Bone and Joint Institute

Title

Lateral Extra-articular Tenodesis in Anterior Cruciate Ligament Reconstruction

Document Type

Article

Publication Date

6-1-2020

Journal

Sports medicine and arthroscopy review

Volume

28

Issue

2

First Page

71

Last Page

78

URL with Digital Object Identifier

10.1097/JSA.0000000000000278

Abstract

A subset of patients have residual rotational laxity following anterior cruciate ligament reconstruction (ACLR) despite the evolution of ACLR techniques. In recent years, there has been increased interest in addressing residual laxity because it is associated with poor outcomes after ACLR. There is an expanding body of knowledge on the anatomy and biomechanics of the anterolateral soft tissue restraints in regard to their rotational control of the knee and this has reignited an interest in extra-articular reconstruction techniques for augmenting ACLR. Reconstruction techniques currently used can be broadly categorized as either lateral extra-articular tenodesis or anterolateral ligament reconstruction. In this review, we discuss the relevant anatomy, biomechanics, and rationale behind the indications and technique of our current extra-articular augmentation procedure.

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