AJSM Webinar Series - March 2022: Lateral Extraarticular Tenodesis (LET) in ACL-Reconstruction: From Past to Present-Webinar Recording 3/9/2022 - AJSM Webinar Series - March 2022: Lateral Extraarticular Tenodeses (LET) in ACL-Reconstruction: From Past to Present

Webinar Recording 3/9/2022 - AJSM Webinar Series - March 2022: Lateral Extraarticular Tenodeses (LET) in ACL-Reconstruction: From Past to Present

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Video Transcription

Video Summary

In this webinar, the presenters discussed the use of lateral extracurricular tenodesis in ACL reconstruction. They discussed the history of ACL surgery and the role of lateral tenodesis in controlling rotational instabilities. They presented data from a randomized clinical trial called Stability, which compared ACL reconstruction with and without lateral tenodesis. The results showed that the addition of lateral tenodesis reduced graft failure and rotatory laxity in high-risk patients. They also discussed different techniques for performing lateral tenodesis, including the Lemaire, modified Lemaire, and Ili reconstruction techniques. The presenters emphasized the importance of properly tensioning the graft and fixing it in the correct position to achieve optimal stability. They also discussed the potential complications of lateral extracurricular tenodesis, including hardware irritation and tunnel conflict in the case of using screws. Overall, the presenters concluded that lateral extracurricular tenodesis can be an effective technique for improving clinical outcomes in ACL reconstruction, particularly in high-risk patients. They recommended considering the use of lateral tenodesis in primary ACL reconstruction and highlighted the importance of proper technique and patient selection for optimal results.

Keywords

webinar

lateral extracurricular tenodesis

ACL reconstruction

history of ACL surgery

rotational instabilities

Stability clinical trial

graft failure

rotatory laxity

Lemaire technique

Ili reconstruction technique