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The Fascia Lata Anterolateral Tenodesis Technique
Andrea Ferretti1, Edoardo Monaco1, Mattia Fabbri1
1University of Rome "La Sapienza"; II School of Medicine, Sant'Andrea Hospital; and Kirk Kilgour Sports Injury Center, Rome, Italy.
Arthroscopy Techniques
|April 5, 2017
Summary
This study presents a novel technique for reconstructing the anterolateral complex to treat anterolateral rotatory instability in knee injuries. The method uses a strip of the iliotibial tract for an extra-articular double-bundle V-shaped repair.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Knee Biomechanics
Background:
- Anterolateral rotatory instability is a common complication following anterior cruciate ligament (ACL) injuries.
- Existing surgical techniques for ACL reconstruction may not fully address anterolateral rotatory instability.
- Anatomic reconstruction of the anterolateral complex is crucial for restoring knee stability.
Purpose of the Study:
- To present a novel technique for the anatomic reconstruction of the anterolateral complex.
- To address anterolateral rotatory instability in both primary and revision anterior cruciate ligament reconstruction cases.
- To provide a reproducible surgical method for enhancing knee stability.
Main Methods:
- An extra-articular reconstruction technique was developed.
- A pedicle strip of the iliotibial tract was utilized for the reconstruction.
- The graft was fixed to the anatomic origin and insertion points of the anterolateral ligament in a double-bundle V-shaped fashion.
Main Results:
- The described technique allows for anatomic reconstruction of the anterolateral complex.
- This method addresses anterolateral rotatory instability effectively.
- The V-shaped, double-bundle fixation ensures secure graft placement.
Conclusions:
- The presented technique offers a viable solution for anterolateral rotatory instability.
- This approach can be applied to both primary and revision ACL reconstruction scenarios.
- Anatomic reconstruction of the anterolateral complex with iliotibial tract is a promising surgical option.