scholarly journals Outside-In Anterior Cruciate Ligament Revision With Lateral Tenodesis and High-Strength Suture Augmentation Is Easy to Perform With the Iliotibial Band

2021 ◽  
Author(s):  
Vincent Marot ◽  
Arnault Valette ◽  
Louis Courtot ◽  
Thibault Lucena ◽  
Nicolas Reina ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
High Strength ◽  
Iliotibial Band ◽  
Lateral Tenodesis ◽  
Anterior Cruciate

scholarly journals Lateral Tenodesis Associated With an Intra-articular Anterior Cruciate Ligament Reconstruction Without Proximal Disinsertion of Iliotibial Band

2019 ◽  
Vol 8 (10) ◽  
pp. e1217-e1221
Author(s):  
Helder Rocha da Silva Araújo ◽  
José Leonardo Rocha de Faria ◽  
Renan Simões Heyn ◽  
Ulbiramar Correia da Silva Filho ◽  
Eduardo Branco de Sousa ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Iliotibial Band ◽  
Cruciate Ligament Reconstruction ◽  
Lateral Tenodesis ◽  
Anterior Cruciate

scholarly journals Limited evidence for graft selection in pediatric ACL reconstruction: a narrative review

2022 ◽  
Vol 9 (1) ◽  
Author(s):  
Gianni De Petrillo ◽  
Thierry Pauyo ◽  
Corinna C. Franklin ◽  
Ross S. Chafetz ◽  
Marie-Lyne Nault ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Ligament Reconstruction ◽  
Sport Participation ◽  
Cruciate Ligament ◽  
Ligament Injury ◽  
Iliotibial Band ◽  
Cruciate Ligament Reconstruction ◽  
Anterior Cruciate ◽  
Graft Selection

AbstractAnterior cruciate ligament reconstruction is the preferred treatment to anterior cruciate ligament injury. With the increase in anterior cruciate ligament injuries in both adults and skeletally immature patients comes the need for individualized anterior cruciate ligament reconstruction graft selection whether it is the type of graft (auto vs. allograft) or the harvesting site (hamstrings, iliotibial band, quadriceps, patella). Several factors need to be considered preoperatively in order to optimize the patients’ recovery and restore anterior cruciate ligament strength and function. These include age and bone maturity, preoperative knee flexor/extensor strength, sport participation, patient’s needs and anatomical characteristics. This paper aims at bringing evidence supporting the use of a personalized approach in graft selection for faster and more efficient return to sport and propose a theoretical framework to support the approach.

Radiological Identification of Injury to the Kaplan Fibers of the Iliotibial Band in Association With Anterior Cruciate Ligament Injury

2020 ◽  
Vol 48 (9) ◽  
pp. 2213-2220
Author(s):  
Lachlan M. Batty ◽  
Jerome Murgier ◽  
Julian A. Feller ◽  
Richard O’Sullivan ◽  
Kate E. Webster ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Lateral Collateral Ligament ◽  
Acl Injury ◽  
Iliotibial Band ◽  
Time Interval ◽  
Collateral Ligament ◽  
Tibial Bone ◽  
Mri Scans ◽  
Anterior Cruciate

Background: Recent biomechanical studies have demonstrated that the Kaplan fibers (KFs) of the iliotibial band play a role in the control of anterolateral rotation of the knee. However, controversy exists regarding whether the KFs are injured in conjunction with anterior cruciate ligament (ACL) injury. Purpose: To establish the prevalence of radiological injury to the KFs in the ACL-injured knee; to evaluate the effect of the time interval between injury and magnetic resonance imaging (MRI) on diagnosis of KF injury; and to assess for any association between KF injury and other qualitative radiological findings. Study Design: Cohort study (diagnosis); Level of evidence, 3. Methods: Preoperative MRI scans were reviewed for 161 patients with ACL injury. Specific diagnostic criteria were developed and applied to identify KF injury. Chi-square testing was performed to look for associations among KF injury, the time from injury to MRI, and associated radiological knee injuries. Results: Radiological evidence of KF injury was identified in 30 (18.6%) patients. The diagnosis of KF injury was higher in patients who had MRI scans performed within 90 days of injury as compared with ≥90 days after injury (23.7 vs 6.4%; P = .010). Patients with an MRI diagnosis of KF injury had significantly higher rates of lateral meniscal injury (40% vs 18%; P = .007), posteromedial tibial bone marrow edema (73% vs 44%; P = .003), and injury to the lateral collateral ligament (13% vs 3%; P = .019) or medial collateral ligament (23% vs 8%; P = .019). Conclusion: The prevalence of injury to the KF in patients with ACL injury as diagnosed by MRI was relatively low (18.6% of patients). However, the time interval from injury to MRI was relevant to diagnosis, with significantly higher rates of injury identification in patients with early (within 90 days) versus delayed (≥90 days) MRI. KF injury was associated with higher rates of injury to the lateral meniscal and collateral ligaments, as well as posteromedial tibial bone bruising.

Lateral Extra-articular Tenodesis with Iliotibial Band Strip – a Solution for Anterolateral Instability?

2019 ◽  
Vol 21 (6) ◽  
pp. 397-406
Author(s):  
Adam Kwapisz ◽  
Scott Mollison ◽  
Jerzy Cholewiński ◽  
Peter MacDonald ◽  
Marek Synder ◽  
...  
Keyword(s):  
Cruciate Ligament ◽  
Acl Injury ◽  
Iliotibial Band ◽  
Rotational Instability ◽  
Femoral Fixation ◽  
Graft Rupture ◽  
Lateral Tenodesis ◽  
Anterior Cruciate ◽  
Historical Methods ◽  
Anterolateral Instability

It is widely acknowledged that anterior cruciate ligament (ACL) injury is the cause of anterolateral insta­bility, but in some cases not only the ACL ruptures, but also anterolateral structures (ALS), including the antero­lateral ligament. Their insufficiency may be the cause of residual instability after ACL reconstruction, which significantly increases the risk of graft rupture. In the past, anterolateral instability caused by ACL injury was treat­ed with extra-articular reconstructions, including lateral extra-articular tenodesis. Nowadays those techni­ques are used simultaneously in cases of complex anterolateral and rotational instability. This article briefly describes historical methods of lateral tenodesis and presents step-by-step two techniques used in our depart­ments involving two alternative graft femoral fixation methods.

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