Skip to main content
SpringerLink
Log in

ACL and Extra-articular Tenodesis

  • Chapter
  • First Online:
Rotatory Knee Instability

  • 1662 Accesses

Abstract

Anterior cruciate ligament reconstruction (ACLR) is one of the most common orthopedic surgical procedures performed. There have been concerns with the inability of an ACLR to reliably restore normal tibial rotation. Various iterations of the lateral extra-articular tenodesis (LET) have been used in an attempt to address anterolateral laxity in an ACL-deficient knee. Initial results with isolated LET were poor in terms of patient satisfaction and subjective clinical testing using a pivot shift test. There is a renewed interest in using LET as an adjunct procedure to a conventional ACLR, as the body of literature looking at a combination procedure has provided more promising results. Our current clinical indications for using LET to augment an ACLR include significant anterolateral laxity (pivot shift grade 2 or greater), young patient age (<20 years), genu recurvatum >10°, or participation in a high-risk pivoting sport.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Ardern CL, Webster KE, Taylor NF, Feller JA (2011) Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play. Br J Sports Med 45:596–606

    Article  PubMed  Google Scholar 

  2. Boden BP, Sheehan FT, Torg JS, Hewett TE (2010) Noncontact anterior cruciate ligament injuries: mechanisms and risk factors. J Am Acad Orthop Surg 18:520–527

    Article  PubMed  PubMed Central  Google Scholar 

  3. Claes S, Vereecke E, Maes M, Victor J, Verdonk P, Bellemans J (2013) Anatomy of the anterolateral ligament of the knee. J Anat 223:321–328

    Article  PubMed  PubMed Central  Google Scholar 

  4. Vieira EL, Vieira EÁ, da Silva R, dos Santos Berlfein PA, Abdalla RJ, Cohen M (2007) An anatomic study of the iliotibial tract. Arthrosc J Arthrosc Relat Surg 23:269–274

    Article  Google Scholar 

  5. Vincent JP, Magnussen RA, Gezmez F, Uguen A, Jacobi M, Weppe F et al (2012) The anterolateral ligament of the human knee: An anatomic and histologic study. Knee Surg Sports Traumatol Arthrosc 20:147–152

    Article  PubMed  Google Scholar 

  6. Caterine S, Litchfield R, Johnson M, Chronik B, Getgood A (2014) A cadaveric study of the anterolateral ligament: re-introducing the lateral capsular ligament. Knee Surg Sports Traumatol Arthrosc. [Internet]. [cited 2015 Mar 5];1–10. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24929656

  7. Hughston JC, Andrews JR, Cross MJ, Moschi A (1976) Classification of knee ligament instabilities. Part II. The lateral compartment. J Bone Joint Surg. Am. [Internet]. [cited 2014 Nov 17];58:173–179. Available from: http://www.ncbi.nlm.nih.gov/pubmed/1254620

  8. Dietz GW, Wilcox DM, Montgomery JB (1986) Segond tibial condyle fracture: lateral capsular ligament avulsion. Radiology [Internet]. [cited 2015 Apr 29];159:467–469. Available from: http://www.ncbi.nlm.nih.gov/pubmed/3961179

  9. Goldman AB, Pavlov H, Rubenstein D (1988) The Segond fracture of the proximal tibia: a small avulsion that reflects major ligamentous damage. AJR Am J Roentgenol. [Internet]. [cited 2015 Apr 29];151:1163–1167. Available from: http://www.ncbi.nlm.nih.gov/pubmed/3263770

  10. Johnson LL (1979) Lateral capsular ligament complex: anatomical and surgical considerations. Am J Sports Med. [Internet]. [cited 2015 Apr 29];7:156–160. Available from: http://www.ncbi.nlm.nih.gov/pubmed/464170

  11. Segond P (1879) Recherches cliniques et experimentales sur les epanchements sanguins du genou par entorse. Progres Medical, Paris

    Google Scholar 

  12. Norwood LA, Andrews JR, Meisterling RC, Clancy GL (1979) Acute anterolateral rotatory instability of the knee. J Bone Joint Surg Am 61-A:704–709

    Google Scholar 

  13. Claes S, Luyckx T, Vereecke E, Bellemans J (2014) The Segond fracture: a bony injury of the anterolateral ligament of the knee. Arthroscopy [Internet]. [cited 2015 Jul 3];30:1475–1482. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25124480

