthopedic community on the role of lateral extra-articular tenodesis in the management of anterior cruciate ligament-deficient knees. Information includes historical perspective, current applications and techniques, and a review of published outcomes.
January 2013: Clinics in Sports Medicine
Christophe Trojani, Philippe Beaufils, Gilles Burdin, Christophe Bussière, Vincent Chassaing, Patrick Djian, Frédéric Dubrana, François-Paul Ehkirch, Jean-Pierre Franceschi, Christophe Hulet, Franck Jouve, Jean-François Potel, Abderahmane Sbihi, Philippe Neyret, Philippe Colombet
PURPOSE: The aims of this article were to report the objective results of revision ACL reconstruction and to assess the influence of an associated lateral extra-articular tenodesis on knee stability and IKDC score. METHODS: This study focused on revision ACL reconstruction and was conducted over a 10-year period, from 1994 to 2003 with ten French orthopedic centers participating. The minimum follow-up required was 2 years. To be included, patients had to be evaluated at follow-up with the objective International Knee Documenting Committee (IKDC) scoring system...
August 2012: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
S Zaffagnini, C Signorelli, N Lopomo, T Bonanzinga, G M Marcheggiani Muccioli, S Bignozzi, A Visani, M Marcacci
PURPOSE: Combinations of intra- and extra-articular procedures have been proposed for anterior cruciate ligament reconstruction with the aim of achieving an optimal control of translational and rotational knee laxities. Recently, the need for better reproducing the structural and functional behavior of the native anterior cruciate ligament led to the definition of anatomic double-bundle surgical approach. This study aimed to quantitatively verify whether the in vivo static and dynamic behavior obtained using over-the-top single-bundle with extra-articular tenodesis reconstruction was comparable to the results achieved by anatomic double-bundle approach...
January 2012: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Philippe Colombet
BACKGROUND: Rotational laxity control is one of the different options to improve functional results after anterior cruciate ligament reconstruction. Lateral extra-articular tenodesis has been proposed to reduce the rotational laxity, especially in challenging situations such as revision reconstruction after biological failure. We currently lack the practical clinical tools to objectively assess knee rotational laxities. HYPOTHESIS: Addition of a lateral tenodesis to anatomic single-bundle anterior cruciate ligament reconstruction with hamstring tendon graft could improve the knee laxity control, particularly the internal rotation, compared with a standard single-bundle anterior cruciate ligament reconstruction...
June 2011: American Journal of Sports Medicine
L Lafosse, U Lanz, B Saintmard, C Campens
INTRODUCTION: Arthroscopic management of extensive subscapularis tendon lesions was reported more recently than for the supra- and infra-spinatus tendons. Extensive tears create technical problems requiring an extra-articular approach. The few results so far reported have been encouraging. STUDY DESIGN: Surgical techniques adapted to each type of tear according to our subscapularis lesion classification are described, with the preliminary results from our cohort...
December 2010: Orthopaedics & Traumatology, Surgery & Research: OTSR
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