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[Modified Lemaire Procedure: Indication, procedure, and clinical results]
Andreas Flury1, Julian Hasler2, Florian Balthasar Imhoff3
1Orthopädie und Traumatologie, Bürgerspital Solothurn, 4500, Solothurn, Schweiz. andreas.flury@spital.so.ch.
Der Orthopade
|December 12, 2018
Summary
Anterolateral ligament (ALL) reconstruction, particularly the Lemaire technique, shows promise for stabilizing the knee after anterior cruciate ligament (ACL) rupture. While offering benefits like low morbidity, careful tensioning is crucial to avoid complications.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomechanics
Background:
- Anterior cruciate ligament (ACL) ruptures often involve anterolateral complex injuries, leading to persistent pivot shift even after ACL reconstruction.
- The anterolateral complex is critical for stabilizing tibial internal rotation.
Purpose of the Study:
- To review the role of anterolateral stabilization in conjunction with ACL reconstruction.
- To focus on the modified Lemaire technique for anterolateral ligament (ALL) reconstruction.
Main Methods:
- Review of biomechanical and clinical studies on ALL reconstruction.
- Focus on the modified, lateral, extra-articular stabilization technique (Lemaire).
Main Results:
- The modified Lemaire technique offers low morbidity as it avoids additional tendon harvesting.
- Complete control of the pivot shift is not achieved in approximately 8% of cases.
- Over-tightening the ALL can increase lateral knee compartment pressure.
Conclusions:
- Anterolateral ligament reconstruction is a significant topic in knee surgery literature.
- The modified Lemaire technique presents a viable option for anterolateral stabilization, balancing benefits and risks.
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