  14. Bhatia S, LaPrade CM, Ellman MB, LaPrade RF (2014) Meniscal root tears: significance, diagnosis, and treatment. Am J Sports Med. [Internet]. [cited 2015 Apr 29];42:3016–3030. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24623276

  15. Tanaka M, Vyas D, Moloney G, Bedi A, Pearle AD, Musahl V (2012) What does it take to have a high-grade pivot shift? Knee Surg. Sports Traumatol. Arthrosc. [Internet]. [cited 2015 Mar 5];20:737–742. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22222616

  16. Thompson WO, Fu FH (1993) The meniscus in the cruciate-deficient knee. Clin Sports Med. [Internet]. [cited 2015 Apr 29];12:771–796. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8261525

  17. Kittl C, El Daou H, Athwayl K, Gupte C, Weiler A, Williams A et al (2015) The role of the anterolateral structures and the ACL in controlling internal rotational knee laxity. ISAKOS Bienn Congr. [Internet]. Lyon; [cited 2015 Jun 15]. Available from: https://www.isakos.com/meetings/2015congress/AbstractView?EventID=8115

  18. Zelle BA, Vidal AF, Brucker PU, Fu FH (2007) Double-bundle reconstruction of the anterior cruciate ligament: anatomic and biomechanical rationale. J Am Acad Orthop Surg 15:87–96

    Article  PubMed  Google Scholar 

  19. Yagi M, Wong EK, Kanamori A, Debski RE, Fu FH, Woo SL-Y (2002) Biomechanical analysis of an anatomic anterior cruciate ligament reconstruction. Am J Sports Med 30:660–666

    PubMed  Google Scholar 

  20. Meredick RB, Vance KJ, Appleby D, Lubowitz JH (2008) Outcome of single-bundle versus double-bundle reconstruction of the anterior cruciate ligament: a meta-analysis. Am J Sports Med 36:1414–1421

    Article  PubMed  Google Scholar 

  21. Bedi A, Raphael B, Maderazo A, Pavlov H, Williams RJ (2010) Transtibial versus anteromedial portal drilling for anterior cruciate ligament reconstruction: a cadaveric study of femoral tunnel length and obliquity. Arthrosc J Arthrosc Relat Surg. [Internet]. Elsevier Inc.; 6:342–350. Available from: http://dx.doi.org/10.1016/j.arthro.2009.12.006

  22. Markolf KL, Jackson SR, McAllister DR (2010) A comparison of 11 o’clock versus oblique femoral tunnels in the anterior cruciate ligament-reconstructed knee: knee kinematics during a simulated pivot test. Am J Sports Med 38:912–917

    Article  PubMed  Google Scholar 

  23. Lee MC, Seong SC, Lee S, Chang CB, Park YK, Jo H et al (2007) Vertical femoral tunnel placement results in rotational knee laxity after anterior cruciate ligament reconstruction. Arthroscopy [Internet]. [cited 2015 Apr 29];23:771–778. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17637414

  24. Loh JC, Fukuda Y, Tsuda E, Steadman RJ, Fu FH, Woo SLY (2003) Knee stability and graft function following anterior cruciate ligament reconstruction: Comparison between 11 o’clock and 10 o’clock femoral tunnel placement. Arthrosc J Arthrosc Relat Surg 19:297–304

    Article  Google Scholar 

  25. Scopp JM, Jasper LE, Belkoff SM, Moorman CT (2004) The effect of oblique femoral tunnel placement on rotational constraint of the knee reconstructed using patellar tendon autografts. Arthroscopy [Internet]. [cited 2015 Apr 29];20:294–299. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15007318

  26. Jepsen CF, Lundberg-Jensen AK, Faunoe P (2007) Does the position of the femoral tunnel affect the laxity or clinical outcome of the anterior cruciate ligament-reconstructed knee? A clinical, prospective, randomized, double-blind study. Arthroscopy [Internet]. [cited 2015 Apr 29];23:1326–1333. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18063177

  27. Kato Y, Ingham SJM, Kramer S, Smolinski P, Saito A, Fu FH (2009) Effect of tunnel position for anatomic single-bundle ACL reconstruction on knee biomechanics in a porcine model. Knee Surg Sports Traumatol Arthrosc 18:2–10

    Article  Google Scholar 

  28. Kato Y, Maeyama A, Lertwanich P, Wang JH, Ingham SJM, Kramer S et al (2012) Biomechanical comparison of different graft positions for single-bundle anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 21:816–823

