Modified Lemaire Lateral Tenodesis Associated With an Intra-articular Reconstruction Technique With Bone-Tendon-Bone Graft Using an Adjustable Fixation Mechanism

被引:9
作者
Pavao, Douglas Mello [1 ]
Serra, Raphael [1 ]
Rocha de Faria, Jose Leonardo [1 ]
de Sousa, Eduardo Branco [1 ]
Barretto, Joao Mauricio [1 ]
机构
[1] Natl Inst Traumatol & Orthoped Brazil, Knee Surg Ctr, Sao Cristovao, Brazil
关键词
CRUCIATE LIGAMENT RECONSTRUCTION; EXTRAARTICULAR TENODESIS; COMBINED ANTERIOR; KNEE;
D O I
10.1016/j.eats.2019.03.009
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The goal of this study was to report a surgical technique used in a revision anterior cruciate ligament (ACL) reconstruction case, consisting of an adaptation of the anterolateral iliotibial band tenodesis technique (modified Lemaire technique) combined with ACL reconstruction using an adjustable fixation mechanism. Rotational overload was one of the most likely hypotheses for failure of primary surgery, despite correct positioning and secure fixation. We performed a review of the most pertinent factors related to ACL reconstruction failure, as well as surgical strategies for its treatment. After this, we described, step by step, a combination of the 2 forms of surgical intervention that were already presented isolated with good clinical results, correcting the common anterior and rotational instabilities found in these cases. Knowing new techniques for intra-and extra-articular ligament reconstruction is imperative in the present day, when more patients are seeking a full return to their preinjury recreational, labor, and sports activities. We believe that the combination of these surgical techniques is able to achieve these goals effectively and reproducibly.
引用
收藏
页码:E733 / E740
页数:8
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