A Sonographic Examination of the Iliotibial Band Strip Used in the Mini-Open Modified Lemaire Lateral Extra-Articular Tenodesis in Patients with Primary and Revision ACL Reconstruction—A Pilot Study
Anterior cruciate ligament reconstruction with concurrent lateral extra-articular tenodesis enhances rotational stability. However, not many studies describe radiological features following the abovementioned procedure. The purpose of this study was to evaluate the visibility and describe the sonogr...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-04-01
|
| Series: | Applied Sciences |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2076-3417/15/9/4702 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850278905908297728 |
|---|---|
| author | Jakub Erdmann Przemysław Pękala Jan Zabrzyński |
| author_facet | Jakub Erdmann Przemysław Pękala Jan Zabrzyński |
| author_sort | Jakub Erdmann |
| collection | DOAJ |
| description | Anterior cruciate ligament reconstruction with concurrent lateral extra-articular tenodesis enhances rotational stability. However, not many studies describe radiological features following the abovementioned procedure. The purpose of this study was to evaluate the visibility and describe the sonographic morphology of the iliotibial band strip harvested during the modified Lemaire technique and to establish a correlation between these findings and clinical outcomes. Thirty-two consecutive patients underwent primary or revision anterior cruciate ligament reconstruction with the addition of lateral extra-articular tenodesis by the mini-open modified Lemaire technique. All individuals completed the following preoperative and postoperative questionnaires: the KOOS-pain, KOOS-symptoms, KOOS-ADL, KOOS-sport, KOOS-quality, IKDC, Lysholm, and WOMAC. Each patient underwent a postoperative ultrasound examination to evaluate the lateral extra-articular procedure, especially the harvested iliotibial band strip. The most common ultrasound findings of the iliotibial band strip were its hyperechoic appearance (87.1%), location at the level of the femur (58.1%), no surrounding effusion (83.9%), and no power Doppler signal (100%). Effusion seen in sonographic images was correlated with KOOS-symptoms postoperative scores (<i>p</i> = 0.0115). However, there were no correlations between other iliotibial band strip sonographic features and clinical outcomes. The functional score value increased in each patient compared to preoperative measurements. This is the first study that evaluated the sonographic features of the iliotibial band strip after the lateral extra-articular procedure by the mini-open modified Lemaire technique. Our study indicates that ultrasonography is a useful tool in identifying the iliotibial band strip after the mentioned procedure. Effusion observed around the strip on ultrasound was significantly associated with worse KOOS-symptoms scores, suggesting potential clinical relevance. |
| format | Article |
| id | doaj-art-101f741aa6124a4d9afaf76dbdfdf2ce |
| institution | OA Journals |
| issn | 2076-3417 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Applied Sciences |
| spelling | doaj-art-101f741aa6124a4d9afaf76dbdfdf2ce2025-08-20T01:49:16ZengMDPI AGApplied Sciences2076-34172025-04-01159470210.3390/app15094702A Sonographic Examination of the Iliotibial Band Strip Used in the Mini-Open Modified Lemaire Lateral Extra-Articular Tenodesis in Patients with Primary and Revision ACL Reconstruction—A Pilot StudyJakub Erdmann0Przemysław Pękala1Jan Zabrzyński2Department of Orthopaedics and Traumatology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-092 Bydgoszcz, PolandInternational Evidence-Based Anatomy Working Group, Department of Anatomy, Jagiellonian University Medical College, 31-008 Krakow, PolandDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-092 Bydgoszcz, PolandAnterior cruciate ligament reconstruction with concurrent lateral extra-articular tenodesis enhances rotational stability. However, not many studies describe radiological features following the abovementioned procedure. The purpose of this study was to evaluate the visibility and describe the sonographic morphology of the iliotibial band strip harvested during the modified Lemaire technique and to establish a correlation between these findings and clinical outcomes. Thirty-two consecutive patients underwent primary or revision anterior cruciate ligament reconstruction with the addition of lateral extra-articular tenodesis by the mini-open modified Lemaire