Are there any complications after lateral extra-articular tenodesis in anterior cruciate ligament reconstruction? – a systematic review
Abstract Introduction Lateral extra-articular tenodesis (LET) is a surgical technique that can be used in conjunction with anterior cruciate ligament reconstruction (ACLR), improving rotational stability and reducing the risk of anterior cruciate ligament (ACL) re-rupture. However, as with any surgi...
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BMC
2025-05-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-025-05880-3 |
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| author | Jan Zabrzyński Jakub Erdmann Maria Zabrzyńska Łukasz Łapaj Shahbaz S. Malik Adam Kwapisz |
| author_facet | Jan Zabrzyński Jakub Erdmann Maria Zabrzyńska Łukasz Łapaj Shahbaz S. Malik Adam Kwapisz |
| author_sort | Jan Zabrzyński |
| collection | DOAJ |
| description | Abstract Introduction Lateral extra-articular tenodesis (LET) is a surgical technique that can be used in conjunction with anterior cruciate ligament reconstruction (ACLR), improving rotational stability and reducing the risk of anterior cruciate ligament (ACL) re-rupture. However, as with any surgical procedure, LET carries a risk of complications. Despite numerous articles published in recent decades discussing LET in the context of ACLR, relatively few complications associated with the LET procedure have been documented in the literature. This study aimed to systematically review adverse events associted with the LET procedure when combined with ACLR. Material and methods The following key terms were used: (extra-articular OR extraarticular) AND (tenodesis OR plasty OR augmentation OR procedure or reconstruction OR reconstructive OR surgical OR surgery OR technique) AND (ACL OR anterior cruciate ligament), with no limits regarding the year of publication in PubMed, ScienceDirect, Cochrane Central, Web of Science, and Embase databases. English-language clinical human studies with evidence levels I-IV were included. Results This analysis evaluated seven articles published between 1999 and 2023. Level IV evidence was identified in the majority of studies (n = 5), level III evidence was found in one (n = 1), and level I evidence was noted in another (n = 1). Nine distinct types of complications were identified with rates rangingfrom 0.6% to 17% across the analysed studies. The modified Lemaire technique had the highest complication rate, reaching 7.5%. Overall, the complication rate across all reviewed LET techniques in this study was 4.2%. Conclusion This is the first study to systematically document the occurrence of complications in LET. The most common problems included LET hardware irritation – predominantly after staple fixation, and subsequent removal, haematoma over the LET site, and pain over the LET site. The analysed studies show that combining LET with ACLR appears to be a safe procedure associated with infrequent and mild side effects. |
| format | Article |
| id | doaj-art-b854054a46aa41f48b7b3fc7d99b3db3 |
| institution | OA Journals |
| issn | 1749-799X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
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| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj-art-b854054a46aa41f48b7b3fc7d99b3db32025-08-20T01:49:40ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2025-05-012011910.1186/s13018-025-05880-3Are there any complications after lateral extra-articular tenodesis in anterior cruciate ligament reconstruction? – a systematic reviewJan Zabrzyński0Jakub Erdmann1Maria Zabrzyńska2Łukasz Łapaj3Shahbaz S. Malik4Adam Kwapisz5Department of Orthopaedics and Traumatology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in ToruńDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in ToruńDepartment of Family Medicine, Collegium Medicum, Nicolaus Copernicus UniversityDepartment of General Orthopaedics, Musculoskeletal Oncology and Trauma Surgery, University of Medical SciencesWorcestershire Acute Hospitals NHS TrustClinic of Orthopedics and Pediatric Orthopedics, Medical University of ŁódźAbstract Introduction Lateral extra-articular tenodesis (LET) is a surgical technique that can be used in conjunction with anterior cruciate ligament reconstruction (ACLR), improving rotational stability and reducing the risk of anterior cruciate ligament (ACL) re-rupture. However, as with any surgical procedure, LET carries a risk of complications. Despite numerous articles published in recent decades discussing LET in the context of ACLR, relatively few complications associated with the LET procedure have been documented in the literature. This study aimed to systematically review adverse events associted with the LET procedure when combined with ACLR. Material and methods The following key terms were used: (extra-articular OR extraarticular) AND (tenodesis OR plasty OR augmentation OR procedure or reconstruction OR reconstructive OR surgical OR surgery OR technique) AND (ACL OR anterior cruciate ligament), with no limits regarding the year of publication in PubMed, ScienceDirect, Cochrane Central, Web of Science, and Embase databases. English-language clinical human studies with evidence levels I-IV were included. Results This analysis evaluated seven articles published between 1999 and 2023. Level IV evidence was identified in the majority of studies (n = 5), level III evidence was found in one (n = 1), and level I evidence was noted in another (n = 1). Nine distinct types of complications were identified with rates rangingfrom 0.6% to 17% across the analysed studies. The modified Lemaire technique had the highest complication rate, reaching 7.5%. Overall, the complication rate across all reviewed LET techniques in this study was 4.2%. Conclusion This is the first study to systematically document the occurrence of complications in LET. The most common problems included LET hardware irritation – predominantly after staple fixation, and subsequent removal, haematoma over the LET site, and pain over the LET site. The analysed studies show that combining LET with ACLR appears to be a safe procedure associated with infrequent and mild side effects.https://doi.org/10.1186/s13018-025-05880-3LET complicationsLateral extra-articular tenodesisTenodesisACL reconstructionLateral knee ligamentsLemaire technique |
| spellingShingle | Jan Zabrzyński Jakub Erdmann Maria Zabrzyńska Łukasz Łapaj Shahbaz S. Malik Adam Kwapisz Are there any complications after lateral extra-articular tenodesis in anterior cruciate ligament reconstruction? – a systematic review Journal of Orthopaedic Surgery and Research LET complications Lateral extra-articular tenodesis Tenodesis ACL reconstruction Lateral knee ligaments Lemaire technique |
| title | Are there any complications after lateral extra-articular tenodesis in anterior cruciate ligament reconstruction? – a systematic review |
| title_full | Are there any complications after lateral extra-articular tenodesis in anterior cruciate ligament reconstruction? – a systematic review |
| title_fullStr | Are there any complications after lateral extra-articular tenodesis in anterior cruciate ligament reconstruction? – a systematic review |
| title_full_unstemmed | Are there any complications after lateral extra-articular tenodesis in anterior cruciate ligament reconstruction? – a systematic review |
| title_short | Are there any complications after lateral extra-articular tenodesis in anterior cruciate ligament reconstruction? – a systematic review |
| title_sort | are there any complications after lateral extra articular tenodesis in anterior cruciate ligament reconstruction a systematic review |
| topic | LET complications Lateral extra-articular tenodesis Tenodesis ACL reconstruction Lateral knee ligaments Lemaire technique |
| url | https://doi.org/10.1186/s13018-025-05880-3 |
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