    Article  PubMed  PubMed Central  Google Scholar 

  29. Kondo E, Merican AM, Yasuda K, Amis AA (2011) Biomechanical comparison of anatomic double-bundle, anatomic single-bundle, and nonanatomic single-bundle anterior cruciate ligament reconstructions. Am J Sports Med. [Internet]. [cited 2015 Jun 16];39:279–288. Available from: http://ajs.sagepub.com/content/39/2/279.short

  30. Shelbourne K, Gray T, Haro M (2009) Incidence of subsequent injury to either knee within 5 years after anterior cruciate ligament reconstruction with patellar tendon autograft. Am J Sports Med 37:246–251

    Article  PubMed  Google Scholar 

  31. Kaeding CC, Aros B, Pedroza A, Pifel E, Amendola A, Andrish JT et al (2011) Allograft versus autograft anterior cruciate ligament reconstruction: predictors of failure from a MOON prospective longitudinal cohort. Sports Health 3:73–81

    Article  PubMed  PubMed Central  Google Scholar 

  32. Mohtadi NG, Chan DS, Dainty KN, Whelan DB (2011) Patellar tendon versus hamstring tendon autograft for anterior cruciate ligament rupture in adults. Cochrane Database Syst Rev. [Internet]. [cited 2015 Apr 29];CD005960. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21901700

  33. Magnussen RA, Lawrence JTR, West RL, Toth AP, Taylor DC, Garrett WE (2012) Graft size and patient age are predictors of early revision after anterior cruciate ligament reconstruction with hamstring autograft. Arthroscopy [Internet]. [cited 2015 Apr 29];28:526–531. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22305299

  34. Kocher MS, Steadman JR, Briggs K, Zurakowski D, Sterett WI, Hawkins RJ (2002) Determinants of patient satisfaction with outcome after anterior cruciate ligament reconstruction. J Bone Joint Surg Am 84-A:1560–1572

    PubMed  Google Scholar 

  35. Ayeni OR, Chahal M, Tran MN, Sprague S (2012) Pivot shift as an outcome measure for ACL reconstruction: a systematic review. Knee Surg Sports Traumatol Arthrosc. [Internet]. [cited 2015 Apr 29];20:767–777. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22218828

  36. Leiter JRS, Gourlay R, McRae S, de Korompay N, MacDonald PB (2014) Long-term follow-up of ACL reconstruction with hamstring autograft. Knee Surg Sports Traumatol Arthrosc. [Internet]. [cited 2015 Apr 29];22:1061–1069. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23595537

  37. Jonsson H, Riklund-Ahlström K, Lind J (2004) Positive pivot shift after ACL reconstruction predicts later osteoarthrosis: 63 patients followed 5-9 years after surgery. Acta Orthop Scand 75:594–599

    Article  PubMed  Google Scholar 

  38. Catterall JB, Stabler T V, Flannery CR, Kraus VB (2010) Changes in serum and synovial fluid biomarkers after acute injury (NCT00332254). Arthritis Res Ther. [Internet]. [cited 2015 Jun 24];12:R229. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3046542&tool=pmcentrez&rendertype=abstract

  39. Natoli RM, Scott CC, Athanasiou KA (2008) Temporal effects of impact on articular cartilage cell death, gene expression, matrix biochemistry, and biomechanics. Ann Biomed Eng. [Internet]. [cited 2015 Jun 24];36:780–792. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18299988

  40. Schindler OS (2012) Surgery for anterior cruciate ligament deficiency: a historical perspective. Knee Surg Sports Traumatol Arthrosc 20:5–47

    Article  PubMed  Google Scholar 

  41. Ellison A (1978) Anterolateral rotatory instability. In: Funk F Jr (ed) Symposium on the athlete's knee, surgical repair and reconstruction. American Academy of Orthopaedic Surgeons, St. Louis, AAOS, pp 178–193

    Google Scholar 

  42. Engebretsen L, Lew WD, Lewis JL, Hunter RE (1990) The effect of an iliotibial tenodesis on intraarticular graft forces and knee joint motion. Am J Sports Med 18:169–176

    Article  CAS  PubMed  Google Scholar 

  43. Draganich LF, Reider B, Ling M, Samuelson M (1990) An in vitro study an intraarticular and extraarticular reconstruction in the anterior cruciate ligament deficient knee. Am J Sports Med 18:262–266

