Over-the-Loop Technique for Combined Anterior Cruciate Ligament Reconstruction and Modified Lemaire Tenodesis: Enhancing Rotational Stability With a Single Femoral Tunnel
This article describes a combined technique for anterior cruciate ligament reconstruction and modified anterolateral Lemaire tenodesis using a single femoral tunnel. The approach uses quadrupled hamstring grafts (semitendinosus and gracilis) and an “over-the-loop” passage of the iliotibial band thro...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-07-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628725001392 |
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| author | Cristiano José Silva Manze, M.D. Roberto da Cunha Luciano, M.D., Ph.D. Camilo Partezani Helito, M.D., Ph.D. Sergio Marinho de Gusmão Canuto, M.D. Pedro Baches Jorge, M.D., Ph.D. Vitor Barion Castro de Padua, M.D., Ph.D. Diego Ariel de Lima, M.D., Ph.D. |
| author_facet | Cristiano José Silva Manze, M.D. Roberto da Cunha Luciano, M.D., Ph.D. Camilo Partezani Helito, M.D., Ph.D. Sergio Marinho de Gusmão Canuto, M.D. Pedro Baches Jorge, M.D., Ph.D. Vitor Barion Castro de Padua, M.D., Ph.D. Diego Ariel de Lima, M.D., Ph.D. |
| author_sort | Cristiano José Silva Manze, M.D. |
| collection | DOAJ |
| description | This article describes a combined technique for anterior cruciate ligament reconstruction and modified anterolateral Lemaire tenodesis using a single femoral tunnel. The approach uses quadrupled hamstring grafts (semitendinosus and gracilis) and an “over-the-loop” passage of the iliotibial band through the graft loop. This technique aims to enhance rotational stability, minimize the risk of tunnel convergence, and reduce technical complexity and associated costs. Biomechanical benefits include improved rotational control, reduced graft rerupture rates, and optimized postoperative rehabilitation. The simplicity and reproducibility of this technique make it an attractive option for orthopaedic surgeons treating high-risk patients or rotational sport athletes. |
| format | Article |
| id | doaj-art-5295948cd5cd447ba25640b1be0cf5fe |
| institution | Kabale University |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-5295948cd5cd447ba25640b1be0cf5fe2025-08-20T03:40:45ZengElsevierArthroscopy Techniques2212-62872025-07-0114710357010.1016/j.eats.2025.103570Over-the-Loop Technique for Combined Anterior Cruciate Ligament Reconstruction and Modified Lemaire Tenodesis: Enhancing Rotational Stability With a Single Femoral TunnelCristiano José Silva Manze, M.D.0Roberto da Cunha Luciano, M.D., Ph.D.1Camilo Partezani Helito, M.D., Ph.D.2Sergio Marinho de Gusmão Canuto, M.D.3Pedro Baches Jorge, M.D., Ph.D.4Vitor Barion Castro de Padua, M.D., Ph.D.5Diego Ariel de Lima, M.D., Ph.D.6BS Knee (Brazilian Storm) Research Group, São Paulo, Brazil; Hospital Navegantes, Porto Seguro, BrazilBS Knee (Brazilian Storm) Research Group, São Paulo, Brazil; Hospital de Clínicas da Universidade Federal de Uberlândia (HC-UFU), Uberlândia, BrazilBS Knee (Brazilian Storm) Research Group, São Paulo, Brazil; USP (Universidade de São Paulo), Grupo de Joelho, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas (HCFMUSP), Faculdade de Medicina da Universidade de São Paulo, São Paulo, BrazilBS Knee (Brazilian Storm) Research Group, São Paulo, Brazil; Ortoclinica, Hospital de Ortopedia, Maceió, BrazilBS Knee (Brazilian Storm) Research Group, São Paulo, Brazil; Santa Casa de Misericordia de São Paulo, São Paulo, BrazilBS Knee (Brazilian Storm) Research Group, São Paulo, Brazil; Universidade de Marília (UNIMAR), Marília, BrazilBS Knee (Brazilian Storm) Research Group, São Paulo, Brazil; Universidade Federal Rural do Semi-Árido (UFERSA), Mossoró, Brazil; Address correspondence to Diego Ariel de Lima, M.D., Ph.D., Universidade Federal Rural do Semi-Árido (UFERSA), R. Francisco Mota, 572 Pres Costa e Silva, Mossoró (RN), CEP 59625-900, Brazil.This article describes a combined technique for anterior cruciate ligament reconstruction and modified anterolateral Lemaire tenodesis using a single femoral tunnel. The approach uses quadrupled hamstring grafts (semitendinosus and gracilis) and an “over-the-loop” passage of the iliotibial band through the graft loop. This technique aims to enhance rotational stability, minimize the risk of tunnel convergence, and reduce technical complexity and associated costs. Biomechanical benefits include improved rotational control, reduced graft rerupture rates, and optimized postoperative rehabilitation. The simplicity and reproducibility of this technique make it an attractive option for orthopaedic surgeons treating high-risk patients or rotational sport athletes.http://www.sciencedirect.com/science/article/pii/S2212628725001392 |
| spellingShingle | Cristiano José Silva Manze, M.D. Roberto da Cunha Luciano, M.D., Ph.D. Camilo Partezani Helito, M.D., Ph.D. Sergio Marinho de Gusmão Canuto, M.D. Pedro Baches Jorge, M.D., Ph.D. Vitor Barion Castro de Padua, M.D., Ph.D. Diego Ariel de Lima, M.D., Ph.D. Over-the-Loop Technique for Combined Anterior Cruciate Ligament Reconstruction and Modified Lemaire Tenodesis: Enhancing Rotational Stability With a Single Femoral Tunnel Arthroscopy Techniques |
| title | Over-the-Loop Technique for Combined Anterior Cruciate Ligament Reconstruction and Modified Lemaire Tenodesis: Enhancing Rotational Stability With a Single Femoral Tunnel |
| title_full | Over-the-Loop Technique for Combined Anterior Cruciate Ligament Reconstruction and Modified Lemaire Tenodesis: Enhancing Rotational Stability With a Single Femoral Tunnel |
| title_fullStr | Over-the-Loop Technique for Combined Anterior Cruciate Ligament Reconstruction and Modified Lemaire Tenodesis: Enhancing Rotational Stability With a Single Femoral Tunnel |
| title_full_unstemmed | Over-the-Loop Technique for Combined Anterior Cruciate Ligament Reconstruction and Modified Lemaire Tenodesis: Enhancing Rotational Stability With a Single Femoral Tunnel |
| title_short | Over-the-Loop Technique for Combined Anterior Cruciate Ligament Reconstruction and Modified Lemaire Tenodesis: Enhancing Rotational Stability With a Single Femoral Tunnel |
| title_sort | over the loop technique for combined anterior cruciate ligament reconstruction and modified lemaire tenodesis enhancing rotational stability with a single femoral tunnel |
| url | http://www.sciencedirect.com/science/article/pii/S2212628725001392 |
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