technique. All individuals completed the following preoperative and postoperative questionnaires: the KOOS-pain, KOOS-symptoms, KOOS-ADL, KOOS-sport, KOOS-quality, IKDC, Lysholm, and WOMAC. Each patient underwent a postoperative ultrasound examination to evaluate the lateral extra-articular procedure, especially the harvested iliotibial band strip. The most common ultrasound findings of the iliotibial band strip were its hyperechoic appearance (87.1%), location at the level of the femur (58.1%), no surrounding effusion (83.9%), and no power Doppler signal (100%). Effusion seen in sonographic images was correlated with KOOS-symptoms postoperative scores (<i>p</i> = 0.0115). However, there were no correlations between other iliotibial band strip sonographic features and clinical outcomes. The functional score value increased in each patient compared to preoperative measurements. This is the first study that evaluated the sonographic features of the iliotibial band strip after the lateral extra-articular procedure by the mini-open modified Lemaire technique. Our study indicates that ultrasonography is a useful tool in identifying the iliotibial band strip after the mentioned procedure. Effusion observed around the strip on ultrasound was significantly associated with worse KOOS-symptoms scores, suggesting potential clinical relevance.https://www.mdpi.com/2076-3417/15/9/4702lateral extra-articular tenodesisLemaireanterior cruciate ligament reconstructioniliotibial band stripultrasonography |
| spellingShingle | Jakub Erdmann Przemysław Pękala Jan Zabrzyński A Sonographic Examination of the Iliotibial Band Strip Used in the Mini-Open Modified Lemaire Lateral Extra-Articular Tenodesis in Patients with Primary and Revision ACL Reconstruction—A Pilot Study Applied Sciences lateral extra-articular tenodesis Lemaire anterior cruciate ligament reconstruction iliotibial band strip ultrasonography |
| title | A Sonographic Examination of the Iliotibial Band Strip Used in the Mini-Open Modified Lemaire Lateral Extra-Articular Tenodesis in Patients with Primary and Revision ACL Reconstruction—A Pilot Study |
| title_full | A Sonographic Examination of the Iliotibial Band Strip Used in the Mini-Open Modified Lemaire Lateral Extra-Articular Tenodesis in Patients with Primary and Revision ACL Reconstruction—A Pilot Study |
| title_fullStr | A Sonographic Examination of the Iliotibial Band Strip Used in the Mini-Open Modified Lemaire Lateral Extra-Articular Tenodesis in Patients with Primary and Revision ACL Reconstruction—A Pilot Study |
| title_full_unstemmed | A Sonographic Examination of the Iliotibial Band Strip Used in the Mini-Open Modified Lemaire Lateral Extra-Articular Tenodesis in Patients with Primary and Revision ACL Reconstruction—A Pilot Study |
| title_short | A Sonographic Examination of the Iliotibial Band Strip Used in the Mini-Open Modified Lemaire Lateral Extra-Articular Tenodesis in Patients with Primary and Revision ACL Reconstruction—A Pilot Study |
| title_sort | sonographic examination of the iliotibial band strip used in the mini open modified lemaire lateral extra articular tenodesis in patients with primary and revision acl reconstruction a pilot study |
| topic | lateral extra-articular tenodesis Lemaire anterior cruciate ligament reconstruction iliotibial band strip ultrasonography |
| url | https://www.mdpi.com/2076-3417/15/9/4702 |
| work_keys_str_mv | AT jakuberdmann asonographicexaminationoftheiliotibialbandstripusedintheminiopenmodifiedlemairelateralextraarticulartenodesisinpatientswithprimaryandrevisionaclreconstructionapilotstudy AT przemysławpekala asonographicexaminationoftheiliotibialbandstripusedintheminiopenmodifiedlemairelateralextraarticulartenodesisinpatientswithprimaryandrevisionaclreconstructionapilotstudy AT janzabrzynski asonographicexaminationoftheiliotibialbandstripusedintheminiopenmodifiedlemairelateralextraarticulartenodesisinpatientswithprimaryandrevisionaclreconstructionapilotstudy AT jakuberdmann sonographicexaminationoftheiliotibialbandstripusedintheminiopenmodifiedlemairelateralextraarticulartenodesisinpatientswithprimaryandrevisionaclreconstructionapilotstudy AT przemysławpekala sonographicexaminationoftheiliotibialbandstripusedintheminiopenmodifiedlemairelateralextraarticulartenodesisinpatientswithprimaryandrevisionaclreconstructionapilotstudy AT janzabrzynski sonographicexaminationoftheiliotibialbandstripusedintheminiopenmodifiedlemairelateralextraarticulartenodesisinpatientswithprimaryandrevisionaclreconstructionapilotstudy |