    Article  CAS  PubMed  Google Scholar 

  44. Monaco E, Labianca L, Conteduca F (2007) De Carli a., Ferretti a. Double bundle or single bundle plus extraarticular tenodesis in ACL reconstruction?: AAA CAOS study. Knee Surg Sports Traumatol Arthrosc 15:1168–1174

    Article  CAS  PubMed  Google Scholar 

  45. Zaffagnini S, Signorelli C, Lopomo N, Bonanzinga T, Marcheggiani Muccioli GM, Bignozzi S et al. (2012) Anatomic double-bundle and over-the-top single-bundle with additional extra-articular tenodesis: an in vivo quantitative assessment of knee laxity in two different ACL reconstructions. Knee Surg Sports Traumatol Arthrosc. [Internet]. [cited 2015 Apr 29];20:153–159. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21710111

  46. Spencer L, Burkhart TA, Tran MN, Rezansoff AJ, Deo S, Caterine S et al. (2015) Biomechanical Analysis of Simulated Clinical Testing and Reconstruction of the Anterolateral Ligament of the Knee. Am J Sports Med [Internet]. [cited 2015 Jun 24];0363546515589166. Available from: http://ajs.sagepub.com/content/early/2015/06/19/0363546515589166.abstract

  47. Lemaire M (1967) Ruptures anciennes du ligament croise anterieur du genou: Requence, Clinique, Traitement. (46 cas). J Chir 93:311–320

    Google Scholar 

  48. Losee RE, Johnson TR, Southwick WO (1978) Anterior subluxation of the lateral tibial plateau. A diagnostic test and operative repair. J Bone Joint Surg Am. [Internet]. [cited 2015 Apr 29];60:1015–1030. Available from: http://www.ncbi.nlm.nih.gov/pubmed/721850

  49. Ellison AE (1979) Distal iliotibial-band transfer for anterolateral rotatory instability of the knee. J Bone Joint Surg Am 61-A:330–337

    Google Scholar 

  50. Ireland J, Trickey E (1980) MacIntosh tenodesis for anterolateral instability of the knee. J Bone Joint Surg Br 62-B:340–345

    Google Scholar 

  51. McCulloch PC, Lattermann C, Boland AL, Bach BR (2007) An illustrated history of anterior cruciate ligament surgery. J Knee Surg 20:95–104

    PubMed  Google Scholar 

  52. Andrews JR, Sanders R (1983) A “mini-reconstruction” technique in treating anterolateral rotatory instability (ALRI). Clin Orthop Relat Res 172:93–96

    Google Scholar 

  53. Kennedy JC, Stewart R, Walker DM (1978) Anterolateral rotatory instability of the knee joint. J Bone Joint Surg Am 60-A:1031–1039

    Google Scholar 

  54. Fox JM, Blazina ME, Del Pizzo W, Ivey FM, Broukhim B (1980) Extra-articular stabilization of the knee joint for anterior instability. Clin Orthop Relat Res 56–61

    Google Scholar 

  55. Neyret P, Palomo JR, Donell ST, Dejour H (1994) Extra-articular tenodesis for anterior cruciate ligament rupture in amateur skiers. Br J Sports Med 28:31–34

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  56. Johnson DS, Smith RB (2001) Outcome measurement in the ACL deficient knee – what’s the score? Knee 8:51–57

    Article  CAS  PubMed  Google Scholar 

  57. Sydney S, Haynes D, Hungerford D, Gerdes M (1987) The altered kinematic effect of an iliotibial band tenodesis on the anterior cruciate deficient knee. Orthopaedic Research Society, Transaction of Annual Meeting, p. 340

    Google Scholar 

  58. Draganich LF, Reider B, Miller PR (1989) An in vitro study of the Muller anterolateral femorotibial ligament tenodesis in the anterior cruciate ligament deficient knee. Am J Sports Med 17:357–362

    Article  CAS  PubMed  Google Scholar 

  59. Amis AA, Scammell BE (1993) Biomechanics of intra-articular and extra-articular reconstruction of the anterior cruciate ligament. J Bone Joint Surg Br 75:812–817

    CAS  PubMed  Google Scholar 

  60. Anderson AF, Snyder RB, Lipscomb AB (2001) Anterior cruciate ligament reconstruction. A prospective randomized study of three surgical methods. Am J Sports Med 29:272–279

