Minimally Invasive Modified Ellison Procedure for Anterolateral Ligament Reconstruction With Biocomposite Knotless Anchor
In recent years, anterolateral ligament repair and lateral extra-articular tenodesis have gained prominence as adjuncts to anterior cruciate ligament reconstruction (ACLR). This renewed focus is driven by increasing reports of failure rates exceeding 20% in high-risk groups undergoing standalone ACL...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628725000969 |
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| author | Riccardo D’Ambrosi, M.D. Pietro Marchetti, M.D. Edna Skopljak, M.D. Federico Valli, M.D. Alessandro Nuara, M.D. Nicola Ursino, M.D. |
| author_facet | Riccardo D’Ambrosi, M.D. Pietro Marchetti, M.D. Edna Skopljak, M.D. Federico Valli, M.D. Alessandro Nuara, M.D. Nicola Ursino, M.D. |
| author_sort | Riccardo D’Ambrosi, M.D. |
| collection | DOAJ |
| description | In recent years, anterolateral ligament repair and lateral extra-articular tenodesis have gained prominence as adjuncts to anterior cruciate ligament reconstruction (ACLR). This renewed focus is driven by increasing reports of failure rates exceeding 20% in high-risk groups undergoing standalone ACLR. Despite advancements in surgical techniques, equipment, and postoperative rehabilitation for ACLR, unresolved rotational instability and the persistence of the pivot-shift phenomenon remain significant challenges after ACLR. However, concerns linger regarding potential complications associated with these procedures, including overconstraint of the lateral compartment, stiffness, infections, tunnel convergence, and other intra- and postoperative issues linked to extended surgical times and additional interventions. The aim of this surgical Technical Note is to present a minimally invasive, modified Ellison procedure, employing a biocomposite knotless suture anchor for tibial fixationoffering a potentially effective and less-invasive approach to address these challenges. |
| format | Article |
| id | doaj-art-07935e0beab44217bb4cbc3aaea630f9 |
| institution | OA Journals |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-07935e0beab44217bb4cbc3aaea630f92025-08-20T02:35:34ZengElsevierArthroscopy Techniques2212-62872025-06-0114610352710.1016/j.eats.2025.103527Minimally Invasive Modified Ellison Procedure for Anterolateral Ligament Reconstruction With Biocomposite Knotless AnchorRiccardo D’Ambrosi, M.D.0Pietro Marchetti, M.D.1Edna Skopljak, M.D.2Federico Valli, M.D.3Alessandro Nuara, M.D.4Nicola Ursino, M.D.5IRCCS Ospedale Galeazzi – Sant’Ambrogio, Milan, Italy; Università degli Studi di Milano, Dipartimento di Scienze Biomediche per la Salute, Milan, Italy; Address correspondence to Riccardo D’Ambrosi, M.D., Università degli Studi di Milano, Dipartimento di Scienze Biomediche per la Salute, Milan, Italy.IRCCS Ospedale Galeazzi – Sant’Ambrogio, Milan, Italy; Università Tor Vergata, Roma, ItalyDepartment of Orthopedic Surgery, University Medical Centre, Ljubljana, Slovenia; Faculty of Medicine, University of Ljubljana, SloveniaIRCCS Ospedale Galeazzi – Sant’Ambrogio, Milan, ItalyIRCCS Ospedale Galeazzi – Sant’Ambrogio, Milan, ItalyIRCCS Ospedale Galeazzi – Sant’Ambrogio, Milan, ItalyIn recent years, anterolateral ligament repair and lateral extra-articular tenodesis have gained prominence as adjuncts to anterior cruciate ligament reconstruction (ACLR). This renewed focus is driven by increasing reports of failure rates exceeding 20% in high-risk groups undergoing standalone ACLR. Despite advancements in surgical techniques, equipment, and postoperative rehabilitation for ACLR, unresolved rotational instability and the persistence of the pivot-shift phenomenon remain significant challenges after ACLR. However, concerns linger regarding potential complications associated with these procedures, including overconstraint of the lateral compartment, stiffness, infections, tunnel convergence, and other intra- and postoperative issues linked to extended surgical times and additional interventions. The aim of this surgical Technical Note is to present a minimally invasive, modified Ellison procedure, employing a biocomposite knotless suture anchor for tibial fixationoffering a potentially effective and less-invasive approach to address these challenges.http://www.sciencedirect.com/science/article/pii/S2212628725000969 |
| spellingShingle | Riccardo D’Ambrosi, M.D. Pietro Marchetti, M.D. Edna Skopljak, M.D. Federico Valli, M.D. Alessandro Nuara, M.D. Nicola Ursino, M.D. Minimally Invasive Modified Ellison Procedure for Anterolateral Ligament Reconstruction With Biocomposite Knotless Anchor Arthroscopy Techniques |
| title | Minimally Invasive Modified Ellison Procedure for Anterolateral Ligament Reconstruction With Biocomposite Knotless Anchor |
| title_full | Minimally Invasive Modified Ellison Procedure for Anterolateral Ligament Reconstruction With Biocomposite Knotless Anchor |
| title_fullStr | Minimally Invasive Modified Ellison Procedure for Anterolateral Ligament Reconstruction With Biocomposite Knotless Anchor |
| title_full_unstemmed | Minimally Invasive Modified Ellison Procedure for Anterolateral Ligament Reconstruction With Biocomposite Knotless Anchor |
| title_short | Minimally Invasive Modified Ellison Procedure for Anterolateral Ligament Reconstruction With Biocomposite Knotless Anchor |
| title_sort | minimally invasive modified ellison procedure for anterolateral ligament reconstruction with biocomposite knotless anchor |
| url | http://www.sciencedirect.com/science/article/pii/S2212628725000969 |
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