The Fascia Lata Anterolateral Tenodesis Technique

Ferretti, Andrea; Monaco, Edoardo; Fabbri, Mattia; Mazza, Daniele; Carli, Angelo De

doi:10.1016/j.eats.2016.09.005

Cited by 13 publications

(9 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, this technique has its limitations regarding the graft length needed and may not be suited for some revision cases. In addition, other authors [8, 15] also described the use of the anatomic ALL femoral attachment site for the femoral fixation site when performing the lateral extra‐articular tenodesis (LET) procedure.…”

Section: Discussionmentioning

confidence: 99%

Safe drilling angles avoid femoral tunnel complications during combined anterolateral ligament and anterior cruciate ligament reconstruction

Jette

Pomés

Sastre

et al. 2019

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

Purpose To determine the best angle to drill the femoral tunnels of an anterolateral ligament (ALL) anatomic reconstruction combined with a single-bundle anterior cruciate ligament (ACL) reconstruction to avoid tunnel collisions and cortical disruption. Methods Ten cadaveric knees were studied. Single-bundle anatomic ACL femoral tunnels were arthroscopically drilled. The starting point of the ALL femoral tunnel was located posterior and superior to the lateral epicondyle. ALL tunnels were drilled at four diferent angulations: (1) 0° axial/0° coronal, (2) 0° axial/30° coronal superior, (3) 30° axial anterior/0° coronal, and (4) 30° axial anterior 30° coronal superior. Specimens were scanned by computed tomography to measure the relations of each trajectory with the ACL socket and the nearest cortical bone. Results None of the four trajectories studied presented risk of collision with the ACL. The tunnel at 30° anterior/30° proximal presented the safest distance to the ACL socket (P = 0.01) [mean distance 18.6 mm (SD ± 6.7)]. However, both tunnels angled at 0° in the axial plane presented a high risk of posterior femoral cortex disruption (P = 0.01), either by close proximity or direct contact in some specimens (mean distance 3.1 mm (SD ± 2.8) at 0° axial/0° coronal and 3.7 mm (SD ± 2.2) at 0° axial/30° coronal). Conclusions When performing simultaneous ACL and ALL ligament reconstruction, the ALL femoral tunnel should be drilled with an angle of 30° anterior in the axial plane and 30° proximal in the coronal plane. Tunnels with an angle of 0° in the axial plane showed high risk of contact and disruption of the posterior femoral cortex; thus, these angles should be avoided. The clinical relevance of this work is that an ALL anatomical reconstruction does not represent a risk when performing a simultaneous ACL reconstruction as long as the ALL tunnel is reamed with a proximal and anterior angulation.

show abstract

Section: Discussionmentioning

confidence: 99%

Safe drilling angles avoid femoral tunnel complications during combined anterolateral ligament and anterior cruciate ligament reconstruction

Jette

Pomés

Sastre

et al. 2019

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

show abstract

“…Whereas most previous methods used hamstring autograft or allograft, 22 , 23 , 24 , 25 we use an ITB autograft in a manner similar to that described by Ferretti et al. 34 Among all published ALLR techniques, there remains significant variation in the degree of knee flexion required when tensioning and fixing the graft. Previous authors have reported 0° of flexion, 35 , 36 , 37 30°, 22 , 24 , 38 45° to 60°, 39 and 60° to 90°.…”

Section: Discussionmentioning

confidence: 99%

Combined Anterolateral Ligament Reconstruction and Capsular Reinforcement in the Skeletally Immature Knee

Patel

Talathi

2020

Arthroscopy Techniques

View full text Add to dashboard Cite

Graft failure after anterior cruciate ligament reconstruction remains a challenging complication in the pediatric population. The anterolateral ligament (ALL) contributes to rotational stability, and early evidence in adults suggests that ALL reconstruction may lower the risk of anterior cruciate ligament graft rupture. We present a technique for combined ALL reconstruction and anterolateral capsular reinforcement using iliotibial band autograft in skeletally immature patients. This procedure seeks to provide additional rotational stability in varying degrees of flexion while avoiding the physes and eliminating the need for implants.

show abstract

“…showed that ACL reconstruction with an additional ALL reconstruction using hamstring autograft had good clinical outcomes and, significantly, a reduction in the failure rate at 2 years of follow-up. However, in recent years, techniques have shifted from nonanatomic procedures20, 21, 22 to procedures that attempt to reproduce the anatomy using soft-tissue grafts such as gracilis tendon and fascia lata grafts 6, 10, 23. However, the role of reconstructive surgery should be to replicate the anatomy.…”

Section: Discussionmentioning

confidence: 99%

“…The first 2.4-mm K-wire is placed at the anatomic tibial insertion of the ALL (Fig 2), midway between the Gerdy tubercle and the fibular head. This point is consistently located approximately 22 mm from the center of the Gerdy tubercle and 11 mm below the joint line 1, 10. After identification of the lateral collateral ligament and popliteus tendon, the femoral anatomic insertion of the ALL is located.…”

Section: Surgical Techniquementioning

confidence: 96%

Anterolateral Ligament Repair Augmented With Suture Tape in Acute Anterior Cruciate Ligament Reconstruction

Monaco

Mazza

Redler

et al. 2019

Arthroscopy Techniques

Self Cite

View full text Add to dashboard Cite

Several extra-articular surgical techniques in addition to anterior cruciate ligament reconstruction have been proposed to better restore rotational instability of the knee. One option is surgical repair of the anterolateral ligament in acute cases to achieve an anatomic reconstruction. An additional augmentation to the repair could allow a load-sharing—and thus protective—effect for the repair during the healing process. The purpose of this Technical Note is to describe a primary repair of the anterolateral ligament with suture tape augmentation (Internal Brace; Arthrex, Naples, FL) in a patient with an acute anterior cruciate ligament tear.

show abstract

The Fascia Lata Anterolateral Tenodesis Technique

Cited by 13 publications

References 25 publications

Safe drilling angles avoid femoral tunnel complications during combined anterolateral ligament and anterior cruciate ligament reconstruction

Safe drilling angles avoid femoral tunnel complications during combined anterolateral ligament and anterior cruciate ligament reconstruction

Combined Anterolateral Ligament Reconstruction and Capsular Reinforcement in the Skeletally Immature Knee

Anterolateral Ligament Repair Augmented With Suture Tape in Acute Anterior Cruciate Ligament Reconstruction

Contact Info

Product

Resources

About