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Modified Lemaire Lateral Extra-Articular Tenodesis Using an Inlay Technique and All-Suture Knotless Anchor Fixation.

Andrew Haus¹, Avishay Chand², Karly Dawson³

¹Barton Center for Orthopedics and Wellness, South Lake Tahoe, California, U.S.A.

Arthroscopy Techniques

|October 2, 2023

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Lateral extra-articular tenodesis (LET) reduces anterior cruciate ligament (ACL) graft failure. This technique minimizes tunnel convergence risk by creating a shallow femoral socket and using low-profile implants for improved ACL reconstruction outcomes.

Area of Science:

Orthopedic Surgery
Sports Medicine
Biomechanical Engineering

Background:

Anterior cruciate ligament (ACL) reconstruction often faces challenges with persistent anterolateral rotatory instability and graft failure.
Lateral extra-articular tenodesis (LET) is increasingly used with ACL reconstruction to address these issues, improving outcomes and reducing re-rupture rates.

Purpose of the Study:

To describe a novel technique for lateral extra-articular tenodesis (LET) fixation.
To mitigate the risk of ACL/LET tunnel convergence, a known complication that can compromise graft fixation.

Main Methods:

The described technique involves minimizing the depth of the LET femoral bone socket.
Utilization of low-profile implants for LET fixation is a key component of the method.

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Main Results:

This approach effectively reduces the depth of the femoral bone socket for LET.
The use of low-profile implants further minimizes the risk of interference between ACL and LET fixation points.

Conclusions:

The described LET fixation technique successfully addresses the risk of ACL/LET tunnel convergence.
This method offers a viable solution for surgeons performing primary or revision ACL reconstructions with LET, potentially enhancing graft survival and patient outcomes.