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Extra-articular lateral tenodesis for anterior cruciate ligament deficient knee: a case report
Diego García-Germán1, Pablo Menéndez2, Samuel González3
1Department of Orthopaedic Surgery, Hospital Universitario HM de Madrid-Torrelodones, Universidad San Pablo CEU, Torrelodones, 28250 Madrid, Spain ; Department of Orthopaedic Surgery, Servicio de COT, Hospital Universitario de Puerta de Hierro-Majadahonda, C/ Manuel de Falla 1, Majadahonda, 28222 Madrid, Spain.
Abstract:
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. We believe that isolated extra-articular reconstructions may still have a role in selected indications including moderate-demand patients complaining of rotational instability after ACL graft failure.
