Functional outcomes of simultaneous anterior cruciate ligament reconstruction and lateral extra‑articular tenodesis using an all‑suture anchor: a modified mini‑open technique
Introduction: The anterior cruciate ligament (ACL) rupture frequently leads to instability of the knee joint, which subsequently damages other intra‑articular structures. The combination of ACL reconstruction (ACLR) with concurrent lateral extra‑articular tenodesis (LET) improves rotational stabili...
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Medycyna Praktyczna
2025-02-01
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| Series: | Videosurgery and Other Miniinvasive Techniques |
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| Online Access: | https://www.mp.pl/videosurgery/issue/article/17938/ |
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| author | Jakub Erdmann Maria Zabrzyńska Przemysław Pękala Szymon Nowak Filip Gołębiewski Gazi Huri Jan Zabrzyński |
| author_facet | Jakub Erdmann Maria Zabrzyńska Przemysław Pękala Szymon Nowak Filip Gołębiewski Gazi Huri Jan Zabrzyński |
| author_sort | Jakub Erdmann |
| collection | DOAJ |
| description | Introduction: The anterior cruciate ligament (ACL) rupture frequently leads to instability of the knee joint, which subsequently damages other intra‑articular structures. The combination of ACL reconstruction (ACLR) with concurrent lateral extra‑articular tenodesis (LET) improves rotational stability and reduces the risk of subsequent ACL rupture. However, there is not much research that specifically outlines LET hardware and surgical methods. Aim: This study aimed to describe and evaluate clinical outcomes of a mini‑open modified Lemaire technique using a self ‑punching all‑suture anchor. Materials and methods: In this study, 32 patients underwent primary or revision ACLR combined with LET via the mini‑open modified Lemaire technique using a self ‑punching all‑suture anchor. All individuals completed the following pre‑and postoperative questionnaires to evaluate their functional performance: the Knee Injury and Osteoarthritis Outcome Score, assessing several domains, the International Knee Documentation Committee subjective knee evaluation form, the Lysholm knee scoring scale, and the Western Ontario and McMaster Universities Arthritis Index. Complication rates were also assessed. Results: Each patient’s functional score values increased, as compared with preoperative measurements. There were no early post‑or intraoperative complications associated with the technique described. Conclusions: This is the first study that evaluated clinical outcomes, intraoperative, and early post operative complications of the mini ‑open modified Lemaire technique using a self ‑punching all‑suture anchor. Our study indicates that this procedure is effective, safe, and associated with better cosmesis
than classic LET techniques. |
| format | Article |
| id | doaj-art-1bf026b1f0bf43628185aa2a226906df |
| institution | OA Journals |
| issn | 1895-4588 2299-0054 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Medycyna Praktyczna |
| record_format | Article |
| series | Videosurgery and Other Miniinvasive Techniques |
| spelling | doaj-art-1bf026b1f0bf43628185aa2a226906df2025-08-20T02:02:55ZengMedycyna PraktycznaVideosurgery and Other Miniinvasive Techniques1895-45882299-00542025-02-01201768310.20452/wiitm.2025.17938Functional outcomes of simultaneous anterior cruciate ligament reconstruction and lateral extra‑articular tenodesis using an all‑suture anchor: a modified mini‑open techniqueJakub Erdmann0Maria Zabrzyńska1Przemysław Pękala2Szymon Nowak3Filip Gołębiewski4Gazi Huri5Jan Zabrzyński6 Department of Orthopaedics and Traumatology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, PolandDepartment of Family Medicine, Collegium Medicum, Nicolaus Copernicus University in Torun, Toruń, Poland International Evidence ‑Based Anatomy Working Group, Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland Department of Orthopaedics and Traumatology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, Poland Department of Orthopaedics and Traumatology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, Poland Department of Orthopaedics and Traumatology, Hacettepe University School of Medicine, Ankara, Turkey; Department of Orthopaedic and Sports Medicine, Hospital Doha, Doha, Qatar Department of Orthopaedics and Traumatology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, Poland Introduction: The anterior cruciate ligament (ACL) rupture frequently leads to instability of the knee joint, which subsequently damages other intra‑articular structures. The combination of ACL reconstruction (ACLR) with concurrent lateral extra‑articular tenodesis (LET) improves rotational stability and reduces the risk of subsequent ACL rupture. However, there is not much research that specifically outlines LET hardware and surgical methods. Aim: This study aimed to describe and evaluate clinical outcomes of a mini‑open modified Lemaire technique using a self ‑punching all‑suture anchor. Materials and methods: In this study, 32 patients underwent primary or revision ACLR combined with LET via the mini‑open modified Lemaire technique using a self ‑punching all‑suture anchor. All individuals completed the following pre‑and postoperative questionnaires to evaluate their functional performance: the Knee Injury and Osteoarthritis Outcome Score, assessing several domains, the International Knee Documentation Committee subjective knee evaluation form, the Lysholm knee scoring scale, and the Western Ontario and McMaster Universities Arthritis Index. Complication rates were also assessed. Results: Each patient’s functional score values increased, as compared with preoperative measurements. There were no early post‑or intraoperative complications associated with the technique described. Conclusions: This is the first study that evaluated clinical outcomes, intraoperative, and early post operative complications of the mini ‑open modified Lemaire technique using a self ‑punching all‑suture anchor. Our study indicates that this procedure is effective, safe, and associated with better cosmesis than classic LET techniques.https://www.mp.pl/videosurgery/issue/article/17938/all‑suture anchoranterior cruciate ligament reconstructionlateral extra‑articular tenodesislemaire techniquemini‑invasive |
| spellingShingle | Jakub Erdmann Maria Zabrzyńska Przemysław Pękala Szymon Nowak Filip Gołębiewski Gazi Huri Jan Zabrzyński Functional outcomes of simultaneous anterior cruciate ligament reconstruction and lateral extra‑articular tenodesis using an all‑suture anchor: a modified mini‑open technique Videosurgery and Other Miniinvasive Techniques all‑suture anchor anterior cruciate ligament reconstruction lateral extra‑articular tenodesis lemaire technique mini‑invasive |
| title | Functional outcomes of simultaneous anterior cruciate ligament reconstruction and lateral extra‑articular tenodesis using an all‑suture anchor: a modified mini‑open technique |
| title_full | Functional outcomes of simultaneous anterior cruciate ligament reconstruction and lateral extra‑articular tenodesis using an all‑suture anchor: a modified mini‑open technique |
| title_fullStr | Functional outcomes of simultaneous anterior cruciate ligament reconstruction and lateral extra‑articular tenodesis using an all‑suture anchor: a modified mini‑open technique |
| title_full_unstemmed | Functional outcomes of simultaneous anterior cruciate ligament reconstruction and lateral extra‑articular tenodesis using an all‑suture anchor: a modified mini‑open technique |
| title_short | Functional outcomes of simultaneous anterior cruciate ligament reconstruction and lateral extra‑articular tenodesis using an all‑suture anchor: a modified mini‑open technique |
| title_sort | functional outcomes of simultaneous anterior cruciate ligament reconstruction and lateral extra articular tenodesis using an all suture anchor a modified mini open technique |
| topic | all‑suture anchor anterior cruciate ligament reconstruction lateral extra‑articular tenodesis lemaire technique mini‑invasive |
| url | https://www.mp.pl/videosurgery/issue/article/17938/ |
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