American Academy of Orthopaedic Surgeons Annual Meeting
American Academy of Orthopaedic Surgeons Annual Meeting
May 13, 2019
2 min read
Save

Revision ACL reconstruction may be an indication for lateral extra-articular tenodesis

You've successfully added to your alerts. You will receive an email when new content is published.

Click Here to Manage Email Alerts

We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com.

LAS VEGAS — A presenter at the Arthroscopy Association of North American and American Orthopaedic Society for Sports Medicine Specialty Day discussed the use of lateral extra-articular tenodesis or anterolateral ligament reconstruction for augmentation of the ACL.

In his presentation, Alan M. Getgood MPhil MD FRCS (Tr&Orth), consultant knee surgeon at the Fowler Kennedy Sport Medicine Clinic in London, Ontario, Canada, said he preferred to use lateral extra-articular tenodesis with ACL reconstruction.

“[Lateral extra-articular tenodesis] has a longer clinical track record,” Getgood told Healio.com/Orthopedics. “It has been used for many years with success. It’s cost-effective. So, it’s simple to do and cheap to do. It doesn’t add a lot of time to your surgery and it’s easy to teach. Therefore, the translation to clinical practice is more straight forward. Anterolateral ligament (ALL) has been studied, [but] I think it’s more technically challenging to do.”

Getgood’s top indication for lateral extra-articular tenodesis is the need for revision ACL reconstruction. For a primary ACL reconstruction, the indications for lateral extra-articular tenodesis include young patients who have a high risk of re-injury.

He said both the ALL reconstruction and iliotibial band reconstruction with lateral extra-articular tenodesis can be used to augment the ACL reconstruction. Getgood noted there are studies that show ALL reconstruction is an effective procedure; however, one study suggested that the ALL was less effective in recreating the normal kinematics of the knee when augmenting ACL reconstruction compared with lateral extra-articular tenodesis.

The Stability Study, a multicenter randomized clinical trial led by Getgood, which compared primary ACL reconstruction with or without lateral extra-articular tenodesis will be presented later this year at the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine Biennial congress in Cancun, Mexico. – by Monica Jaramillo

Reference:

Getgood AM. ACL augmentation: ALL or ITB (iliotibial band)- Science or science fiction? Presented at: Arthroscopy Association of North American and American Orthopaedic Society for Sports Medicine Specialty Day at the American Academy of Orthopaedic Surgeons Annual Meeting; March 16, 2019; Las Vegas.

Disclosure: Getgood reports he receives research support from Aesculap/B.Braun, Arthrex Inc., DePuy, A Johnson & Johnson Company, Eupraxia Pharmaceuticals Inc. and Musculoskeletal Transplant Foundation; is on the editorial or governing board of the American Journal of Sports Medicine and Knee Surgery, Sports Traumatology, Arthroscopy; is a paid consultant for Collagen Solutions and Olympus; is a board or committee member of American Orthopaedic Society for Sports Medicine, International Cartilage Repair Society and International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine; is a paid presenter or speaker for CONMED Linvatec; is a paid consultant for, a paid presenter or speaker for and receives research support from Ossur and Smith & Nephew.

PAGE BREAK

Reference:

Inderhaug E, et al. Am J Sports Med. 2017; doi: 10.1177/0363546517724422.