Lateral extra-articular tenodesis

Last revised by Henry Knipe on 25 Oct 2023

Lateral extra-articular tenodesis is an adjunct procedure for selected patients undergoing anterior cruciate ligament (ACL) reconstruction mainly to control rotational instability, potentially preventing ACL graft failure 1,2. It is an alternative to anterolateral ligament reconstruction 3.

Epidemiology

Knee instability to persists after ACL reconstruction in ~10% (range 0.7-20%) of cases 1.

Procedure

Various lateral extra-articular techniques have been described but essentially involve taking a strip of iliotibial band that is anchored into the lateral femoral condyle either over or under the fibular collateral ligament 2,3.

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