Lateral Extra-articular Tenodesis With Proximal Staple Fixation.

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Biomechanical Engineering

Background:

• Anterior cruciate ligament (ACL) reconstruction failure can occur in patients with ligamentous laxity, prior surgery, or significant pivot-shift.
• Combining ACL reconstruction with lateral extra-articular tenodesis is a strategy to improve outcomes.
• Existing methods may involve complex anchor systems or additional tunnel creation.

Purpose of the Study:

• To describe a novel, straightforward technique for lateral extra-articular tenodesis.
• To present a cost-effective method for augmenting ACL reconstruction.
• To detail a technique that minimizes interference with ACL graft tunnels.

Main Methods:

• A technique for lateral extra-articular tenodesis using proximal staple fixation is described.
• This method serves as an adjunct to standard anterior cruciate ligament (ACL) reconstruction.
• The technique avoids the need for additional tunnels or suture anchors like SwiveLock.

Main Results:

• The described technique is easy to perform and cost-effective.
• Staple fixation avoids conflicts with ACL graft tunnels, unlike some suture anchor techniques.
• This approach offers a simplified adjunct to ACL reconstruction.

Conclusions:

• Proximal staple fixation provides a viable and advantageous method for lateral extra-articular tenodesis.
• This technique simplifies the augmentation of ACL reconstruction, potentially reducing failure rates.
• The described approach offers a cost-effective and tunnel-sparing adjunct for specific patient populations.