ACL reconstruction associated with lateral extra-articular tenodesis with shared femoral tunnel

Reconstrucción del LCA asociada a tenodesis extraarticular lateral con túnel femoral compartido

Authors

Keywords:

Knee Joint, Anterior Cruciate Ligament, Tenodesis

Abstract

Recently, the anterolateral ligament has gained attention in knee surgery for its ability to improve rotational stability in ACL reconstructions. However, the lateral extra-articular tenodesis (LET) procedure, which involves creating a femoral tunnel using the modified Lemaire technique, presents a risk of overlapping with the femoral tunnel used in the ACL reconstruction. This can lead to complications and limit the success of the surgery. To avoid these issues without needing additional fixation, we describe an easily reproducible surgical technique in which a single femoral tunnel is shared for both ACL reconstruction and LET using the iliotibial tract.

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Author Biographies

Lucas de Almeida Vieira

Sports Medicine Surgeon at the Knee and Shoulder Institute, Curitiba, PR, Brazil.

Coordinator of the Orthopedics Department at the INC Hospital, Curitiba, PR, Brazil.

Lúcio Sergio Rocha Ernlund

Sports Medicine Surgeon at the Knee and Shoulder Institute, Curitiba, PR, Brazil.

Medical Director of the Knee and Shoulder Institute, Curitiba, PR, Brazil.

Jonathan Buiar Vidal

Knee Surgeon at the Knee Clinic, Curitiba, PR, Brazil.

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Published

2023-03-23

How to Cite

1.
de Almeida Vieira L, Sergio Rocha Ernlund L, Buiar Vidal J. ACL reconstruction associated with lateral extra-articular tenodesis with shared femoral tunnel: Reconstrucción del LCA asociada a tenodesis extraarticular lateral con túnel femoral compartido. RELART [Internet]. 2023 Mar. 23 [cited 2026 Jul. 30];30(01). Available from: https://www.revistarelart.com/index.php/revista/article/view/300

Issue

Vol. 30 No. 01 (2023): Revista Argentina de Artroscopía

Section

Technical notes

License

Copyright (c) 2023 Lucas de Almeida Vieira, Lúcio Sergio Rocha Ernlund, Jonathan Buiar Vidal

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

This work is published under a Creative Commons Attribution–NonCommercial–ShareAlike 4.0 International License (CC BY-NC-SA 4.0). The authors retain the copyright.