Extra-articular procedures for the ACL-deficient knee: a state of the art review

Wascher, Daniel C.; Lording, Timothy; Neyret, Philippe

doi:10.1136/jisakos-2016-000053

Cited by 5 publications

(6 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The LET is an augmentation technique made for residual rotatory knee movements [6,16,17] and is able to reduce up to 43% of graft stress [18]. This stress reduction is relevant to prevent graft failure and stress concentration in single-bundle ACLr [6].…”

Section: Introductionmentioning

confidence: 99%

“…LET biomechanics is generally similar to anterolateral ligament biomechanics because they have similar orientations, and both constrain medial knee rotation [19,20]. Lemaire, Macintosh, Losee, Arnold-Coker, Ellison, and others are different LET choices [6,17,18]. However, these techniques demand a higher surgical time and are expensive due to the need for fixation elements and tunneling, procedures that can increase the risk of persistent knee pain [21,22].…”

Section: Introductionmentioning

confidence: 99%

“…It is reproducible, easy to replicate, inexpensive, and without risk of tunnel coalition [24]. In addition, according to the LET state of the art, a proximal attachment to the lateral femoral epicondyle and beneath the LCL will prevent excessive tightening or slackening during knee movement [18].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Exploratory Anterior Cruciate Ligament Graft Stress during Medial Knee Rotation with and without Iliotibial Band–Intermuscular Septum Lateral Extra-Articular Tenodesis for Transtibial and Anteromedial Femoral Tunnels

Yañez,

Silvestre,

Roby

et al. 2024

Applied Sciences

View full text Add to dashboard Cite

Traditional lateral extra-articular tenodesis (LET) using fixation elements constrains medial knee rotation laxity after anterior cruciate ligament reconstruction (ACLr). However, the mechanical behavior of an LET made with an iliotibial band–intermuscular septum is unknown using different anterior cruciate ligament (ACL) reconstruction drillings and would be crucial for constraining the rotatory components of direction change movements. Thus, this study aimed to explore the maximum principal stresses and their distribution in grafts during medial knee rotation with and without iliotibial band–intermuscular septum lateral extra-articular tenodesis for the transtibial technique (TT), hybrid transtibial technique (HTT), and anteromedial portal technique (AM) in single-bundle ACLr. The maximum von Mises principal stresses and their distribution under medial knee rotation were described using a finite element model generated from a healthy knee. LET with HTT, TT, and AM decreases stress by 97%, 93%, and 86% during medial rotation compared to each technique without LET, respectively. The stress concentration for the AM portal and TT techniques was located at the femoral tunnel, and for HTT with LET, it was located across the distal thirds of the anterior aspect of the graft. In conclusion, the HTT with LET diminishes graft stress more than the HTT, TT, and AM without LET, and the TT and AM with LET during medial knee rotation. The AM portal, HTT, and TT techniques without LET show higher stress concentration patterns at the femoral tunnel, establishing a biomechanical risk of femoral tunnel enlargement when LET is not performed.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Exploratory Anterior Cruciate Ligament Graft Stress during Medial Knee Rotation with and without Iliotibial Band–Intermuscular Septum Lateral Extra-Articular Tenodesis for Transtibial and Anteromedial Femoral Tunnels

Yañez,

Silvestre,

Roby

et al. 2024

Applied Sciences

View full text Add to dashboard Cite

show abstract

“…Эти структуры обеспечивают внутреннюю ротационную стабильность большеберцовой кости, а вместе с ПКС предотвращают и переднезаднее смещение коленного сустава [11][12][13]. Изучение роли латеральных капсульно-связочных структур, а также возможностей их хирургического восстановления становится актуальным направлением современной спортивной хирургии коленного сустава [14][15][16].…”

unclassified

Anatomical anterograde plasty of the anterior cruciate ligament with lateral extraarticular tenodesis from semitendinosus tendon

Zayats

Zagorodniy

Dulaev

et al. 2018

N.N. Priorov Journal of Traumatology and Orthopedics

View full text Add to dashboard Cite

Цель исследования: формулировка научно обоснованных рекомендаций по клиническому применению латерального экстраартикулярного тенодеза (ЛЭАТ) трансплантатом из сухожилия полусухожильной мышцы (СПСМ) как дополнительного элемента стабильности коленного сустава при анатомической антеградной пластике передней крестообразной связки (ПКС).

show abstract

“…однако в связи с их непостоянством и рядом осложнений связанный в первую очередь с дефектами реконструкции пкс интерес к этому направлению постепенно пропал. по-видимому, главной причиной тех неудач была попытка с по-мощью экстраартикулярных операций компен-сировать несовершенство применявшихся в те годы методик реконструкций пкс [58]. Внедрение в широкую клиническую практику новых мало-инвазивных эндоскопических методик стабилиза-ции сустава послужило дополнительным поводом для отказа от этих операций.…”

unclassified

Modern Trends in Surgical Treatment of Patients With Acl Ruptures (Literature Review)

Rikun

Хоминец

Федотов

2017

Traumatology and Orthopedics of Russia

View full text Add to dashboard Cite

The authors conducted an analysis of national and foreign scientific publications dedicated to the problems in treatment of patients with ruptures of the anterior cruciate ligament of the knee joint. The results of the analysis demonstrated that such lesions still remain the key knee pathology resulting from sports injuries that significantly affect knee function and require timely reconstructive surgical correction. Based on the study the key areas of improvement in treatment for mentioned category of patients have been identified. This is the biomechanically justified single bundle anatomical ACL reconstruction which is currently widely applied in the clinical practice by using of an isometrically located autograft. Such technique represents a radically new stage in the development of treatment methods for young and middle-aged patients with high functional demands.

show abstract

Extra-articular procedures for the ACL-deficient knee: a state of the art review

Cited by 5 publications

References 59 publications

Exploratory Anterior Cruciate Ligament Graft Stress during Medial Knee Rotation with and without Iliotibial Band–Intermuscular Septum Lateral Extra-Articular Tenodesis for Transtibial and Anteromedial Femoral Tunnels

Exploratory Anterior Cruciate Ligament Graft Stress during Medial Knee Rotation with and without Iliotibial Band–Intermuscular Septum Lateral Extra-Articular Tenodesis for Transtibial and Anteromedial Femoral Tunnels

Anatomical anterograde plasty of the anterior cruciate ligament with lateral extraarticular tenodesis from semitendinosus tendon

Modern Trends in Surgical Treatment of Patients With Acl Ruptures (Literature Review)

Contact Info

Product

Resources

About