Modified Lemaire Lateral Extraarticular Tenodesis in Skeletally Immature Patients: Technical Note

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Published: Feb 24, 2025
DOI: https://doi.org/10.15417/issn.1852-7434.2025.90.1.1954
Keywords:
Modified Lemaire, tenodesis; pediatric, anterolateral ligament, anterior cruciate ligament

Main Article Content

Felipe Pauletti
Department of Pediatric Orthopedics and Traumatology, Sanatorio Allende, Córdoba, Argentina
https://orcid.org/0009-0000-3125-4714
J. Javier Masquijo
Department of Pediatric Orthopedics and Traumatology, Sanatorio Allende, Córdoba, Argentina
http://orcid.org/0000-0001-9018-0612

Abstract

In recent years, the incidence of anterior cruciate ligament (ACL) injuries in skeletally immature athletes has increased exponentially. Although numerous techniques have been developed to stabilize the knee while minimizing the risk of physeal injury, ACL reconstruction in young patients remains associated with a high graft failure rate. The anterolateral ligament has recently gained considerable attention due to its role in anterolateral rotational stability. The objective of this article is to describe the surgical technique used by the authors to perform a combined ACL reconstruction and anterolateral tenodesis in patients with open physeswho are at high risk of ACL re-tear.

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How to Cite
Pauletti, F., & Masquijo, J. J. (2025). Modified Lemaire Lateral Extraarticular Tenodesis in Skeletally Immature Patients: Technical Note. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 90(1), 97-102. https://doi.org/10.15417/issn.1852-7434.2025.90.1.1954
Issue
Vol 90 No 1 (2025)
Section
Nota técnica
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Author Biographies

Felipe Pauletti, Department of Pediatric Orthopedics and Traumatology, Sanatorio Allende, Córdoba, Argentina

Department of Pediatric Orthopedics and Traumatology, Sanatorio Allende, Córdoba, Argentina

J. Javier Masquijo, Department of Pediatric Orthopedics and Traumatology, Sanatorio Allende, Córdoba, Argentina

Department of Pediatric Orthopedics and Traumatology, Sanatorio Allende, Córdoba, Argentina

References

1. Dodwell ER, Lamont LE, Green DW, Pan TJ, Marx RG, Lyman S. 20 years of pediatric anterior cruciate ligament
reconstruction in New York State. Am J Sports Med 2014;42(3):675-80. https://doi.org/10.1177/0363546513518412

2. Tepolt FA, Feldman L, Kocher MS. Trends in pediatric ACL reconstruction from the PHIS Database. J Pediatr
Orthop 2018;38(9):e490-e494. https://doi.org/10.1097/BPO.0000000000001222

3. Andernord D, Desai N, Björnsson H, Ylander M, Karlsson J, Samuelsson K. Patient predictors of early revision
surgery after anterior cruciate ligament reconstruction: a cohort study of 16,930 patients with 2-year follow-up. Am J Sports Med 2015;43(1):121-7. https://doi.org/10.1177/0363546514552788

4. Lutz C, Sonnery-Cottet B, Niglis L, Freychet B, Clavert P, Imbert P. Behavior of the anterolateral structures of the
knee during internal rotation. Orthop Traumatol Surg Res 2015;101(5):523-8. https://doi.org/10.1016/j.otsr.2015.04.007

5. Sonnery-Cottet B, Lutz C, Daggett M, Dalmay F, Freychet B, Niglis L, et al. The involvement of the anterolateral
ligament in rotational control of the knee. Am J Sports Med 2016;44(5):1209-14. https://doi.org/10.1177/0363546515625282

6. Geeslin AG, Moatshe G, Chahla J, Kruckeberg BM, Muckenhirn KJ, Dornan GJ, et al. Anterolateral knee extraarticular stabilizers: A robotic study comparing anterolateral ligament reconstruction and modified Lemaire lateral extra-articular tenodesis. Am J Sports Med 2018;46(3):607-16. https://doi.org/10.1177/0363546517745268

7. Aglietti P, Buzzi R, D’Andria S, Zaccherotti G. Long-term study of anterior cruciate ligament reconstruction for
chronic instability using the central one-third patellar tendon and a lateral extraarticular tenodesis. Am J Sports Med 1992;20(1):38-45. https://doi.org/10.1177/036354659202000111

8. Getgood AMJ, Bryant DM, Litchfield R, Heard M, McCormack RG, Rezansoff A, et al. Lateral extra-articular
tenodesis reduces failure of hamstring tendon autograft anterior cruciate ligament reconstruction: 2-year outcomes from the STABILITY study randomized clinical trial. Am J Sports Med 2020;48(2):285-97.
https://doi.org/10.1177/0363546519896333

9. Sonnery-Cottet B, Saithna A, Cavalier M, Kajetanek C, Temponi EF, Daggett M, et al. Anterolateral ligament
reconstruction is associated with significantly reduced ACL graft rupture rates at a minimum follow-up of 2 years: A prospective comparative study of 502 patients from the SANTI Study Group. Am J Sports Med 2017;45(7):1547-57. https://doi.org/10.1177/0363546516686057

10. Carrozzo A, Monaco E, Saithna A, Annibaldi A, Guy S, Ferreira A, et al. Clinical outcomes of combined anterior
cruciate ligament reconstruction and lateral extra-articular tenodesis procedures in skeletally immature patients: A systematic review from the SANTI Study Group. J Pediatr Orthop 2023;43(1):24-30. https://doi.org/10.1097/BPO.0000000000002236

11. Randhawa S, Stavinoha TJ, Trivedi S, Ganley TJ, Tompkins M, Ellis H, et al. Paediatric reference anatomy for
ACL reconstruction and secondary anterolateral ligament or lateral extra-articular tenodesis procedures. J ISAKOS 2022;7(6):206-13. https://doi.org/10.1016/j.jisako.2022.04.008

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