    CAS  PubMed  Google Scholar 

  61. Dandy DJ (1995) Some clinical aspects of reconstruction for chronic anterior cruciate ligament deficiency. Ann R Coll Surg Engl 77:290–298

    CAS  PubMed  PubMed Central  Google Scholar 

  62. Bertoia JT, Urovitz EP, Richards RR, Gross AE (1985) Anterior cruciate reconstruction using the MacIntosh lateral-substitution over-the-top repair. J Bone Joint Surg Am 67-S:1183–1188

    Google Scholar 

  63. Zarins B, Rowe CR (1986) Combined anterior cruciate-ligament reconstruction using semitendinosus tendon and iliotibial tract. J Bone Joint Surg Am 68-A:160–177

    Google Scholar 

  64. Rackemann S, Robinson A, Dandy DJ (1991) Reconstruction of the anterior cruciate ligament with an intra-articular patellar tendon graft and an extra-articular tenodesis: results after six years. J Bone Joint Surg Br 73-B:368–373

    Google Scholar 

  65. Dejour H, Walsh G, Neyret P, Adeleine P (1988) Resultats des laxites chroniques anterieures operees. Rev Chir Orthop 74:622–636

    CAS  PubMed  Google Scholar 

  66. Marcacci M, Zaffagnini S, Iacono F, Neri MP, Loreti I, Petitto A (1998) Arthroscopic intra- and extra-articular anterior cruciate ligament reconstruction with gracilis and semitendinosus tendons. Knee Surg Sports Traumatol Arthrosc. [Internet]. [cited 2015 Apr 29];6:68–75. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9604189

  67. Colombet PD (2011) Navigated intra-articular ACL reconstruction with additional extra-articular tenodesis using the same hamstring graft. Knee Surg Sports Traumatol Arthrosc 19:384–389

    Article  PubMed  Google Scholar 

  68. Hewison CE, Tran MN, Kaniki N, Remtulla A, Bryant D, Getgood AM (2015) Lateral extra-articular tenodesis reduces rotational laxity when combined with anterior cruciate ligament reconstruction: a systematic review of the literature. Arthroscopy [Internet]. Elsevier; [cited 2015 Jul 25]; Available from: http://www.arthroscopyjournal.org/article/S0749806315003862/fulltext

  69. Marcacci M, Zaffagnini S, Giordano G, Iacono F, Presti ML (2009) Anterior cruciate ligament reconstruction associated with extra-articular tenodesis: a prospective clinical and radiographic evaluation with 10- to 13-year follow-up. Am J Sports Med 37:707–714

    Article  PubMed  Google Scholar 

  70. Zaffagnini S, Marcacci M, Lo Presti M, Giordano G, Iacono F, Neri MP (2006) Prospective and randomized evaluation of ACL reconstruction with three techniques: a clinical and radiographic evaluation at 5 years follow-up. Knee Surg Sports Traumatol Arthrosc 14:1060–1069

    Article  PubMed  Google Scholar 

  71. Trojani C, Beaufils P, Burdin G, Bussière C, Chassaing V, Djian P et al (2012) Revision ACL reconstruction: influence of a lateral tenodesis. Knee Surg Sports Traumatol Arthrosc 20:1565–1570

    Article  PubMed  Google Scholar 

  72. Musahl V, Kopf S, Rabuck S, Becker R, van der Merwe W, Zaffagnini S et al (2012) Rotatory knee laxity tests and the pivot shift as tools for ACL treatment algorithm. Knee Surg Sports Traumatol Arthrosc 20:793–800

    Article  PubMed  Google Scholar 

  73. Lerat JL, Moyen BL, Cladière F, Besse JL, Abidi H (2000) Knee instability after injury to the anterior cruciate ligament. Quantification of the Lachman test. J Bone Joint Surg Br 82:42–47

    Article  CAS  PubMed  Google Scholar 

  74. Lording TD, Lustig S, Servien E, Neyret P (2014) Lateral reinforcement in anterior cruciate ligament reconstruction. Asia-Pacific J Sport Med Arthrosc Rehabil Technol. [Internet]. 1:3–10. Available from: http://linkinghub.elsevier.com/retrieve/pii/S2214687313000034

  75. Papageorgiou CD, Gil JE, Kanamori A, Fenwick JA, Woo SL, Fu FH (2001) The biomechanical interdependence between the anterior cruciate ligament replacement graft and the medial meniscus. Am J Sports Med 29:226–231

