Intra-articular Anterior Cruciate Ligament Reconstruction With Extra-articular Lateral Tenodesis of the Iliotibial Band.

Autor:	Gomes JLE; Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil., Leie MA; Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil., Marczwski M; Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil., Sánchez G; Steadman Philippon Research Institute, Vail, Colorado, U.S.A., Ferrari MB; Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.
Jazyk:	angličtina
Zdroj:	Arthroscopy techniques [Arthrosc Tech] 2017 Sep 04; Vol. 6 (5), pp. e1507-e1514. Date of Electronic Publication: 2017 Sep 04 (Print Publication: 2017).
DOI:	10.1016/j.eats.2017.05.032
Abstrakt:	An increasing concern has been given to the rotation stability of the knee in the setting of an anterior cruciate ligament (ACL) reconstruction. This growing interest stems from a better understanding of the rotational stability of the knee afforded by the identification of the anterolateral ligament. Previously, a residual abnormal pivot-shift test had been found after an anatomic single-band reconstruction of the ACL because of a lack of rotational stability, which may lead to the development of osteoarthritis. Residual instability affects function, especially in high-demand athletes who perform many flexion-rotation movements during sporting activity. The purpose of this Technical Note is to describe our preferred method of intra-articular ACL reconstruction using a hamstring tendon autograft in combination with an extra-articular iliotibial band tenodesis for reinforcement of rotational stability.
Databáze:	MEDLINE
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