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OasisLMS
Catalog
Specialized Toolkit Series: ACL Reconstruction
Lateral Extra-Articular Tenodesis
Lateral Extra-Articular Tenodesis
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Video Transcription
Video Summary
This presentation outlines the modified LAMIRE technique for lateral extra-articular tenodesis (LAT), commonly performed alongside ACL reconstruction. Despite advancements in ACL techniques, many patients experience persistent rotatory laxity. LAT helps reduce pivot shift and graft failure. Indications include patients under 25, those with high-grade pivot shift, generalized ligamentous laxity, increased posterior tibial slope, meniscal deficiency, participation in pivoting sports, and ACL reconstruction revisions. Benefits include improved rotational stability and reduced graft ruptures, though risks like lateral compartment over-constraint and postoperative hematoma exist. The STABILITY trial corroborates the efficacy of LAT in reducing ACL graft failures.
Asset Caption
Jason Ina, M.D. | Brandon Cabarcas, M.D. | Aaron Krych, M.D.
Mayo Clinic, Rochester, MN
Keywords
LAMIRE technique
lateral extra-articular tenodesis
ACL reconstruction
rotational stability
graft rupture
STABILITY trial
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