    CAS  PubMed  Google Scholar 

  76. Trojani C, Sbihi A, Djian P, Potel JF, Hulet C, Jouve F et al (2011) Causes for failure of ACL reconstruction and influence of meniscectomies after revision. Knee Surg Sports Traumatol Arthrosc 19:196–201

    Article  PubMed  Google Scholar 

  77. Christel P, Djian P (2002) Anterio-lateral extra-articular tenodesis of the knee using a short strip of fascia lata. Rev Chir Orthop Reparatrice Appar Mot. [Internet]. [cited 2015 Apr 29];88:508–513. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12399717

  78. Getgood A (2014) Lateral Extra-Articular Tenodesis (LET) – indications and technique [Internet]. VuMedi. [cited 2015 Jun 15]. Available from: https://www.vumedi.com/video/lateral-extra-articular-tenodesis-let-indications-and-technique/

  79. Salmon L, Russell V, Musgrove T, Pinczewski L, Refshauge K (2005) Incidence and risk factors for graft rupture and contralateral rupture after anterior cruciate ligament reconstruction. Arthroscopy 21:948–957

    Article  PubMed  Google Scholar 

  80. Wright RW, Dunn WR, Amendola A, Andrish JT, Bergfeld J, Kaeding CC et al (2007) Risk of tearing the intact anterior cruciate ligament in the contralateral knee and rupturing the anterior cruciate ligament graft during the first 2 years after anterior cruciate ligament reconstruction: a prospective MOON cohort study. Am J Sports Med. [Internet]. [cited 2015 Mar 9];35:1131–1134. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17452511

  81. Brophy R, Schmitz L, Wright RW (2012) Return to play and future ACL injury risk after ACL reconstruction in soccer athletes from the Multicenter Orthopaedic Outcomes Network (MOON) group. Am J Sports Med 40:2517–2522

    Article  PubMed  PubMed Central  Google Scholar 

  82. Getgood A (2013) Standard ACL reconstruction vs ACL + lateral extra-articular tenodesis study (STAbiLiTY) [Internet]. ClinicalTrials.gov. [cited 2015 Jun 16]. Available from: https://clinicaltrials.gov/ct2/show/NCT02018354

Download references

Acknowledgments

We are grateful for research funding for the STAbiLiTY study has been provided through the Multicenter Grant competition from the International Society of Arthroscopy, Knee Surgery, and Orthopedic Sports Medicine (ISAKOS) and the Orthopedic Research and Education Foundation (OREF).

Dr. Getgood also thanks Dr. David Dejour and Dr. Peter Verdonk for demonstrating their respective techniques of lateral extra-articular tenodesis.

Author information

Authors and Affiliations

  1. Department of Surgery, Fowler Kennedy Sport Medicine Clinic, Western University, London, ON, N6A 3K7, Canada

    Benjamin V. Herman MD, FRCSC & Alan Getgood MPhil, MD, FRCS (Tr & Orth)

  2. Melbourne Orthopaedic Group, Department of Orthopaedic Surgery, The Alfred Hospital, Melbourne, VIC, Australia

    Timothy D. Lording MBBS, FRACS

Authors
  1. Benjamin V. Herman MD, FRCSC
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Timothy D. Lording MBBS, FRACS
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Alan Getgood MPhil, MD, FRCS (Tr & Orth)
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Alan Getgood MPhil, MD, FRCS (Tr & Orth) .

Editor information

Editors and Affiliations

  1. UPMC Center for Sports Medicine, Pittsburgh, Pennsylvania, USA

    Volker Musahl

  2. Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden

    Jón Karlsson

  3. Orthopaedic Surgery, Kobe University School of Medicine, Kobe, Japan

    Ryosuke Kuroda

  4. Istituto Ortopedico Rizzoli, University of Bologna, Bologna, Italy

    Stefano Zaffagnini

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Herman, B.V., Lording, T.D., Getgood, A. (2017). ACL and Extra-articular Tenodesis. In: Musahl, V., Karlsson, J., Kuroda, R., Zaffagnini, S. (eds) Rotatory Knee Instability. Springer, Cham. https://doi.org/10.1007/978-3-319-32070-0_29

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-32070-0_29

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-32069-4

  • Online ISBN: 978-3-319-32070-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation